Stroke Accounts For 11.13% Of Total Worldwide Mortality

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.

Mariam background is 60 year old lady admitted with left sided weakness and facial droop. Once confirmed stroke using the Recognition of Stroke in the Emergency Room (ROSIER) scale. Catangui (2015) states ROSIER scale is used to distinguish whether the patient is having a stroke or stroke mimics e.g. seizures or brain tumours. Computed tomography CT brain showed ischemic stroke. Ischaemic stroke is lack of sufficient blood supply to perfuse the brain/ cerebral tissue due to narrowing or blocked arteries in the brain (Morrison, 2014). According to Stroke Association (2015) statics shows that 1520000 strokes occur in the United Kingdom.

Patient Adherence: There is no known cure for chronic disease, the progressive nature of chronic disease the patient and family must adjust to continual treatment changes, and the chronic disease continues throughout the patient’s lifetime developmental and lifestyle changes often influence or pose additional challenges to the person with a chronic

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.

Some of the factors that patients do not adhere to when their healthcare provider tells them too is due to patients being too busy. Often times life is very busy as we all know this but forgetting to take of yourself can have detrimental effects to your health. Some people think they can get better on their own without the help of a doctor so they feel like they will be fine or able to handle any health complication on their own. Another reason is that often people do not understand or they forget what the doctor is telling them about their prescribed treatment regimens and other patients decide to simply not follow it. As stated in the article by Sklar, Min Sen Oh & & Chuen Li, 2008 “Poor communication with healthcare providers was also likely to cause a negative effect on patient’s compliance (Bartlett et al 1984; Apter et al 1998)”. Miscommunication between a doctor and patient is at the root of most adherence problems. Often times patients leave their doctors office not knowing or having the slightest clue to what they should be doing. Instead of asking for help or clarity they just leave. Communication needs to be clear and effective for both the patient and the doctor. Non-adherence is wide spread when it comes to patients not adhering to what professionals tell them. Many patients will have significant risks because they forget,

stroke is an acute episode of focal dysfunction of the brain, retina, or spinal cord lasting longer than 24 h, or of any duration if imaging (CT or MRI) or autopsy show focal infarction or haemorrhage relevant to the symptoms ,which is a leading cause of death and long term disability worldwide. It results from transient or permanent disruption of cerebral blood flow, leading to necrotic death of the brain tissue supplied by the affected artery. It activates an inflammatory condition in the affected area, marked by infiltration of inflammatory cells. Inflammation can induce an apoptotic cell death in the transition region between necrotic and normal tissue, so called penumbra, for a fairly prolonged period of time.[1].

In conclusion, addressing the problem of non-adherence would help alleviate the burden of added costs to healthcare. When patients take their medications as prescribed, they are considered to be adherent. Adherence has two components that are complementary to each other: persistence and implementation

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.

Often times, doctors will typically call a stroke a “brain attack” because the events that transpire resemble those that occur during a heart attack (Wang and Aamodt, 2010). Blood supplies a constant source of oxygen to the brain. However, a stroke occurs when that blood supply to any given part of the brain is suddenly ceased. If the blood supply to the brain is suddenly interrupted this leads to the deprivation of oxygen and glucose to that area. The brain cells that are prevented from acquiring these substances, especially oxygen, will be quickly killed off. Strokes can be categorized into two classes: Ischemic and hemorrhagic strokes (Lindley, 2008).

Medication adherence is described as the extent to which the patients take medication as prescribed by the health care provider. To ensure the patients receive proper care, health care systems must implement procedures to successfully meet their needs and overall improve their quality of life. However, there are several reasons that affect proper medical care, which ultimately results in an increase in health care expenses and poorer health outcomes for patients. Studies have shown that approximately 50% of patients do not take their chronic medications as prescribed and that nonadherence can cost the health care system nearly $100 to $289 billion per year (1). Medication adherence is difficult to achieve due to ineffective communication between

A stroke is a condition which is characterised as loss of brain functioning due to an interruption in the blood flow to the brain (Buzzard, 2013, pg. 5). There are two types of strokes, ischaemic and hemorrhagic strokes (Buzzard, 2013, pg. 6). Ischaemic strokes are the most common type of stroke (Gomes & Wachsman, 2013). This type of stroke occurs due to an insufficient flow of blood to the brain, which is usually caused by an artery blockage (Gomes & Wachsman, 2013). Hemorrhagic strokes are due to hypertension and may be caused by medical problems or blood vessel abnormalities (Gomes & Wachsman, 2013). The strokes severity and location of the brain that is affected determines the impact of the stroke in an individual (Gomes & Wachsman, 2013).(Gomes, 2013)

Stroke, or brain attack, is the number four killer of adults in the world. In the United States, 160,000 deaths occur each year. From 1999 to 2009, the death rate from stroke gradually lowered as improvements to medicine and testing developed. Yet, 800,000 Americans continue to have strokes and survive the event. Worldwide, about 15 million experience stroke with 6 million who die and 5 million who become permanently disabled. (Robinson, Richard & Odle, Teresa G. & Frey, Rebecca J. & Odle, Teresa G. , 2011) The statistics in America are better for surviving a stroke because of rapid response and better interpretation of symptoms. Nevertheless, surviving a stroke often brings on dilapidating effects; which means a change in lifestyle and lifelong rehabilitation through physical therapy.

In the United States, stroke is the fifth leading cause of death for both men and women and the leading cause of long-term disability. Each year about 800,000 people living in the United States will experience a stroke (CDC, 2015). Approximately 610,000 of these are first or new strokes, and about 185,000 individuals who survive the first stroke eventually have another stroke. On average, a stroke occurs every 40 seconds, and someone dies of a stroke every three to four minutes. Stroke is the cause of approximately one out of every 20 deaths, killing more than 130,000 Americans per year (CDC 2014). It is estimated that in 2010, Americans paid about $73.7 billion for stroke-related medical and disability costs (AHA, 2011). About 87% of

Medication adherence is one of the most important challenge in healthcare research due to its complexity and impact on overall health outcomes. The work suggests that non-adherence is frequent for all drug classes and the causes are attributed to characteristics of the medication itself, high cost of prescription drugs, lack of patient education and psychological variables. Most of the solution defined to address the level of non-adherence stresses the importance of developing HIT infrastructures. The collection and sharing of healthcare related data has been facilitated by the advances in ensuring EHRs while the patients are treated in hospital.

Non-compliance is expressed as the failure or refusal to comply. In this instance, it is used to reference a “patient who elicits through their behavior— the inability of taking medication, following a diet, executing lifestyle changes—or not corresponding with agreed recommendations from a health care provider” (McIntyre, 2016). Non-compliant behavior is actually believed to be an epidemic and is likely one of the most common causes of treatment failure for chronic conditions as it hinders the doctor’s ability to provide optimal care” (McIntyre, 2016). Patient education can