Home Health & Hospice

Insider's Scoop | Cerebrovascular disease (stroke) care

Homecare Insider, January 11, 2016

Editor’s Note: This week’s Insider’s Scoop is from Home Health Aide On the Go In-Service Series, Volume 15. This new edition is filled with 12 informative, one-hour in-service training lessons addressing timely topics that are crucial to homecare. Click here to order.

Observe and report

When working with stroke patients, you are responsible for several types of observations. First, there’s the need to observe for problems due to the stroke, such as skin breakdown, bleeding due to anticoagulants, safety issues, depression, decreased mobility, and a lack of understanding of the care plan.

Next, you will need to observe for progress. This makes your job more interesting and makes it possible for you to support and encourage your patient. When a patient is making good progress, each visit can be an exciting and happy time. Noting progress and talking with the nurse and therapists will also help them know when to make changes in the plan of care.

Finally, and most important, you will need to keep the symptoms of stroke in mind. Review the questions to ask a patient, watch for sudden changes in mental status and movement, and be prepared to contact your supervisor and emergency services if needed.

Always document when you notify your supervisor. Make note of the time and whom you spoke with and any instructions that were given. In addition, document the actions you took.