Nursing Case Study On Cerebrovascular Accident

Nursing Case Study On Cerebrovascular Accident-32
Approximately 85% of strokes are due to cerebral infarction, 10% to primary haemorrhage and 5% to subarachnoid haemorrhage.The risk of recurrence is 26% within five years and 39% within 10 years of a first stroke (Mohan et al, 2011).In the US, 795,000 strokes occur each year (Benjamin et al, 2017) while in the UK there are more than 100,000 (Royal College of Physicians, 2017).

Stroke affects 15 million people worldwide every year; it is estimated that five million of these will die and a further five million will be left with a permanent disability (WHO, 2002).

This makes stroke the second-leading cause of death worldwide behind ischaemic heart disease.

The WHO describes stroke as a clinical syndrome typified by “rapidly developing clinical signs of focal or global disturbance of cerebral function, lasting more than 24 hours or leading to death, with no apparent cause apart that of vascular origin” (Hatano, 1976, WHO 1965).

This definition is no longer accurate, as it does not take into account the advances that have been and continue to be made in imaging techniques and diagnostics.

This, coupled with better knowledge of brain function among professionals and greater awareness of stroke signs and symptoms among the general public, leads to earlier identification, diagnosis and treatment – which are key as stroke is a medical emergency.

However, more needs to be done to reduce the personal and societal burden of stroke.We use cookies to make interactions with our website easy and meaningful, to better understand the use of our services, and to tailor advertising.For further information, including about cookie settings, please read our Cookie Policy .This article, the first of a five-part series on stroke, discusses definitions, epidemiology, risk factors and diagnosis to help nurses gain in-depth understanding of this complex condition.Citation: Puthenpurakal A, Crussell J (2017) Stroke 1: definition, burden, risk factors and diagnosis.By continuing to use this site, you consent to the use of cookies.We use cookies to offer you a better experience, personalize content, tailor advertising, provide social media features, and better understand the use of our services.Technological advances (Adams et al, 2007) have proved beneficial in terms of identifying the origins of the injury and determining whether it is a cerebral infarct, subarachnoid haemorrhage or intracerebral bleed.However, despite these improvements, the definition of stroke remains inconsistent (Sacco et al, 2013).The term ‘stroke’ was coined and introduced to medicine by William Cole in the late 17th century (Cole, 1689), and has remained a generic definition since.Physiologically, stroke is an acute, focal injury of the central nervous system (CNS) of a vascular origin, contributing to a local or systemic neurological insult.


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