Transcript: Strokes can be prevented! a clinical syndrome consisting of 'rapidly developing clinical signs of focal disturbance of cerebral function, lasting more than 24 h or leading to death with no apparent cause other than that of vascular origin' Strokes are most common in strokes are tested by performing a physical exam and a neurological exam to determine how your body, mind, and nervous system are working. -Eat a healthy diet Diets high in saturated fat and cholesterol can raise blood-cholesterol levels. New things I've learned A healthier life style for stroke patients Many people with ischemic strokes are older (60 or more years old), and the risk of stroke increases with age. Stroke can affect people of all ages, including children. -Control your weight Gaining even 22 pounds after the age of 18 is associated with increased risk of stroke. How strokes are treated -weakness The treatment of ischemic stroke aims to dissolve, remove, or shatter a blood clot that is preventing blood from reaching an area of the brain. The most effective stroke treatments can only be given within the first few hours after a stroke has occurred. -A stoke may occur when a blood vessel leaks or bursts. STROKE Stroke statistics Testing for strokes -Sudden numbness -Worldwide, stroke is the second leading cause of death, responsible for 4.4 million (9 percent) of the total 50.5 million deaths each year. -Stroke is the No. 3 cause of death in the U.S., behind heart disease (with which it is closely linked) and cancer. -Stroke affects more than 700,000 individuals annually in the United States (approximately one person every 45 seconds). About 500,000 of these are first attacks, and 200,000 are recurrent attacks. -Someone in the U.S. dies every 3.3 minutes from stroke -Stroke is the leading cause of disability among adults in the U.S. -More than 4 million people in the United States have survived a stroke or brain attack and are living with the after-effects. -Four out of five families will be somehow affected by stroke over the course of a lifetime Definition- This treatment, which depending on the location of the stroke in the brain can be given for up to 6 hours after the onset of symptoms, consists of the injection of TPA, or a similar agent, directly into the blood clot that is causing the stroke. Possible causes of Strokes -Eat a healthy diet Diets high in saturated fat and cholesterol can raise blood-cholesterol levels. Symptoms -Sudden problems with walking or balance -Stokes most commenly result from a blockage in an artery. The End -Sudden vision changes -Sudden trouble speaking by Tyler Knapp -Loss of movement in your face, arm, or leg, especially on only one side of your body. -Exersise regularly -tingling I've learned that strokes are very common in a americans. That strokes can be treated but if not treated are very deadly. Stokes can be prevented with a healthyer life style! -A stoke may also occur when blood flow temporaly disrupted going into the brain.
Transcript: Nutrition! are the ones which result from the rupture of a blood vessel or an abnormal vascular structure Classifications! high cholestoral atrial fibrillation 160,000 of the victims die from a stroke related cause a stroke can be devastating to victims and families a diet with five or more servings of fruits and vegetables per day may reduce the risk of stroke spices add flavour to food and serve as a good subsitute for salt a stroke occurs when a blood vessel that carries oxygen or nutrients to the brain and the vessel is either blocked or it has a rupture in a place old age dizziness diabetes stroke risk factors tobacco smoking warning signs STROKE WARNING SIGNS & RISK FACTORS! vision problems choose healthy food but with a strong flavor such as broiled fish and citrus fruits the left side of your brain effects the right side of your body the ability to read, write and talk hemorrhagic strokes: effects of as stroke will depend on where the stroke occurred in your brain ischemic strokes: those that are caused by interruption of the blood supply can be classified in two major catergory. Infants have strokes Kids have strokes Even unborn babies have have strokes sickle cell disease is a blood disorder that is associated with ischemic stroke which can happen to kids Statistics on strokes! BY, some hemorrhages develop inside areas where ischemia is [hemorrhagic transformation] a common cause if ischemic strokes is when a blood dot forms in the heart and then travels to the brain THE END! trouble speaking it is unknown how many hemorrhages actually start as ischemia stroke transient ischemic attack [TIA] stroke is also the no .4 cause of death and is a leading cause of death in the USA a stroke is a disease that affect the arteries that lead to your brain and it affects you within your brain previous stroke 87% of strokes are caused by ischemia and the remainder by hemorrhagic. headaches high blood pressure what causes strokes to kids! Affections! mhfu What is stroke? HOPE YOU GUY'S ENJOYED OUR PREZI Ischemic strokes & hemorrhagic strokes sudden numbness each year more than 700,000 Americans have a stroke MONIKA & SUKHPREET weakness of face, arm and leg a stroke in the back of the brain changes the ability to see
Transcript: Stroke M&G orientation program for fresh graduates ASU 12A RN Ida Wong RN Mandy Lam 27/04/2021 Introduction of stroke and stroke team Introduction of stroke ~87% Introduction of stroke ~13% WHO Definition: rapid developing of clinical signs of focal (or global) disturbance of cerebral function, with symptoms lasting 24 hours or longer or leading to death, with no apparent cause other than of vascular origin (WHO, 1980). 1. Ischemic Stroke 2. Hemorrhagic Stroke (American Stroke Association, 2021) warning sign of stroke! ASU service Journey of a stroke patient Hyperacute Acute Rehabilitation Community service - ICDS - Nurse-led clinic - GDH, community day care centre - Home care service - Transport support service - Respite care ASU team - 12A: mixed ward with 16 ASU beds (Officially 2 tPA beds) - Multidisciplinary approach - Weekly case conference - Protoccol-driven workflow and guideline (O et al., 2020) Neurological observation Neurological observation Best motor response Glasgow Coma Scale (GCS) Eyes opening * If eyes closed due to severe swelling, record "C" Pain stimuli Peripheral Central Apply to core of body Apply to extremities Tends to give a spinal reflex Better in assessing eyes opening To assess the cortex Better in assessing motor response Ask questions 1. Name 2. Time 3. Place 4. People Best verbal response * Score "T" when patient is on endotracheal tube or tracheostomy Flexion withdrawal (M4) - no purposeful movement to remove stimuli - without rotating the wrist - no stiffness associated with the movement Flexion response (M3) - slow movement - elbow flexes rigidly - wrists rotate in a spastic-type posture - legs are not assessed for 'flexing' as bending the knees and flexing are indistinguishable (Braine & Cook, 2016) (Royal College of Physicians and Surgeons of Glasgow, 2021) Click to edit text Click to edit text All motor responses - Testing CNIII - Use of penlight torch, avoid using LED light - Shine the pupil at a direction - Record pupil sizes before stimuli - Equality and reactivity Pupillary response (Braine & Cook, 2016) (Royal College of Physicians and Surgeons of Glasgow, 2021) Atypical/Abnormal pupils Limb Power Left Right Upper limb Upper limb Lower limb Lower limb (Florence et al., 1992) Swallowing test Swallowing Test Techniques Pre-assessment Indications: - Etiologies which would impair swallow - Decreased level of consciousness - Apparent signs or complaints in swallowing difficulty - Known history of dysphagia - Apparent signs of aspiration (Martino et al., 2013) Why need nursing swallowing assessment? - Non-invasive - Not possible to perform instrumental examination on every patient with suspected dysphagia Clinical observation before the test: - Poor conscious level - Presence of tracheostomy - Difficulty in managing oral secretions (e.g choking of saliva/severe drooling) - Moist, wet, gurgly voice quality - Follow commands? Co-operative? Either one observed: -Keep NPO and refer ST!! Pre-assessment: 1. Check oral cavity (unfit dentures?) 2. Ask patient to stick out the tongue (any deviation?) 3. Ask patient to open mouth, say "ah" (use penlight to check palate and uvula) 4. Ask patient to swallow saliva first Preparation Tools: Position: - Stand on patient's dominant side - Patient sitting upright with head support, with SpO2 monitoring Implementation: Part A: Feed patient 5ml of water into patient's oral cavity by teaspoon for 3 times Part B: Sip from a cup in 10ml portion, for 3 trials Continuous observe for 2 more minutes to see any choking or desaturation for problematic clinical signs for NO problematic clinical signs * If any shaded items , stop the test immediately, withhold feeding, inform doctor and refer ST. * If pass the test, start with puree diet first. *Once ST orders diet, only ST can change the diet order. (American Association of Neuroscience Nurses, 2017) Limitations Evaluation - NO straw or feeding syringe use unless ST prescribes - Avoid dry foods, sticky foods, foods of mixed consistencies *The degree of swallowing impairment fluctuates after stroke. Ongoing assessment is needed for poststroke dysphagia (Fedder, 2017). - Cannot detect silent aspiration - Results only tell patient's tolerance on thin liquids Precautions Complications prevention Complications prevention -Hinder recovery -Associated with poorer outcomes independent of stroke severity and age - Arise within the first few weeks of stroke, i.e. during hospital and rehab stays - PREVENTABLE!! Head-to-toe assessment Head-to-toe assessment Dehydration Dehydration -Dysphagia after stroke episode - Change of food texture, limitation in limb mobility and swallowing ability will result in decrease fluid intake - Increases risk of venous thromboembolism Nursing Intervention 1. Monitor urine output 2. Administer IV fluid (0.9%NS) 3. Fluid round (also implemented in 12A) Pneumonia Pneumonia - The most common cause of fever within first 48 hours after acute stroke -Failed to manage oral secretion, Fall
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Transcript: being over 55 being a male being african american having diabetes and having family history of a stroke This stroke occurs when arteries are blocked by blood clots or by the gradual build-up of plaque and other fatty deposits. Risk Factors know blood pressure identify atrial fibrillation stop smoking control alcohol use know cholesterol levels control diabetes manage exercise and diet treat circulation problems act fast to the first warning sign of stroke Prevention Treatment Plans Ischemic Stroke treating a stroke is to carefully control and monitor your blood pressure focus on cholesterol smoking cessation control of diabetes analysis of any heart conditions you may have. medications, such as tPA to help dissolve the thrombus. Direct injections into the skull at the blockage site may help dissolve the clot
Transcript: Stroke How is it treated? Ashley Reid, Allie Trammell, Ashley Cooper Stroke symptoms usually start immediatly or as quick as minutes or seconds. this depends on the area of the brain being affected. How to take care of yourself and others.... These medicines can stop symptoms very fast, and can prevent long term disablity or death. this treatment only works if given 3-6 hours after stroke starts. The part of the brain deprived of blood dies and can no longer function •high blood pressure •diabetes •high cholesterol level •cigarette smoking •being overweight •family history of stroke •heart valve or heart muscle disease called endocarditis •hardening of the arteries (atherosclerosis, or fatty cholesterol deposits on artery walls) •heart disease or coronary artery disease •heart rhythm problems such as atrial fibrillation •sleep apnea •sickle cell anemia •cocaine use. Developed by RelayHealth. Published by RelayHealth. © 2009 RelayHealth and/or its affiliates. All Rights Reserved. Asprin reduces the risk of stroke in woman. Men should ask about taking asprin because it has little or no effect, but may reduce the risk for a first time stroke. You can also develop the inability to have normal speech and visual problems. This is considered and medical emergency which can cause neurological damage, or death. Signs and Symptoms Presentaion by: AAA Health Group •If you have high blood pressure, it is essential that you control it with medicine. •If you have diabetes, monitor and control your blood sugar. •If you have an irregular or fast heart rate, you may need to take medicine such as warfarin, aspirin, or clopidogrel. Talk with your healthcare provider about this. •If you smoke, quit. •Keep your diet low in fat to decrease the risk of developing fatty deposits in your blood vessels. •Exercise every day according to your healthcare provider's recommendations. •Keep a healthy weight. Preventing a stroke A stroke is damage to part of the brain when its blood supply is suddenly reduced or stopped. The End... References: "Health is not valued, until sickness comes..." ~Thomas Fuller Other prevention factors After a stroke, intense physical therapy can be necessary... Trouble walking Dizziness Difficulty with muscle movements, such as swallowing, moving arms and legs Trouble speaking, slurred speech Confusion or personality changes Tingling or Numbness Weakness Trouble seeing in one or both eyes Blurred or blackened vision Headache Vomitting More on Symptoms... The part of the brain deprived of blood can cause loss of movements of one or more limbs. Discuss your concerns with your health care provider. •Physical therapy helps you regain muscle strength and teaches you ways to move safely with weak or paralyzed muscles. •Occupational therapy helps you relearn ways of eating, dressing, and grooming. •Speech therapy may help you if you have problems with swallowing, speaking, or understanding words. ... How it can all begin. Causes and Risk factors Blood is prevented from reaching brain tissue when a blood vessel leading to the brain becomes blocked (ischemic) or bursts (hemorrhagic). large hospitals are now treating strokes caused by blood clots with clot-dissolving medicines
Transcript: Nobody knows babies like we do! Quality products . Good Customer service. Every Kid really loves this store.. BABYLOU ABOUT US About Us BabyLou was established in 2004. It has been more than a decade since we started, where we have ensured to take care of every need and want of every child and infant under one roof, true to the caption “NO BODY KNOWS BABIES LIKE WE DO”. Our benchmark is to provide 100% customer service and satisfaction and continue to deliver the same with a wide range of toys, garments and Baby Products. Play and Create We Are Best 01 02 03 Block games Building Blocks help Kids to use their brain. PLAY TO LEARN in Crusing Adventures Our Discoveries Enjoy a sunny vacation aboard a luxury yacht with the LEGO® Creator 3in1 31083 Cruising Adventures set. This ship has all the comforts you need, including a well-equipped cabin and a toilet. Sail away to a sunny bay and take the cool water scooter to the beach. Build a sandcastle, enjoy a picnic, go surfing or check out the cute sea creatures before you head back to the yacht for a spot of fishing. Escape into the mountains Disney Little Princes in Also available for your Babies..... Also... Out of The World… Our reponsibility BABYLOU…. Our Responsibility All children have the right to fun, creative and engaging play experiences. Play is essential because when children play, they learn. As a provider of play experiences, we must ensure that our behaviour and actions are responsible towards all children and towards our stakeholders, society and the environment. We are committed to continue earning the trust our stakeholders place in us, and we are always inspired by children to be the best we can be. Innovate for children We aim to inspire children through our unique playful learning experiences and to play an active role in making a global difference on product safety while being dedicated promoters of responsibility towards children.
Transcript: What is a Stroke? A stroke is the rapid loss of brain functions due to disturbance in the blood supply to the brain. What causes a stoke? A stroke is caused by a lack of blood flow caused by blockage, or a hemorrhage. Classification Strokes can be classified into two major categories: ischemic and hemorrhagic. Ischemic Ischemic strokes are those that are caused by interruption of the blood supply Hemorrhagic while hemorrhagic strokes are the ones which result from rupture of a blood vessel or an abnormal vascular structure. About 87% of strokes are caused by ischemia. Here is a CT scan of a brain with a stroke on the right side (in the frame on the left). Effect's of a Stroke As a result, the affected area of the brain cannot function, which might result in an inability to move one or more limbs on one side of the body, inability to understand or correctly use speech, or an inability to see one side of the visual field. A stroke is a medical emergency and can cause permanent neurological damage, complications, and death. A slice of brain from the autopsy of a person who suffered an acute middle cerebral artery stroke Risk Factors Risk factors for stroke include old age, hypertension (high blood pressure), previous stroke or transient ischemic attack (TIA), diabetes, high cholesterol, cigarette smoking and atrial fibrillation. Thanks for watching! By: Blake Impecoven and Jake Fiechner Stroke
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