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Danielle Garcia

on 28 June 2013

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Transcript of CVA-Stroke

Risk Factors
Effects of


To have an understanding of the pathophysiology of a Cerebrovascular accident
Be able to recognize early signs and symptoms and risk factors of stroke
To know the effects of stroke to the client and their families
To have a brief understanding of how to apply "I CARE" Model in caring client with Cerebrovascular Accident
Be patient
Try to remain positive toward the person with stroke.
Encourage the person with stroke to adopt responsibilities from the very start, especially within the family.
Do not be afraid to ask for guidance, whether from doctors or social services.
Resist the urge to be overprotective.
Try to prevent the person with stroke from becoming socially isolated.

Signs and Symptoms

Cerebrovascular Accident is...
Transcient Ischemic
Two types of cerebrovascular accident:
Ischemic -
Decreased blood flow to an area of the brain
Embolic -
blockage in the embolus(clot) that has built up on the wall of the brain artery
Thrombotic -
blockage of an thrombus (usually a clot) swept in the artery in the brain

Primary cause is hypertension. Small aneurysms are formed and burst. This causes bleeding within the brain.
a.k.a Stroke or is sometimes called brain attack
is a sudden loss of brain function.
it is caused by the interruption of flow of blood to the brain or the rupture of blood vessels in the brain.
without blood to supply oxygen and nutrient, brain cells quickly begin to die
Weakness or Numbness

Vision problems

Trouble speaking

Incidence and Prevalence
In Canada, a stroke occurs every 10 minutes.
approx. 50,000 Canadians have a ‘brain attack’ that leads to death or serious disability every year.
roughly 300,000 survivors live with the knowledge they are at risk for a subsequent attack.
3rd leading cause of death in Canada and is the leading cause of adult disability in North America
Risk doubles every year after 55 y.o.
2/3 of strokes occur after 65 y.o.

Hemiplegia or the paralysis of one side of the body
Weakness on the affected part of the body
Loss of facial muscle control
Change of emotions
Difficulty swallowing
Dimmed or loss of vision
Changes in sight, touch, movement and thought
Impaired memory
Urinary frequency
Loss of speech
Caring for the person with stroke
It is not selfish or wrong to take time for yourself.
Ensure that you eat properly and get enough sleep.
Maintain your social life, including contact with old friends.
Maintaining the Well-Being of the Carer
There are two important parts involved in being a carer:

caring for the person with stroke


caring for yourself.
(Cerebral Vascular Accident)

Mosby's Canadian Textbook for the Support Worker
Inter-Related Effects on the Client
The person’s whole life may have to be changed, not only for them but also for their partner/spouse. The
Person who has had the stroke may cease to show interest in anything
Also it is more difficult for her to withstand stress.
The person may not be able to move in the same social circles as she once did, so she would have to find a whole new way of life.
When someone has had a stroke, quite often her self-confidence deteriorates causing her to feel less sociable, and more withdrawn.

The individual is likely to show signs of depression. Sometimes this is the direct result of the stroke and the damage she has suffered.
Other common emotional reactions are extreme changes of mood, which more often than not take the form of outbursts of weeping and occasionally uncontrolled laughing.
A few people have outbreaks of swearing, which are often associated with speech and language problems.
A newly found restriction is likely to cause feelings of helplessness, frustration, aggressiveness, confusion, distress, depression and eventually personality changes

People in employment may only receive sick pay for a certain length of time, other people may not receive any payment at all from employers.
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