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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
Subject index
Topic
Nerves & brain
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Stroke
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Stroke recovery: daily activities and personal care
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Stroke recovery: daily activities and personal care
Stroke recovery: daily activities and personal care
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Stroke
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Stroke recovery: daily activities and personal care
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Stroke recovery: daily activities and personal care
Stroke recovery: daily activities and personal care
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Stroke
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Stroke recovery: daily activities and personal care
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Stroke recovery: daily activities and personal care
Stroke recovery: daily activities and personal care
Nerves & brain
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Stroke
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Stroke recovery: physical aspects and mobility
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Stroke recovery: physical aspects and mobility
Stroke recovery: physical aspects and mobility
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Stroke
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Stroke recovery: physical aspects and mobility
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Stroke recovery: physical aspects and mobility
Stroke recovery: physical aspects and mobility
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Stroke
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Stroke recovery: physical aspects and mobility
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Stroke recovery: physical aspects and mobility
Stroke recovery: physical aspects and mobility
Nerves & brain
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Stroke
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Stroke recovery: communication disorders
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Stroke recovery: communication disorders
Stroke recovery: communication disorders
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Stroke
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Stroke recovery: communication disorders
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Stroke recovery: communication disorders
Stroke recovery: communication disorders
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Stroke
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Stroke recovery: communication disorders
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Stroke recovery: communication disorders
Stroke recovery: communication disorders
Clip
Nerves & brain
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Stroke
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Age 76-95
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Interview 37
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She was initially a little angry at having a stroke but quickly became determined to get better.
She had a stroke attributed to a clot and the age of 92 which caused weakness of her right leg and arm and slurred speech. Medication: bendrofluazide (blood pressure) now stopped, aspirin (anti-platelet), but she could not tolerate this and had to stop.
Nerves & brain
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Stroke
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Age 76-95
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Interview 21
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Don't worry and try and carry on as normal as possible and think positively.
She had a stroke due to a clot aged 82 which caused left weakness. Medication bendroflumethiazide, ramapril (blood pressure), aspirin (antiplatelet).
Nerves & brain
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Stroke
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Age 56-65
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Interview 16
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At first he was frightened about the impact of the stroke but was reassured if a little surprised that he would be helped to do things for himself ver
He had a stroke due to a clot at the age of 55 which stroke caused initial paralysis on his left side. Current medication: ramipril, bendroflemethiazide (blood pressure), lipitor (cholesterol), aspirin, dipyridamole (antiplatelet).
Nerves & brain
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Stroke
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Age 76-95
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Interview 32
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She still likes to do some of the cleaning but breaks it up now so she doesn't get so tired.
She had a stroke due to a clot at the age of 88. The stroke caused weakness and cold sensitivity in her left hand and problems with eating and drinking. Medication: Antibiotics.
Nerves & brain
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Stroke
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Age 56-65
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Interview 15
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He had been concentrating on trying to move his toe and suddenly got a twitch which he described as wonderful.
He had his stroke due to a clot aged 54 which caused right sided paralysis and muscle spasms. Medication: amlodopine, perindopril (blood pressure), ezetimibe (cholesterol), aspirin (antiplatelet).
Nerves & brain
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Stroke
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Age 76-95
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Interview 24
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Was initially quite depressed and could not accept that the stroke had affected her physically but with the encouragement of the therapy staff she gra
She had her stroke during a hip operation at the age of 78. The stroke caused right partial paralysis and some pain in the leg. Medication: aspirin (antiplatelet) panadol (pain).
Nerves & brain
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Stroke
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Age 56-65
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Interview 28
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He had been told by a friend that it could take two years for him to recover physically and that even then his recovery might not be total.
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 56-65
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Interview 01
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Although he is not back to normal he stresses that he has achieved more than he originally thought he might.
He had a stroke due to hemorrhage aged 57, which caused left paralysis, left neglect and some early problems with speech. Medication: atenolol, ramipril (blood pressure), levetiracetam (epilepsy), paroxetine (antidepressant), omeprazole, (gastric resistant tablets).
Nerves & brain
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Stroke
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Age 21-45
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Interview 10
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When she first came out of hospital she was always tired and she incorporated sleep into her plan for recovery.
She had a stroke (aged 41) due to a clot from a hole in her heart which caused left-sided paralysis, numbness and central post stroke pain (CPSP). Medication: simvastatin (cholesterol), aspirin (antiplatelet), gabapentin, amitriptyline (CPSP).
Nerves & brain
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Stroke
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Age 56-65
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Interview 15
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He broke down in the hospital when he had to be hoisted onto the toilet but although he initially felt desperate this turned into a determination to g
He had his stroke due to a clot aged 54 which caused right sided paralysis and muscle spasms. Medication: amlodopine, perindopril (blood pressure), ezetimibe (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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She felt out of place being in a wheelchair in a world where she had previously worn high heels and didn't like leaving the hospital.
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 46-55
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Interview 34
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Describes how therapists helped her and gradually gave her thicker foods and drinks as her swallowing improved.
She had a stroke due to a dissection of the right carotid artery at the age of 55. The stroke caused left paralysis of her leg and arm and problems with eating and speaking. Medication: simvastatin (cholesterol), warfarin (anticlotting).
Nerves & brain
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Stroke
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Age 66-75
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Interview 17
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His grandson will often pick him up on things he says and he does not like him reading to him. They have, however, played word games to help him recov
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
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Stroke
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Age 46-55
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Interview 06
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He could see the importance of exercise to improve strength and things like lifting small pegs when he came to make of cup of coffee which required bo
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 21-45
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Interview 51
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Part of their culture is to help the less able when they are struggling, but the rehabilitation team encouraged her to let her husband be independent.
He had a stroke due to a clot aged 38 which caused severe aphasia and right paralysis of his leg and arm. Medication: dipyridamole (blood pressure), aspirin (antiplatelet), simvastatin (cholesterol).
Nerves & brain
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Stroke
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Age 56-65
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Interview 16
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He explained that as time went on his list of things he cannot do has got smaller and he hopes to eventually get back to decorating.
He had a stroke due to a clot at the age of 55 which stroke caused initial paralysis on his left side. Current medication: ramipril, bendroflemethiazide (blood pressure), lipitor (cholesterol), aspirin, dipyridamole (antiplatelet).
Nerves & brain
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Stroke
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Age 66-75
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Interview 14
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She was quickly encouraged to try to wash and dress herself and was surprised how much she could do with one hand.
She had a stroke due to a hemorrhage aged 60, which caused left paralysis, spasms, central post stroke pain (CPSP) and depression. Medication: bendrofluazide (blood pressure), simvastatin (cholesterol), fluoxetine (depression), gabapentin (CPSP).
Nerves & brain
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Stroke
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Age 76-95
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Interview 41
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She finds it takes her longer to wash and dress but feels it is important to do it herself before the carers come in. She says some older people just
She had a stroke due to a clot aged 87 which caused right weakness and problems with balance and with speech and eating. Medication: atenolol, ramipril (blood pressure), lipitor (cholesterol), aspirin (antiplatelet), motilium (nausea and vertigo), omeprazole (gastric resistant tablets).
Nerves & brain
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Stroke
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Age 46-55
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Interview 34
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Getting dressed particularly putting her bra on takes a long time but she feels it is important to do it herself. She was shown the best way to dress
She had a stroke due to a dissection of the right carotid artery at the age of 55. The stroke caused left paralysis of her leg and arm and problems with eating and speaking. Medication: simvastatin (cholesterol), warfarin (anticlotting).
Nerves & brain
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Stroke
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Age 46-55
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Interview 06
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He was worried about cooking a meal at home because of the safety but the occupational therapist helped him plan and he now takes his time but feels m
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 07
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He has been given equipment make peeling vegetables with one hand easier.
He had a stroke/hemorrhage aged 47 which caused left paralysis, vision loss and epilepsy. Medication: bendroflemethiazide, celiprolol (blood pressure), atorvastatin (cholesterol), phenytoin, sodium valproate (epilepsy), paroxetine (depression).
Nerves & brain
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Stroke
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Age 66-75
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Interview 14
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She wanted to be able to get to the shop on her own so she set herself a goal of taking the bus or walking locally making sure she stops rests on seat
She had a stroke due to a hemorrhage aged 60, which caused left paralysis, spasms, central post stroke pain (CPSP) and depression. Medication: bendrofluazide (blood pressure), simvastatin (cholesterol), fluoxetine (depression), gabapentin (CPSP).
Nerves & brain
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Stroke
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Age 56-65
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Interview 15
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In the rehabilitation gym mobility was graded from 0 to 5. He found it encouraging to look back at his improvement and set himself goals.
He had his stroke due to a clot aged 54 which caused right sided paralysis and muscle spasms. Medication: amlodopine, perindopril (blood pressure), ezetimibe (cholesterol), aspirin (antiplatelet).
Nerves & brain
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Stroke
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Age 56-65
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Interview 01
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Records his progress in a diary and encourages other people to do the same.
He had a stroke due to hemorrhage aged 57, which caused left paralysis, left neglect and some early problems with speech. Medication: atenolol, ramipril (blood pressure), levetiracetam (epilepsy), paroxetine (antidepressant), omeprazole, (gastric resistant tablets).
Nerves & brain
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Stroke
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Age 21-45
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Interview 49
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Live life and smile a lot and be happy.
She had a stroke due a clot caused by a hereditary clotting disorder age 29, which caused aphasia, right paralysis and epilepsy. Medication: lipitor (cholesterol), warfarin (anticoagulant), tegretol, epilim (epilepsy), baclofen (spasms in arm).
Nerves & brain
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Stroke
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Age 66-75
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Interview 50
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It's up to you to fight it and to help yourself.
He had a stroke at the aged 58 due to a clot and then a second stroke 1 year later due to a haemorrhage. Medication: perindopril, bendroflumethiazide, prazosin (blood pressure), aspirin (antiplatelet), (stopped due to haemorrhage).
Nerves & brain
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Stroke
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Age 56-65
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Interview 31
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Set himself goals for walking the dog and gradually increased the distance. Having a dog has encouraged him to get better.
This man had two TIAs (aged 56) and a stroke (aged 57) due to clots. The stroke caused temporary paralysis on his left. Medication: perindopril, bendroflumethiazide (blood pressure), atorvastatin (cholesterol), aspirin, delayed release dipyridamole (antiplatelet).
Nerves & brain
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Stroke
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Age 56-65
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Interview 22
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Set himself a goal of being able to speak and stand for his daughter's wedding and got a standing ovation when he gave her away.
He had two stroke due to clots aged 59. The strokes caused ataxia, dysphagia, dysarthria and double vision. Medication: atenolol (blood pressure), bezafibrate (cholesterol), warfarin (anticoagulant), hyoscine (reduce saliva), Thick 'n' easy (thickens drinks).
Nerves & brain
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Stroke
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Age 56-65
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Interview 53
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You have to be motivated to recover and find ways to occupy your life.
He had a stroke due to a clot which came from his heart aged 55. The stroke caused right sided weakness and aphasia. Medication: perindopril (blood pressure) simvastatin (cholesterol), warfarin (anticoagulant).
Nerves & brain
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Stroke
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Age 76-95
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Interview 40
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Try to do as much as you can for yourself and don't rely on other people or you'll lose your independence.
She had a stroke due to a clot from her heart at the age of 81. The stroke caused partial paralysis of her right hand side and problems with memory. Medication: Cardicor, coversyl (blood pressure), simvastatin (cholesterol), warfarin (anticoagulation).
Nerves & brain
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Stroke
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Age 66-75
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Interview 14
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It's important to have something to look forward to and to set yourself goals to work towards, no matter how slowly.
She had a stroke due to a hemorrhage aged 60, which caused left paralysis, spasms, central post stroke pain (CPSP) and depression. Medication: bendrofluazide (blood pressure), simvastatin (cholesterol), fluoxetine (depression), gabapentin (CPSP).
Nerves & brain
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Stroke
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Age 56-65
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Interview 28
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Take the tablets and do what the health professionals advise because they wouldn't be telling you if it wasn't worth knowing.
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 56-65
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Interview 18
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Get in touch with the Stroke Association for good information. It's good to meet other people who have had a stroke but avoid people who make you feel
She had a stroke aged 59 which caused right weakness, pain, vision & memory loss. Medication: perindopril, amlodipine (blood pressure) pravastatin, Ezetimibe (cholesterol), aspirin and dipyridamole (antiplatelet), escitalopram (depression), carbamazepine (pain).
Nerves & brain
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Stroke
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Age 46-55
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Interview 05
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Never give up. Keep in contact with friends and others, develop new interests in new areas.
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 76-95
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Interview 29
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Don't give into it, fight it and it will get better and you can have a decent living.
He had a stroke due to clot aged 83 which caused partial right paralysis and emotional lability. Medication: doxazosin, bendroflemethiazide, valsartan, 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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Gavin - Interview 63
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Gavin spoke about his determination to get better and how incorporating his interests into his lifestyle helped in his recovery process.
Gavin is a 47 year old media representative/spokesperson. He lives at home with his wife and two children. He is not working right now because of his stroke, but hopes to return to some type of work one day. His ethnic background is White British.
Nerves & brain
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Stroke
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Age 56-65
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Jackie - Interview 64
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Jackie comments that nonmedical therapies like art and Pilates helped her recover.
Jackie suffered a stroke in 2003 while home alone and was found by her daughter 28 hours later. She voluntarily chose to retire from work so she would have enough stamina for other things including recreational activities in the community.
Nerves & brain
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Stroke
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Age 66-75
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Susan - Interview 62
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Susan talks about the importance of setting small manageable goals in recovery.
Susan experienced a stroke in 2007 while at home with her husband. Her husband called for an ambulance, which unfortunately, did not arrive until much later. While she was waiting for an ambulance she suffered a fall and injured her left side (hip, shoulder, wrist, and arm), these injuries were left untreated while in hospital.
Nerves & brain
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Stroke
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Age 46-55
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Interview 05
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She visualised a piano keyboard in her mind. By pressing notes she would visually send signals to her body to help with movement. Her technique proved
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).
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