NUTRITIONAL MANAGEMENT OF STROKE PATIENT

[Nutritional Management of stroke Patient]

By

Acknowledgement

Iwould take this opening to express gratitude my research supervisor, family and friends for their support and guidance without which this study would not have been possible.

DECLARATION

I, [type your full first titles and surname here], declare that the contents of this dissertation/thesis comprise my own unaided work, and that the dissertation/thesis has not previously been submitted for academic written test in the direction of any qualification. Furthermore, it comprises my own attitudes and not inevitably those of the University.

Signed __________________ Date _________________

Abstract

Imaging should be as soon as possible be carried out after onset of symptoms to determine the cause. CT shows bleeding almost immediately and is well tolerated. Carotid imaging should be performed to identify significant carotid stenosis. All patients with severe stroke should be taken to a specialist stroke unit, such units to reduce mortality and dependence. Management involves the treatment of hypoxia, hyperglycemia and infections, nutritional support and early mobilisation. Existing antihypertensive therapy should be continued and (referred to 220/120 mm Hg and 185/105 mm Hg in ischemic and hemorrhagic stroke), severe hypertension should be treated well. In ischemic stroke, thrombolysis in selected patients is beneficial when given within 3 hours of onset of stroke and the uncertain value of 3-6 hours. Antiplatelet therapy reduced the risk of early recurrent stroke. decrease in the secondary prevention of stroke, cholesterol and blood pressure proven effective regardless of their initial values. Patients with TIA or ischemic stroke in sinus rhythm should anticoagulants and those should be in atrial fibrillation be anticoagulated if no contraindication, or immediately after a TIA or minor stroke 2 weeks after a massive stroke. Primary prevention of stroke include management of risk factors such as hypertension, diabetes, atrial fibrillation and lifestyle change in terms of exercise, diet and smoking.

Table of Contents

ACKNOWLEDGEMENT2

DECLARATION3

ABSTRACT4

Background of the study7

Problem Statement8

Research Aims and Objectives8

Significance of the Study9

Rationale / Nature of the study9

CHAPTER 2: LITERATURE REVIEW11

Stroke11

Types of Strokes11

Causes of Stroke16

Common Stroke Symptoms18

CHAPTER 3: METHODOLOGY27

Research Design27

CHAPTER 4: DISCUSSION31

How to Help a Stroke Victim35

Recovery and Rehabilitation from Stroke35

CHAPTER 5: CONCLUSION39

Guideline implementation and compliance39

REFERENCES42

BIBLIOGRAPHY46

Chapter 1: Introduction

Revise Results of nutritional support for a variety of diagnostic group, the trend towards shorter hospital stays and improved quality of life indices have been found. However, malnutrition in British hospitals continues to cause concern with PEM pass unnoticed and untreated with suboptimal dietary provision. (British Heart Association, 2004)Studies of acute stroke are limited, but as these patients are at high risk characteristics of many nutritional compromise is likely, if their requirements are identified and addressed. Clinical effectiveness and quality of patient care are important political functions in Great Britain, but the research has been slow to influence practice, the cause is multifactorial and has been studied extensively.

Background of the study

Evidence-based standards and guidelines can be implemented to benchmark care, in a variety of locally specific strategies. Audit and feedback, guidelines can, education and opinion leaders most effective when combined together in a focused, multifaceted implementation ...