Treatment
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What is the treatment after a stroke?
Nothing to eat or drink - Initially, we do not provide anything by mouth until a swallow reflex can be tested by the nurse. This is a simple test done with a small amount of water. Pneumonia is a major risk factor early in stroke as patients do not realize they are having swallowing difficulties. If the simple swallow test indicates a swallowing issue, we will prohibit any food by mouth, including oral medications. A speech therapist will then conduct a more comprehensive swallow assessment.
Blood Thinning Medication - If it is determined that the stroke was due to plaque or a blood clot in the arteries, the patient will be started on anticoagulation therapy. These are medicines that delay clotting of the blood, help prevent clots from forming and existing clots from enlarging. There is specific education about these medications that patients will receive from their caregivers – follow these directions closely.
Blood Pressure Control – This is the single most important risk factor for stroke and stroke reoccurrence. Nursing staff will monitor the patient's blood pressure closely, and new medication may be started to help maintain desired blood pressure control.
Close monitoring is conducted to check for any new changes or a reoccurrence of symptoms.
Speech Therapy – This helps assess any swallowing disorders or language deficits caused by the brain injury.
Physical Therapy – This helps assess any physical deficits from the stroke. The medical provider can then develop a plan of care to maximize the patient's mobility and independence for such activities as walking, balance and coordination.
Occupational Therapy – This helps assess any other deficits so the medical provider can develop a plan of care to maximize the patient's return to independence.