Pennine’s Stroke Patient Passport Pennine...The members of the stroke multidisciplinary team will...
Transcript of Pennine’s Stroke Patient Passport Pennine...The members of the stroke multidisciplinary team will...
Pennine’s Stroke Patient Passport
Name ...............................................
TO PROVIDE THE VERY BEST CARE FOR EACH PATIENT ON EVERY OCCASION
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What is a Stroke?
A stroke happens when the brain is damaged due to a problem with the blood
supply. This can happen either by a blockage (blood clot) in a blood vessel,
stopping blood flow to the brain or because of bleeding from an artery into the
brain. In both cases there is a lack of oxygen to part of the brain causing an area
of brain tissue to become damaged and die.
Strokes caused by a blockage in a blood vessel are called Ischaemic strokes.
The clot may have formed elsewhere in the body, such as the heart or carotid
(neck) arteries, then travel to the brain or may form directly in one of the brains
blood vessels.
Strokes caused by bleeding from a blood vessel are called Haemorrhagic strokes.
This is when a blood vessel within the brain burst and blood leaks into the
brain tissue.
Brain Stroke
The type of stroke you have had is:
Ischaemic Stroke Haemorrhagic Stroke
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What part of my brain has affected?
Each part of the brain is responsible for a particular function. Your symptoms
will depend on the part of the brain that has been affected; no stroke is the
same as another. People who have stroke are affected in different ways. Not
all symptoms are obvious; the recovery people make also varies.
A third of stroke sufferers are likely to recover significantly within a month
with an intensive multidisciplinary stroke therapy.
Some people may show limited improvement due to severity of stroke
impairment and/or other medical complications such as chest infection, blood
clot disease, urine infection, etc. that restrict ability to engage fully in active
rehabilitation.
Parietal lobe
• intelligence
• reasoning
• telling right from left
• language
• sensation
• reading
Occipital lobe
• vision
Cerebellum
• balance
• coordination
• fine muscle control
Brain Stem
• breathing
• blood pressure
• heartbeat
• swallowing
Temporal lobe
• speech
• behavior
• memory
• hearing
• vision
• emotions
Frontal lobe
• movement
• intelligence
• reasoning
• behaviour
• memory
• personality
Cerebrospinal fluid
Blood vessel
Skull
Dura
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You may experience the following:
Weakness in Right/Left side of body
Visual disturbance
Difficulty with communication
Difficulty in swallowing
Cognitive and memory impairment
Changes in mood: feeling emotional or unsatisfied
Post stroke nerve pain
Continence difficulty
Difficulty controlling emotions
Stiffness in a stroke limb
Impaired sensation
Poor co-ordination
Fatigue - getting more tired
Feeling low or anxious
Poor balance and fear of falling
The members of the stroke multidisciplinary team will assess each stroke patient.
A patient-centred realistic goal will be set jointly by the therapists, patient and
family, with a view to optimise the recovery of the stroke and minimise the
disability caused by the stroke.
People from the stroke team you may meet during your stay:
Doctors Nursing Team
Physio and Occupational Therapists Dietician
Neuro Psychologists Speech and Language Therapists
Orthoptists Radiology staff
Members of the Stroke Association Pharmacists
Early Supportive Discharge Team Members Social workers
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Atrial Fibrillation (irregular heart rate)
Atrial fibrillation is a type of irregular heartbeat. It means that your heart may
not be pumping as well as it should. As a result, blood clots are more likely to
form in your heart, increasing your risk of having a blockage stroke. Medication
can control the heart rate and reduce blood clot formation. Such blood thinning
medication includes:
Warfarin
Novel Oral Anticoagulants (Apixaban, Dabigatran, Rivaroxaban, Edoxaban)
Aspirin/ Clopidogrel
You may want to keep a track of how you are doing:
Date Target
Blood pressure
130/80mm/Hg
Cholesterol <4mmol/L
Diabetes As advised
Alcohol Weekly Units Man-21Woman- 14
Smoking Cessation
0 / day
Heart Disease
Regular check up
Driving – The DVLA restricts driving for minimum 28 days following TIA and stroke.
Useful Phone numbers and Internet links:
Early Supported Discharge Teams Bury – 0161 716 1202
Oldham – 0161 770 2300
Heywood, Middleton and Rochdale – 01706 517772
North Manchester – 0161 741 2007
Stroke Association Helpline .........................................................................0303 3033100
http://www.pat.nhs.uk/patients-and-visitors/shared-decision-making.htm
https://www.stroke.org.uk
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Symptoms of stroke usually come on suddenly.
• Sudden weakness or sensation impairment on one side of the face/body
• Sudden slurring or difficulty speaking and/or understanding spoken language
• Sudden double vision, partial or complete visual loss
• Sudden Vertigo and sickness
• Sudden Unsteadiness
• Sudden impaired coordination of one side of the body
Don’t ignore a TIA
A Transient Ischaemic Attack (TIA) or ‘mini stroke’ is similar to a stroke but the
symptoms are temporary – usually lasting from a few minutes up 30 minutes. A
TIA is serious and could develop into a stroke and should not be ignored.
If you experience any of the symptoms described above, even for a short amount of time, you must call 999. Stroke is a medical emergency.
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Useful Numbers:
STROKE WARD NUMBERS:
WARD 4 .......................... 0161 778 2511
WARD 5 .. 0161 918 8673/0161 918 8671
WARD 11A ...................... 0161 778 3115
WARD 11B ...................... 0161 778 3110
THERAPY TEAM (In-patients only):
Occupational Therapy: ..0161 778 3106
Physiotherapy: ...............0161 778 3105
Speech and Language
Therapy: .........................0161 778 3528
Dieticians: .......................0161 778 2698
SOCIAL WORK:
Bury .................................0161 778 3582
Rochdale .........................0170 690 1010
Oldham ...........................0161 770 6918
EQUIPMENT STORES:
Bury .................................0161 253 6858
(option 1)
Rochdale ........................ 0161 344 0482
Oldham .......................... 0161 344 0482
Manchester ....................0161 227 3280
WHEELCHAIR SERVICE:
Bury and Rochdale ....... 0170 667 6349
Oldham .......................... 0161 335 2800
Manchester ................... 0161 611 3800
SPEAKEASY:
Bury ................................ 0170 682 5802
Rochdale ........................ 0170 665 7269
Oldham .......................... 0161 621 3580
STROKE ASSOCIATION:
National Stroke Helpline
........................................ 0303 303 3100
BURY (no local office)
Can contactSALFORD OFFICE .......... 0161 745 8222
Rochdale ........................ 0170 665 7269
Oldham .......................... 0161 621 3585
Manchester ................... 0161 742 7482
COMMUNITY NEURO REHAB’ TEAM:
Rochdale ......................... 01706 517774
DISTRICT NURSE:
To access the service, please contact your own GP
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If English is not your first language and you need help, please contact the Ethnic Health Team on 0161 627 8770
For general enquiries please contact the Patient Advice and Liaison Service (PALS) on 0161 604 5897
For enquiries regarding clinic appointments, clinical care and treatment please contact 0161 620 0420 and the Switchboard Operator will put you through to the correct department / service
Date of publication: January 2016
Date of review: June 2019
Date of next review: June 2021
Ref: PI_M_1007
© The Pennine Acute Hospitals NHS Trust www.pat.nhs.ukWood pulp sourced from sustainable forests
Jeżeli angielski nie jest twoim pierwszym językiem i potrzebujesz pomocy proszę skontaktować
się z załogą Ethnic Health pod numerem telefonu 0161 627 8770.
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