Clinical Guidelines for Acute Stroke Management - Living on the EDge

SECTION 6: PREVENTION AND MANAGEMENT OF COMPLICATIONS......................................................39
6.1 Cerebral oedema ....................................................................................................................................39
6.2 Deep Venous Thrombosis (DVT) or Pulmonary Embolism (PE) ................................................................39
6.3 Pyrexia....................................................................................................................................................41
6.4 Pressure care..........................................................................................................................................41
6.5 Pain ........................................................................................................................................................42
6.6 Falls ........................................................................................................................................................42
SECTION 7: SECONDARY PREVENTION ......................................................................................................43
7.1 Behaviour change ..................................................................................................................................43
7.2 Blood pressure lowering ........................................................................................................................44
7.3 Antiplatelet therapy ................................................................................................................................45
7.4 Anticoagulation therapy ..........................................................................................................................46
7.5 Cholesterol lowering ..............................................................................................................................47
7.6 Diabetes management............................................................................................................................48
7.7 Carotid surgery ......................................................................................................................................48
7.8 Patent <strong>for</strong>amen ovale..............................................................................................................................50
7.9 Concordance with medication ................................................................................................................50
SECTION 8: DISCHARGE PLANNING, TRANSFER OF CARE AND INTEGRATED COMMUNITY CARE....52
8.1 Ongoing inpatient care............................................................................................................................52
8.2 Pre-discharge needs assessment ..........................................................................................................52
8.3 Carer training ..........................................................................................................................................53
8.4 Care plans ..............................................................................................................................................54
8.5 Discharge planner ..................................................................................................................................54
8.6 Community rehabilitation ........................................................................................................................55
8.7 Post discharge support ..........................................................................................................................55
8.8 Return to driving after stroke or TIA ........................................................................................................56
SECTION 9: COST AND SOCIOECONOMIC IMPLICATIONS ......................................................................57
Introduction ..................................................................................................................................................57
9.1 Organisation of care................................................................................................................................58
9.2 Specific interventions <strong>for</strong> the management of stroke ..............................................................................60
APPENDIX A: GUIDELINE DEVELOPMENT PROCESS REPORT ................................................................63
APPENDIX B: PRIORITIES FOR RESEARCH ................................................................................................72
GLOSSARY AND ABBREVIATIONS................................................................................................................73
REFERENCES ................................................................................................................................................75