Stroke/ TIA Education Plan Stroke Or TIA

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Stroke/ TIAEducation PlanStroke or TIAGetting Ready to Learn about Stroke or TIA (mini stroke)Learning something new can be hard when you are not feeling well. Here are somegood things to tell the staff:oWho do you want to learn with you? We would like to have someone who willbe helping you at home learn with you.oWhat is the best way for you to learn? Do you learn best by reading a book orpamphlet? Or do you learn best by doing things yourself?oIf you are not feeling well, if you are in pain or you cannot focus on learningright now.Because this teaching is about your health, the staff may explain something more thanonce and give you information in “small” pieces over several days.By the time, I leave the hospital I will be able to tell the staff: How my life has changed because of a stroke or TIA (mini stroke) The symptoms of stroke. What to do if I have the symptoms of stroke. What I need to do to get well. What I need to do to lower my risk of having another stroke or TIA. What barriers I have to making the changes to lower my risk for stroke. What medicines I may take to help lower my risk of stroke.The staff will use three questions and answers to teach me about Stroke or TIA:1. What is my main problem?2. What do I need to do?3. Why is this important to me?The staff will ask me to repeat back important points in my own words, or ask me toshow them what I have learned. They want to make sure that I know about mydisease and how to take care of myself.1

Stroke/ TIAEducation PlanWhat is my main problem?My life has changed because I have had a stroke or TIA (mini-stroke). I mayexperience some of the following: Difficulty moving my arms or legs the way I used to due to weakness orbalance. Numbness. Problems talking or understanding what others are saying. Problems thinking clearly or remembering things. Problems with vision. Difficulty swallowingMy brain does not know how to do some things after a stroke. This is because theblood flow to part of my brain has changed. When the brain does not get blood, thecells begin to die. This could result in problems with speech, movement and memory.Some people recover completely after a stroke. Most people have some disabilityafter a stroke.What do I need to do?Know the signs and symptoms of stroke and what to do if they occur again. Sudden numbness or weakness of the face, arm, or leg. It may onlyaffect one side of my body. Sudden severe headache with no known cause. Sudden trouble seeing in one or both eyes. Sudden confusion, trouble speaking, or understanding. Sudden trouble walking, dizziness, or loss of balance and coordination.Call 911 if I am having any symptoms of stroke! I will not drive myself orhave a loved one drive me. Tell emergency medical personnel when my symptoms started Every minute that passes puts my brain at risk for further injury. This iswhy it is very important to call 911 right away. Having emergency medical personnel help in getting me to the hospitalmakes the trip safer for me and others. They can also help with any problems I may have on my way to thehospital, such as problems breathing and chest pain. They will also tell the hospital my symptoms before I get there and thehospital can be ready faster.2

Stroke/ TIAEducation PlanKnow what I need to do to get better from a stroke.o Understand that everybody heals differently.o Understand that recovery takes time.o I will need support from my family and friends.o I may need therapy to help me get back some of my lost function. Physical therapy can help me get back the use of my arms and legs. Occupational therapy can help me learn how to live as independentlyas possible. Speech therapy can help me communicate with others or help withswallowing problems.Know the risk factors & how I can lower my risk of having another stroke (seethe Stroke Patient Education Guide) or TIA. Each person is different and has different risks for having a stroke. The National Stroke Association developed a tool to help myfamily and I know about our risk for stroke. I can find the stroke risk assessment in the Stroke PatientEducation Guide I was given. I should take time to fill this out and share the tool with myfamily. I can read about changes I can make to lower my risk in the StrokePatient Education Guide.The most important ones I can change are: High blood pressure The foods I eat can help keep my blood pressure low. Limit the amount of sodium and salt in my diet. Read food labels for sodium content. Avoid or limit foods withmore than 300 mg of sodium per serving. Do not add salt to foods when I cook or at the table. Be careful when eating at a restaurant. Choose foods that arenaturally low in sodium. Many restaurants have special menuitems that are prepared with little or no salt. Include foods that are rich in potassium in my diet (unless notallowed due to other medical conditions) Include at least 5 servings of fruits and vegetables in my dietevery day.3

Stroke/ TIAEducation Plan Diabetes Work to control your blood sugar levels through diet, exercise, andmedicine if given by your physician. Overweight (see the Stroke Patient Education Guide) Exercise regularly. Stay at a healthy weight. Eat a diet that is high in fruits andvegetables. Avoid high-fat foods. I can ask my doctor or dietician what is a healthy weight for me. Irregular heartbeats (atrial fibrillation) Atrial fibrillation is an irregular heartbeat that can lead to blood clotsforming in your heart and traveling to your brain. If you have atrialfibrillation, follow your doctor’s plan. Drinking Limit the amount of alcohol you drink.o Women should drink no more than one drink per day.o Men should not drink more than two drinks per day.o One drink is 12 ounces (oz) of beer, 5 oz of wine, or 1½ oz ofliquor. Smoking Stop smoking. There are many ways to help you quit. High cholesterol The foods I eat can help keep my blood cholesterol at healthy levels. Limit the amount of fat in my diet to less than 25-35% of my totalcalorie intake. Limit saturated fats such as fats in meat, poultry, and high-fat dairyfoods. Use low-fat or fat-free dairy products. Use lean cuts of meatand trim visible fat. Limit hydrogenated fats or trans-fats. These are fats found in friedfoods, crackers, cookies and chips. Include foods in my diet that are high in omega-3 fatty acids. Thesefoods include walnuts and other tree nuts, and flaxseed oil. Thesealso include cold-water, fatty fish such as salmon and tuna. My cholesterol intake should be 200 mg or less. Include foods that are high in fiber in my diet. These foods includefresh fruits and vegetables, foods made from whole grains, driedbeans and peas. Aim for 20 grams of fiber each day.4

Stroke/ TIAEducation PlanIf I have questions about what to eat, I can ask my doctor to refer me to an outpatientdietitian. I can make an appointment with an outpatient dietitian by calling 269-3416860.Risk factors I cannot change: Gender (males are at a higher risk) Race (African Americans are at higher risk) Family history of stroke Personal history of strokeAddress barriers to lifestyle changes Barriers to lifestyle changes may make it hard for me to reach my goals. I need to know what the barriers are for me. I need a plan to get rid of the barriers. I need to talk about these barriers my healthcare team. These are the barriers I see in making the lifestyle changes myhealthcare team has discussed with me:Know what medicines are used to help prevent stroke. Not everyone needsevery medication listed below. Blood pressure medicines help keep my blood pressure low. This helpsmy heart and my blood vessels work better. Cholesterol-reducing medicines help lower the amount of cholesterolin my blood. This helps prevent a stroke. “Blood thinners” help prevent a stroke by stopping clots from formingin my blood. Antidepressants – add words from book.5

Stroke/ TIAEducation Plan I know that I must take my pills every day, the way the doctor told meto, so they will work. Identify ways to control my pain. Pain can happen for many reasonsand be mild or severe. There are many different ways to treat your painfrom medicines to relaxation techniques. Everyone experiences paindifferently and what works for someone else may not work for you.Some ways to help control pain are listed in the stroke patient educationguide.Why is this important to me? ImportanceI have had a stroke or a TIA. That means I am more likely to have a strokein the future. I can help prevent a stroke by doing what I have learned here.I know that getting help immediately if I have stroke symptoms may lessenthe effects of the stroke on my body.As part of my care I have received this education plan. I may also receive: Stroke Patient Education Guide Stroke or TIA Discharge Orders and Instructions Information about diet Smoker’s quit book Diabetes education book BE FAST magnetBronson has a stroke support group available for you and your family if you wouldlike to join in some of the meetings.Bronson Methodist Hospital Stroke Survivor Support GroupBronson Gilmore Center for Health Education601 John St., Kalamazoo(269) 341 7500Parking is available in the Jasper Street Parking Ramp.The Stroke Support Group meeting is held the third Thursday of the month from11:00 a.m. to noon (except in July and August).6

Stroke/ TIAEducation PlanStroke or TIA (a mini stroke)Education PlanResources for Staff Stroke: Diagnosis: Nursing Reference CenterStroke: Risk Factors -- an Overview: Nursing Reference CenterStroke: an Overview: Nursing Reference CenterStroke Patient Education GuideLexiCompTeaching Tools Stroke Education PlanStroke Patient Education GuideTIA, Acute stroke Discharge Orders and InstructionsSmoking Cessation BookDiabetes Education GuideDiet Information for Stroke PatientsDiet Information for TIA PatientsReferences: National Stroke Association. www.stroke.orgAmerican Stroke Association. www.strokeassociation.orgApproved by: Neuroscience Performance Improvement Committee: 12/09Patient Education Council:Authored by: Neuroscience PI CommitteeLast revision date: 02/22/11; 6/23/15; 12/20187

Stroke/ TIAEducation Plan* This page is intended for staff use only. Do not give to thepatient. This document is not a part of the permanent medicalrecord.8

in the future. I can help prevent a stroke by doing what I have learned here. I know that getting help immediately if I have stroke symptoms may lessen the effects of the stroke on my body. As part of my care I have received this education plan. I may also receive: Stroke Patient Education Guide

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