Discharge Instructions for Stroke
You have been diagnosed with or have a high risk for a stroke, or a TIA (transient ischemic attack). During a stroke, blood stops flowing to part of your brain. This can damage areas in the brain that control other parts of the body. Symptoms after a stroke depend on which part of the brain has been affected.
Stroke risk factors
Once you’ve had a stroke, you’re at greater risk for another one. Listed below are some other factors that can increase your risk for a stroke:
High blood pressure
Cigarette or cigar smoking
Carotid or other artery disease
Atrial fibrillation, atrial flutter, or other heart disease
Not being physically active
Certain blood disorders such as sickle cell anemia
Drinking too much alcohol
Abusing street drugs
Family history of stroke
Diet high in salty, fried, or greasy foods
Changes in daily living
Doing your regular tasks may be difficult after you’ve had a stroke, but you can learn new ways to manage your daily activities. In fact, doing daily activities may help you to regain muscle strength. This can also help your affected arm or leg work more normally. Be patient, give yourself time to adjust, and appreciate the progress you make.
You may be at risk of falling. Make changes to your home to help you walk more easily. A therapist will decide if you need an assistive device to walk safely.
You may need to see an occupational therapist or physical therapist to learn new ways of doing things. For example, you may need to make adjustments when bathing or dressing:
Tips for showering or bathing
Test the water temperature with a hand or foot that was not affected by the stroke.
Use grab bars, a shower seat, a hand-held showerhead, and a long-handled brush.
Tips for getting dressed
Dress while sitting, starting with the affected side or limb.
Wear shirts that pull easily over your head. Wear pants or skirts with elastic waistbands.
Use zippers with loops attached to the pull tabs.
Take your medicines exactly as directed. Don’t skip doses.
Begin an exercise program. Ask your provider how to get started. Also ask how much activity you should try to get on a daily or weekly basis. You can benefit from simple activities such as walking or gardening.
Limit how much alcohol you drink. Men should have no more than 2 alcoholic drinks a day. Women should limit themselves to 1 alcoholic drink per day.
Know your cholesterol level. Follow your provider’s recommendations about how to keep cholesterol under control.
If you are a smoker, quit now. Join a stop-smoking program to improve your chances of success. Ask your provider about medicines or other methods to help you quit.
Learn stress management techniques to help you deal with stress in your home and work life.
Your healthcare provider will give you information on changes you may need to make to your diet, based on your situation. Your provider may recommend that you see a registered dietitian for help with diet changes. Changes may include:
Reducing the amount of fat and cholesterol you eat
Reducing the amount of salt (sodium) in your diet, especially if you have high blood pressure
Eating more fresh vegetables and fruits
Eating more lean proteins, such as fish, poultry, and beans and peas (legumes)
Eating less red meat and processed meats
Using low-fat dairy products
Limiting vegetable oils and nut oils
Limiting sweets and processed foods such as chips, cookies, and baked goods
Not eating trans fats. These are often found in processed foods. Don't eat any food that has hydrogenated listed in its ingredients.
Keep your medical appointments. Close follow-up is important to stroke rehabilitation and recovery.
Some medicines require blood tests to check for progress or problems. Keep follow-up appointments for any blood tests ordered by your providers.
Call 911 right away if you have any of the following symptoms of stroke:
Weakness, tingling, or loss of feeling on one side of your face or body
Sudden double vision or trouble seeing in one or both eyes
Sudden trouble talking or slurred speech
Trouble understanding others
Sudden, severe headache
Dizziness, loss of balance, or a sense of falling
Blackouts or seizures
F.A.S.T. is an easy way to remember the signs of stroke. When you see these signs, you know that you need to call 911 fast.
F.A.S.T. stands for:
F is for face drooping. One side of the face is drooping or numb. When the person smiles, the smile is uneven.
A is for arm weakness. One arm is weak or numb. When the person lifts both arms at the same time, one arm may drift downward.
S is for speech difficulty. You may notice slurred speech or trouble speaking. The person can't repeat a simple sentence correctly when asked.
T is for time to call 911. If someone shows any of these symptoms, even if they go away, call 911 right away. Make note of the time the symptoms first appeared.
March 10, 2018
Davis ES. One-handed solutions. Stroke Connection. 2009 Sept-Oct, p. 20., Guidelines for the Prevention of Stroke in Patients With Stroke or Transient Ischemic Attack. Furie K. Stoke. 2011;42(1):227-76.
Sudheendra, Deepak, MD,Turley, Raymond Kent, BSN, MSN, RN