Introduction
A Stroke also called brain attack, occurs when a clot block the blood supply going to the brain or there is a hemorrhage in it. Nerves in the brain requires a continuous supply of blood, oxygen and glucose to function properly. If there is impairment of this supply then the brain may stop functioning temporarily and if this impairment is severe enough then permanent brain damage could occur. As the brain control the body, so the patient could experience symptoms depending upon which part of the brain is affected or damaged. (Lawrence M. Brass, 1992)
Stroke causes the death of 130,000 Americans each year and is considered the Fifth leading cause of death in the United States. (CDC, 2015).87% of the strokes are Ischemic Strokes.
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(Lawrence M. Brass, 1992)
Classification of Stroke
Stroke is classified as follows:
1.) Ischemic Stroke
2.) Hemorrhagic Stroke
It is further classified into two classes:
a) Intracerebral Hemorrhage b) Subarachnoid Hemorrhage
3.) Transient Ischemic Stroke
(Caplan, L. R., 1989)
Ischemic Stroke:
An Ischemic stroke is caused by the obstruction (thrombotic or embolic) of the blood vessels in the brain. (Reston, VA., 2006). 2.7% of men and 2.5% of women aged 18 years and older have a history of stroke in the United States. (American Heart Association. Circulation, 2011). Stroke incidence increased from 1988-1997, but the mortality rate decreased 33.5% from 1996 to 2006. (American Stroke Association. Stroke, 2010). In the United States about 800,000 people affect with stroke each year. (American College of Emergency Physicians, 2015). Approximately 610,000 new cases and 185,000 repeated cases of strokes occur yearly. The incidence of stroke is greater in men than women who are younger than 85 years; however, that risk increases in women than that of men aged 85 years or older. (American Heart Association Circulation, 2011).
Haemorrhagic
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It is often caused by high blood pressure. (American Heart association, 2015). SAH affects every 2 to 16 per 10,000 persons yearly. The actual occurrence of SAH is higher because approximately 15% of patients with SAH die before being admitted into the hospital. SAH can occur at any age, but the incidence increases with age, commonly affect patients age 50 years or older. This type of stroke is 1.24 times more common in women than in men. (American Stroke Association,
Each year alone about 150,000 people in America die from a stroke or are seriously disabled. Stroke is among the top five causes of death. It generally happens very suddenly and it can take up to five to seven days to completely effect the patient. Depending on how many of the brain cells die during the stroke, and
Strokes are caused by a block in the blood supply to the brain which causes a decrease in oxygen and delivery of other important supplies which facilitate proper functioning. Fifteen million cases are reported worldwide annually, although not all of these cases are mortalities, the large prevalence of strokes ranks it as the fourth leading cause of death in the United States. (Figueroa) Because of the time sensitivity associated with the lack of resources to the brain, strokes are considered a medical emergency and early recognition of symptoms can help decrease the amount of damage caused . Although strokes do not always cause death, strokes most often leave the individual with some physical and cognitive impairment.
A stroke is also called a cerebrovascular accident. According to the Mississippi State Department of Health, “A stroke is sometimes called a brain attack (pg. 4).” A stroke occurs when the brain isn’t receiving enough oxygen or a lack of blood supply. According to the American Heart Association, about 795,000 people have a stroke every year. According to the Center for Disease Control and Prevention, Stroke is the fifth leading cause of death in the United States and is a major cause of adult disability.
A stroke is a type of cardiovascular disease that affects the cerebral arteries, those blood vessels that carry blood to the brain. A stroke occurs when one of those blood vessels in the brain is obstructed or ruptures flooding the brain with blood. Depriving blood and oxygen to the brain results in those immediate cells death, causing the brain not to function properly. Once parts of the brain stop functioning, it can directly affect the areas of the body controlled (1).
Strokes are the 5th leading cause of death in the US, with one person dying every 4 minutes as a result. For African Americans, stoke is the 3rd leading cause of death.(http://www.cdc.gov/stroke/facts.htm) It is estimated that About 795,000 people have a stroke each year; about one every 40 seconds - there are many medical conditions that can cause a stroke and it is estimated that 8 out of 10 strokes can be prevented. However, there are some things that cannot be controlled when you are predisposed to
Strokes are caused by pathophysiological changes. The two major mechanisms of stroke consist of ischemia and haemorrhage. Ischemia is when there is no oxygen or not, merely enough oxygen to fuel the tissue level in the body. Haemorrhage in the brain, causing strokes can be due to non-traumatic intracerebral haemorrhage (Shah, MD, n.d.) (see appendix 1). This essay will further discuss the implications of strokes on a cellular, organ and system level. Explain the clinical presentation of the signs and symptoms of strokes and how the condition will be managed by a paramedic.
According to the National Institute of Neurological Disorders and Stroke, there are more than 700,000 strokes every year, and about two-thirds of these individuals survive and
Stroke is like a heart attack, but instead the problem is with the brain not the heart. Stroke happens when the blood that is suppose to go to the brain is blocked or reduced. When the blood supply to the brain is blocked or reduced, the brain doesn’t get enough oxygen or nutrients, which causes brain cells to die. It can also be because of smoking. Smoking creates blood clots in the artery. Stroke is the top 5 disease that caused death in the US, but for black people stroke is the top 3 disease that caused death. Stroke commonly occurs to people over the age of 65. Even though the risk of having a stroke is high over the age of 65, stroke can occur at any age. Approximately 15 million people suffer from stroke each year. 5 million of these
Treatment of stroke, in general and ischemic stroke specifically, in particular, is aone of the most pressing issues in both nursing and medical science today. This is due to the fact that there are very few available treatment options for the various kinds of stroke. Acute ischemic stroke carriesis a prominent medical issue with a high risk of death or morbidity (Kakma, Stofko, Binning, Liebman & Veznedaroglu, 2014). Stroke, including ischemic and other types, is recognized, further, as a one of the most prominent leading causes of disabilities (Saver et al., 2015). While cerebral infarction resulting from thrombotic occlusion of brain arteries is the most common stroke type, ischemic stroke is also quite common. Each year ischemic stroke affects over a half-million victims in the United States alone;. o Of this group, about 150,000 deaths occur, along with 300,000 victims suffering from any number of disabilities following a stroke (CITE)after the fact.
Each year according to National Institute of Neurological Disorders and Stroke more than 700,000 Americans suffer a stroke and about 160,000 die from stroke-related causes. In early 2011 at the American Stroke Association it was reported that the incidence of stroke has rose 51% among men and 17% among women aged fifteen though thirty-four years between 1994-1995 and 2006-2007.
A cerebrovascular accident more commonly known as a stroke or brain attack is the term used to describe the sudden death of brain cells in a localized area due to inadequate blood flow. In order to woke the brain needs a constant supply of oxygen and nutrients. This supply is carried to the brain
Stroke is seen as a major health concern and this is due to the fact that every year, as many as 110,000 individuals suffers from strokes making it a key issue. (NHS 2014)
Ischemic stroke prevalence is restricted by both incidence and circumstance fatality the higher the incidence, the greater the prevalence and, conversely, the lower the prevalence. Little information on stroke prevalence is available because leading prevalence studies is difficult from a methodological point of view. The age standardized prevalence for people old 65 years has been estimated to range since 36 to 73/1000 person per years in the insufficient published population created studies available. In 2010, universal estimations showed 33 million prevalent cases of stroke, corresponding to a global prevalence rate of 5/1000 person per years (0.36/1000 person-years in those aged greater than 75 years, and 48.4/1000 person per years in those
Approximately 795,000 people in the United States suffer from a stroke every year and almost 75% of those are first-time strokes. Strokes kill around 130,000 people a year, ranking it the number 5 cause of death in America. They are also the leading cause of long-term disability. Stokes can be defined as blood not being able to flow to the brain, and there are two ways this can happen, a clot and a rupture. When the blood clots, it is known as an Ischemic stroke, and around 87% of all strokes fall in this category. A rupture is known as a hemorrhagic stroke and is typically a result of an aneurysm or arteriovenous malformation of the brain ("Impact of stroke", 2016).
Strokes in young adults are relatively uncommon usually occuring in the middle-aged and elderly. The National Survey of Stroke revealed that only 3.7% of all strokes occurred in patients aged 15-45 years (Bevan et al., 1990, 382).