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Nerves & brain
Stroke
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What happened? The first few days after a stroke :
The event: A stroke or transient ischaemic attack
Getting medical help
Getting a diagnosis
Early care experiences
A doctor speaks – an introduction to stroke
What problems did I have, and why? :
Changes to movement
Changes in sensations
Changes to vision
Continence and cathererisation
Eating and drinking
Speech and communication
Thinking, understanding, memory and fatigue
Emotional Impact of stroke
Why me? Why now? Reducing risk of another stroke? :
Causes and risk factors
Medication to prevent another stroke
Surgery
Preventing another stroke: Changes in life style
What happens now? Rehabilitation & care :
Stroke recovery: daily activities and personal care
Stroke recovery: physical aspects and mobility
Stroke recovery: communication disorders
Leaving hospital
Life after stroke. What is the long-term like? :
Major disability
When stroke is coupled with other health problems
When stroke happens at a young age
Coping strategies and resilience
Continuing care at home and institutional care
Driving and transport
What's important in care
Social support
Support from patients and support groups
Sex life and impact on relationships
Messages to others
Finding information
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Stroke
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Nerves & brain
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Stroke
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Age 66-75
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Malcolm - Interview 59
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Malcolm says, “I’ve had a stroke but I’m not stupid.”
When Malcolm had his stroke he initially thought that he was having an angina attack. Malcolm has other health conditions including angina, diabetes, epilepsy, sleep apnoea, and is registered blind.
Nerves & brain
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Stroke
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Age 46-55
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Interview 06
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Describes how he tries to prevent another stroke by increasing his fitness, watching his diet and drinking only moderately with advice from the hospit
He had his stroke at the age of 53 during an emergency heart operation. His stroke caused partial right-sided paralysis and vision loss. Medication: bisoprolol (blood pressure), simvastatin (cholesterol), aspirin (antiplatelet).
Nerves & brain
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Stroke
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Age 46-55
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Interview 05
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Gave up smoking after her stroke but took it up again defiantly when she was taken back into hospital because she was very ill.
She had two strokes 3 months apart (aged 43) due to haemorrhages from arterial venous malformations. The second stroke caused right-sided paralysis and muscles spasm. Medication: baclofen (spasms), phenergan (anxiety), phenytoin (epilepsy due to a brain tumour age 41).
Nerves & brain
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Stroke
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Age 56-65
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Interview 28
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Moderates his drinking now even when friends encourage him to have more.
He had a stroke due to a clot aged 62, which caused right weakness, spasms and speech problems. Medication: ramipril, diltiazem hydrochloride, prazosin hydrochloride, adalat (blood pressure), simvastatin (cholesterol), aspirin, dipyridamole (antiplatelet).
Nerves & brain
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Stroke
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Age 46-55
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Interview 19
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Gave up smoking immediately after his stroke but this was easier because he had been debilitated and physically unable to smoke. Recommends others giv
Stroke at 45 due to dissection of right carotid artery. Caused left paralysis, spasms & painful spasticity. Medication: perindopril (blood pressure) statin (cholesterol), aspirin (antiplatelet), citalopram (depression) clonazepam, tramadol (spasms/pain).
Nerves & brain
>>
Stroke
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Age 66-75
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Interview 17
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Did less exercise than prior to his stroke but balances that with a healthy diet and taking prescribed medications.
He had a stroke owing to a blocked left carotid artery aged 66 which caused aphasia and reading and writing problems. Medication: amlodipine, bendroflumethiazide (blood pressure), simvastatin (cholesterol), aspirin, dipyridamole (antiplatelet).
Nerves & brain
>>
Stroke
>>
Age 46-55
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Interview 19
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Enjoyed visits home from the hospital and out in the evening, although they made him very aware of his disability and the problems he would face in th
Stroke at 45 due to dissection of right carotid artery. Caused left paralysis, spasms & painful spasticity. Medication: perindopril (blood pressure) statin (cholesterol), aspirin (antiplatelet), citalopram (depression) clonazepam, tramadol (spasms/pain).
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