Long-Term Care

Stroke: Part I

LTC Nursing Assistant Trainer, December 8, 2004

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A stroke is caused by a disruption of the blood flow to the brain. This disruption causes the death of brain cells.

There are four types of strokes:

  1. TIA: A transient ischemic attack is a temporary attack that may last only a few minutes or up to 24 hours. Sometimes it is so mild that it goes unnoticed. A TIA is a warning that a more serious stroke may occur.
  2. RIND: A reversible ischemic neurologic deficit is similar to a TIA, except the symptoms last from several days to a week. As with a TIA, the damage usually clears completely or is minimal. However, the likelihood or a major stroke is great.
  3. SIE: A stroke in evolution is a stroke in the process of taking place. There is a gradually increasing weakness on one side of the body.
  4. CS: A complete stroke exhibits all of the signs and symptoms of a stroke.

    The symptoms of a stroke can vary greatly-here are some of the most common:

    • dizziness
    • poor coordination
    • headache
    • mental confusion
    • aphasia (difficulty speaking)
    • weakness in one hand or on one side of the body
    • unconsciousness

We'll continue this lesson next week when we discuss nursing care for stroke.



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