national-clinical-guidelines-for-stroke-fourth-edition

National clinical guideline for stroke
hydration – continued
physiological monitoring 53
hydrocephalus 47
subarachnoid haemorrhage 49
surgical intervention 48
hypertension
anticoagulation 51
salt intake 64
secondary prevention 65–66
I
ICF framework 11
imaging
arterial dissection 50
carotid 42
carotid reporting criteria 42
diagnosis of acute event 44–45
diagnosis of TIA 41
primary intracerebral haemorrhage 48
thrombolysis 46
impaired tone 87–88
impairment
balance 85–87
bowel and bladder 103–104
carer education about impairment 79
cognitive 116–117
communication 96–100
drugs to reduce 123
initial assessment 54–55
sensory 81–82
visual 106–107, 120–121
tone 87–88
inattention 117–118
sensory 119
incontinence
aids 104
assessment 21
faecal 103–104
urinary 103–104
information provision 28, 128
initial rehabilitation assessment 54–55
intensity of therapy 32–34
J
joint pain
musculoskeletal 96
shoulder 94–95
L
leisure activities 108
lifestyle 63–65
lipid lowering 70–71
antiphospholipid syndrome 76–77
long-term management 125–130
M
magnetic resonance imaging (MRI) 41, 45
malnutrition 58, 101, 103
gastrostomy feeding 101
nutritional support 58
screening 58
measurement
assessments and measures 30
carotid stenosis 72
ICF framework 11
memory loss 118–119
meprobamate 123
mobilisation
early 56
monitoring
physiological 52–54
mood disturbance 112
crying 115
depression and anxiety 113–114
emotionalism 115
fatigue 115–116
motor control 81
assessment 81
biofeedback 89–90
electrical stimulation 90
electromyography 89
positioning 57
moving and handling
carer training 27
musculoskeletal pain 96
positioning 57
shoulder pain 94
shoulder subluxation 94
myocardial infarction 61, 70
N
nasogastric tube see enteral feeding
neglect (spatial awareness) 119–120
neurovascular clinic 21, 39, 41
nurses 23
intensity of therapy 33
telemedicine services 24
thrombolysis 46
nursing home see care home
nutrition
diet see diet
dietitian see dietitian
fluids see fluids
malnutrition see malnutrition
nutritional status 58, 101, 103
salt 64
vitamin supplements 64
O
occupational therapist 23, 27–28, 105
activity limitation 105
oedema (cerebral) 15
oral hygiene 102–103
organisation of acute services 19–20
orthosis/orthotics
ankle–foot 85
splinting 88–89
oxygen saturation 53
P
pain 93–96
assessment 93
206 © Royal College of Physicians 2012