May is National StrokeMay is National StrokeAwareness MonthAwareness MonthNational Stroke Association encourageseveryone to spread awareness about strokein May about how to:- STOP primary and secondary strokethrough risk factor management.- Act F.A.S.T. to increase recognition of andresponse to stroke symptoms.- Spread HOPE about recovery from stroke.Visit www.stroke.org/SAM for free educational resources.
Recognize: stroke symptomsReduce: stroke riskRespond: at the first sign of stroke,Call 911 immediately!
Stroke FactsStroke FactsA leading cause of death in the United States795,000 Americans suffer strokes each year134,000 deaths each year- From 1996 to 2006, the stroke death rate fell33.5% and number of deaths fell by 18.4%6,400,000 stroke survivors
Stroke FactsStroke FactsA leading cause of adult disabilityUp to 80% of all strokes are preventablethrough risk factor managementOn average, someone suffers a stroke every 40seconds in America
Women & StrokeWomen & StrokeStroke kills more than twice as many Americanwomen every year as breast cancerMore women than men die from stroke and risk ishigher for women due to higher life expectancyWomen suffer greater disability after stroke thenmenWomen ages 45 to 54 are experiencing a strokesurge, mainly due to increased risk factors andlack of prevention knowledge
African Americans & StrokeAfrican Americans & StrokeIncidence is nearly double that of CaucasiansAfrican Americans suffer more extensive physicalimpairmentsTwice as likely to die from stroke than CaucasiansHigh incidence of risk factors for strokeHypertensionDiabetesObesitySmokingSickle cell anemia
Hispanics & StrokeHispanics & StrokeHigher incidence among Mexican Americansthan CaucasiansMexican Americans are at increased risk forall types of stroke and TIA at younger agesthan CaucasiansSpanish-speaking Hispanics are less likely toknow stroke symptoms than English-speaking Hispanics, African Americans andCaucasians
Definition of StrokeDefinition of StrokeSudden brain damageLack of blood flow to the brain caused by aclot or rupture of a blood vesselIschemic = Clot(makes up approximately87% of all strokes)Hemorrhagic = Bleed- Bleeding around brain- Bleeding into brainEmbolic Thrombotic
Brain Attack!Brain Attack!Stroke is a “Brain Attack.”Stroke happens in thebrain not the heartStroke is an emergency.Call 911 for emergencytreatment.
Sudden and severeheadacheTrouble seeingin one or both eyesSudden dizzinessTrouble walkingSudden numbnessor weakness offace, arm or legSudden confusionTrouble speakingIf you observe any of these symptoms,call 911 immediately.Every minute matters!
• F = Face: ask the person to smile• A = Arm: ask the person to raise both arms• S = Speech: ask the person to speak asimple sentence• T = Time: to call 911Every minute matters!
TIATIATransient ischemic attack (TIA) is a warning signof a future stroke – up to 40% of TIA patients willhave a future strokeSymptoms of TIAs are the same as strokeTIA symptoms can resolve within minutes orhoursIt is important to seek immediate medicalattention if you suspect that you are having orhave had a TIA
The Perceptions of StrokeThe Perceptions of StrokeMythStroke is not preventableStroke cannot be treatedStroke only strikes theelderlyStroke happens in theheartStroke recovery endsafter 6 monthsRealityUp to 80% percent ofstrokes are preventableStroke requires emergencytreatmentAnyone can have a strokeStroke is a “Brain Attack”Stroke recovery can last alifetime
The Cost of StrokeThe Cost of StrokeThe estimated direct and indirect cost ofstroke is 73.7 billion in 2010The mean lifetime cost of ischemic strokeis about $140,048 in America
National Stroke AssociationRecommends that you follow theseguidelines to help people reduce their riskfor stroke…
Stroke Prevention GuidelinesStroke Prevention Guidelines1. Know your blood pressure. Have it checkedat least annually. If it is elevated, work withyour doctor to control it.2. Find out if you have atrial fibrillation (AF) – atype of irregular heartbeat. If you have it,work with your doctor to manage it.3. If you smoke, stop.
4. If you drink alcohol, do so in moderation.5. Know your cholesterol number. If it is high,work with your doctor to control it.6. If you are diabetic, follow your doctor’srecommendations carefully to control yourdiabetes.Stroke Prevention GuidelinesStroke Prevention Guidelines
7. Include exercise in your daily routine8. Enjoy a lower sodium (salt) and lower fat diet9. If you have circulation problems, work with yourdoctor to improve your circulation.10. If you experience any stroke symptoms,call 911 immediately. Every minute matters!Stroke Prevention GuidelinesStroke Prevention Guidelines
National Stroke Associationrecommends that you learn strokesymptoms and how to respond tosymptoms by calling 9-1-1
Why People DonWhy People Don’t Recognize’t Recognizeand Respond to Symptomsand Respond to SymptomsDon’t recognize symptomsDenialThink nothing can be doneWorry about costThink symptoms will go awayFear or don’t trust hospitals
Stroke RecoveryStroke Recovery10% of stroke survivors recover almostcompletely25% recover with minor impairments40% experience moderate to severe impairmentsrequiring special care10% require care within either a skilled-care orother long-term care facility15% die shortly after the stroke
Types of Stroke RehabilitationTypes of Stroke RehabilitationPhysical Therapy (PT)Walking, range of movementOccupational Therapy (OT)Taking care of one’s selfSpeech Language TherapyCommunication skills, swallowing, cognitionRecreational TherapyCooking, gardening
BehaviorDepression & AngerEmotional LiabilityOne-sided NeglectMemory LossCommunicationProblems• Daily living skills• Dressing andgrooming• Diet, nutrition andeating difficulties• Skin care problems• Pain• Sexuality/IntimacyLifestyle Changes for Survivors andLifestyle Changes for Survivors andCaregiversCaregivers
Types of Recovery ServicesTypes of Recovery ServicesRehabilitation unit in the hospitalIn-patient rehabilitation gacilityHome-bound therapyHome with outpatient therapyLong-term care facilityCommunity-based programs
National Stroke AssociationNational Stroke AssociationWhat we do…What we do…Reduce the incidence and impact of strokeAdvocate for prevention and public educationProvide professional education and trainingProvide recovery resources for strokesurvivors and caregivers