Understanding Stroke _ It’s A State of Mind!

1. Understanding Stroke _ It’s A State of Mind!

2. Be Stroke Smart The 3 R’s of Stroke Reduce Stroke Risk Recognize Stroke Symptoms Respond – Call 911 When warning signs occur Stroke is the MOST preventable of all catastrophic medical conditions

3. Definition of Stroke • Sudden brain damage • Lack of blood flow to the brain caused by a clot or rupture of a blood vessel • Ischemic • - Most common • Hemorrhagic • - Bleeding around brain • - Bleeding into brain

4. President Gerald Ford Robert Guillaume Della Reese Charles Schultz Ted Williams Prominent PeopleWho Had Strokes • Sharon Stone • Luther Van Dross • Mary Kay Ash • Kirk Douglas • Roy Horn – Seigfried & Roy

5. Stroke Facts in America • Third leading cause of death in the United States • 750,000 Americans suffer strokes each year • 160,000 deaths each year • 4,000,000 stroke survivors

6. Stroke Facts in America • A leading cause of adult disability • Up to 80% of 600,000 strokes are preventable • Every 45 seconds, someone suffers a stroke • Twice as many women die from stroke every year than from breast cancer

7. African Americans & Stroke • Incidence is nearly double that of white Americans • Suffer more extensive physical impairments • Twice as likely to die from stroke • High incidence of risk factors for stroke • Hypertension • Diabetes • Obesity • Smoking • Sickle cell anemia

8. Women & Stroke • Stroke kills more than twice as many American women every year as breast cancer • More women than men die from stroke • Women over age 30 who smoke and take high-estrogen oral contraceptives have a stroke risk 22 times higher than average

9. Stroke Symptoms Sever headache Sudden confusion Trouble speaking Trouble seeing In one or both eyes Sudden numbness Sudden dizziness If you see someone having any of these symptoms Call 911 every minute counts

10. TIA or Mini-Stroke • Transient ischemic attacks (TIAs) are a warning sign of stroke • Symptoms of TIAs are the same as for stroke • Symptoms resolve within minutes to hours • Over 1/3 all persons who experience TIA will go on to have a full stroke

11. REALITY Up to 80% percent of strokes are preventable Stroke requires emergency treatment Anyone can have a stroke Stroke is a “Brain Attack” Stroke recovery can last a lifetime The Perceptions of Stroke MYTH • Stroke is not preventable • Stroke cannot be treated • Stroke only strikes the elderly • Stroke happens in the heart • Stroke recovery ends after 6 months

12. The Cost of Stroke $53.6 Billion Annually

13. NSA developed these guidelines to help people reduce their risk for stroke… Up to 80% of strokes are preventable!

14. NSA’s Stroke Prevention Guidelines • Know your blood pressure. Have it checked at least annually. If it is elevated, work with your doctor to control it. • Find out if you have atrial fibrillation, a type of irregular heart beat. • If you smoke, stop.

15. NSA’s Stroke Prevention Guidelines(continued)‏ 4. If you drink alcohol, do so in moderation. 5. If you have high cholesterol, work with your doctor to control it. 6. If you are diabetic, follow your doctor’s recommendations carefully to control your diabetes.

16. NSA’s Stroke Prevention Guidelines(continued)‏ 7. Include exercise in the activities you enjoy in your daily routine • Enjoy a lower sodium (salt), lower fat diet • Work with your doctor if you have circulation problems 10. If you experience any stroke symptoms, seek immediate medical attention. Call 911.

17. Reasons Patients Don’t Seek Immediate Treatment • Don’t recognize symptoms • Don’t want fears confirmed – denial • Think nothing can be done – not an emergency • Worried about cost • Think symptoms will disappear • Fear of hospitals

18. Acute Stroke Treatment • Clot Busters • T-PA • First FDA-approved stroke treatment • Brain Protectors • Neuroprotectants • Neuroprotectants are still in clinical trial in the research and development phase

19. Percentage of Patients Returning to work after Stroke

20. Stroke Recovery • 10% of stroke survivors recover almost completely • 25% recover with minor impairments • 40% experience moderate to severe impairments requiring special care • 10% require care in a skilled care or other long-term care facility • 15% die shortly after the stroke

21. Types of Stroke Rehabilitation • Physical Therapy (PT)‏ • Walking, range of movement • Occupational Therapy (OT)‏ • Taking care of one’s self • Speech Language • Therapy • Communication skill, swallowing, cognition • Recreational Therapy • Cooking, gardening etc.

22. Life at Home for Stroke Survivors and Family • Behavior • Depression & Anger • Emotional Liability • One-sided Neglect • Memory Loss • Communication Problems

23. Life at Home for StrokeSurvivors and Family • Daily living skills • Dressing and grooming • Diet, nutrition and eating difficulties • Skin care problems • Pain • Sexuality/Intimacy

24. Recovery Services • Rehabilitation Unit in the Hospital • In-patient Rehabilitation Facility • Home Bound Therapy • Home with Outpatient Therapy • Long-term Care Facility • Community-based Programs

25. Reduce the Impact of Stroke • Stroke is a Brain Attack! • Preventable and treatable • 3 R’s of Stroke • Reduce Risk • Recognize Stroke Symptoms • Respond immediately by calling 911

26. National Stroke Association • Reducing the Incidence and Impact of Stroke • Prevention and Public Education • Professional Education and Training • Advancing Stroke Research • Resource for Stroke Survivors and Caregivers

27. NSA Materials

28. Toll – free information 1-800-STROKES (787-6537)‏ Comprehensive web site www.stroke.org National Stroke Association