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Exploring interventions in secondary stroke prevention: a case study

Thompson, Hilary and Mitchell, Liz (2006) Exploring interventions in secondary stroke prevention: a case study. British Journal of Neuroscience Nursing, 2 (1). pp. 28-32. [Journal article]

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URL: http://www.internurse.com/cgi-bin/go.pl/library/article.cgi?uid=20499;article=BJNN_2_1_28_32


Stroke remains the third leading cause of death in the UK after coronary heart disease and cancer, and the main cause of adult disability in the western world (Bonita, 1992). Unfortunately, for those people who suffer a recurrent stroke, outcomes are poorer than for those after a first stroke (Lee et al, 2004). The Royal College of Physicians (2004: 40) recommend: ‘An individual strategy for stroke prevention should be implemented within a maximum of seven days of acute stroke or transcient ischaemic attack.’ This paper explores the evidence base for interventions in secondary stroke prevention. Risk factors for stroke are outlined, the role of anti-platelet therapy is discussed, and pharmacological strategies in the management of hyperglycaemia, hyperlipidaemia and hypertension are examined. The risk factor of cigarette smoking is also addressed. Collaborative goal setting and care planning is a central tenet of this case study, with the patient enabled to make informed life-style changes.

Item Type:Journal article
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Nursing
Research Institutes and Groups:Institute of Nursing and Health Research > Managing Chronic Illness Research Centre
ID Code:10968
Deposited By: Dr Liz Laird
Deposited On:31 Jan 2010 16:06
Last Modified:16 Oct 2012 15:43

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