concept of stroke unit and its importance.pptx

stroke unit concept

1. Concept of Stroke Unit: Enhancing Stroke Care

2. Introduction Purpose of Stroke Units Multidisciplinary Team Early Assessment and Treatment Rehabilitation Services Education and Support Continuous Monitoring and Follow-Up Evidence-Based Practices

3. ( 1) Introduction Definition of a Stroke Unit : A stroke unit is a specialized medical facility or ward designed to provide comprehensive and coordinated care for stroke patients. A stroke unit isn't just a medical facility; it's a beacon of hope for stroke survivors, offering immediate, specialized care that can make a life-altering difference Importance of Specialized Care for Stroke Patients : Early intervention and dedicated care significantly impact outcomes for stroke survivors. In the critical moments following a stroke, specialized care within a stroke unit becomes the lifeline, significantly improving survival rates and minimizing long-term disabilities

4. (2)Purpose of Stroke Units Timely and Effective Treatment: The clock ticks mercilessly during a stroke. A stroke unit ensures the fastest possible diagnosis and treatment, utilizing cutting-edge technologies to initiate interventions like clot-busting medications within minutes Minimizing Complications: A stroke unit aims to reduce the risk of complications and optimize the recovery process. Stroke units are the guardians against complications. Their multidisciplinary teams work tirelessly to ensuring the recovery journey is as smooth as possible. Enhancing Chances of Recovery: Specialized care contributes to better functional outcomes and improved quality of life. .Beyond survival, stroke units focus on thriving. Their comprehensive care doesn't just restore functions; it rekindles hope and dignity for stroke survivors

5. Facilities Absolutely Necessary to Meet Criteria for Comprehensive Stroke Centers Categories Facilities Personnel Neurologist (24/7) Stroke-trained physician (24/7) Interventional neuroradiologist on-call Neurosurgeon on-call Multidisciplinary team Stroke- trained nurses Emergency department staff Physician expert in carotid ultrasonology Physician expert in echocardiography

6. Diagnostic procedures Brain CT scan 24/7 CT priority for stroke patients MRI (T1, T2, T2*, FLAIR)/ MRA 24/7 Extracranial Doppler sonography 24/7 Extracranial duplex sonography 24/7 Transcranial Doppler 24/7 CT angiography 24/7 Transthoracic echocardiography Transoesophageal echocardiography

7. Monitoring: Automated ECG monitoring at bedside Automated monitoring of pulsoximetry Automated monitoring of blood pressure Automated monitoring of breathing Monitoring of temperature

8. Invasive treatments provided Intravenous rt-PA protocols 24/7 Respiratory support Surgery for aneurysms Angioplasty and stenting Hemicraniectomy Ventricular drainage Surgery for hematoma

9. Infrastructures Emergency department (in-house) Stroke outpatients clinic Multidisciplinary intensive care unit Inpatients rehabilitation (in-house) Outpatients rehabilitation available

10. (3) Multidisciplinary Team Neurologists: The commanders in the battle against stroke, neurologists orchestrate the intricate dance of diagnostics and treatment plans. Nurses: Sentinels of care, nurses in stroke units stand by patients 24/7, not just administering medications but providing a compassionate touch in the darkest hours. Physiotherapists: Architects of physical resurgence, physiotherapists craft personalized plans to rebuild strength, coordination, and mobility. Occupational Therapists: Navigators of daily life, occupational therapists empower patients to reclaim independence in activities that define their existence. Speech Therapists: Restorers of voice and communication, speech therapists breathe life back into words, fostering connection and understanding. Social Workers: Guardians of emotional well-being, social workers offer support, guidance, and a lifeline to community resources, ensuring no one faces the aftermath of stroke alone.

11. (4) Early Assessment and Treatment: Rapid Diagnosis of Stroke Type: Differentiate between ischemic and hemorrhagic strokes for appropriate intervention. Every minute counts. Stroke units wield advanced imaging to swiftly identify the enemy—be it an ischemic or hemorrhagic Administration of Thrombolytic Therapy for Ischemic Strokes: Early treatment with clot-busting drugs to restore blood flow. The "golden hour" becomes a battleground, where stroke units deploy thrombolytic weapons to dissolve clots and restore blood flow Monitoring and Managing Vital Signs: Regular monitoring of blood pressure and other vital signs to prevent complications. In the war against complications, vigilant monitoring of vital signs is the frontline defense, ensuring stability for the journey ahead

12. (5) Rehabilitation Services

13. (5) Rehabilitation Services: Physical Therapy: Warriors of mobility, physical therapists craft personalized exercise regimes to resurrect strength, balance, and movement. Occupational Therapy: Focus on regaining independence in daily activities. Architects of independence, occupational therapists guide patients through the reconstruction of daily life, from dressing to cooking Speech Therapy: Address communication challenges and swallowing difficulties Artists of communication, speech therapists breathe life into words, ensuring stroke survivors regain not just their voice but their narrative Holistic Approach to Regaining Lost Functions: Comprehensive rehabilitation to address physical, cognitive, and emotional aspects of recovery

14. (6) Education and Support Patient and Family Education: Provide information on stroke prevention, lifestyle changes, and warning signs Stroke Prevention Strategies: Emphasize the importance of lifestyle modifications and medication adherence.

15. (7) Continuous Monitoring and Follow-Up Protocols for Complication Detection and Management: Early identification and intervention for potential complications. Ongoing Support for Patients: Post-discharge support and follow-up care to address evolving needs. Preventing Recurrent Strokes: Education on risk factor management and secondary stroke prevention.

16. (8)Evidence-Based Practices Importance of Evidence-Based Care: Emphasize the role of research-driven practices in stroke unit management Regular Audits and Reviews: Continuous improvement through regular assessments of care processes. Aligning with Latest Research and Guidelines: Adherence to evidence-based guidelines for optimal stroke care