Level 2 Stroke Awareness Award Blockage TIA bleed Stroke Awareness time FAST brain Day 1 SfC QCF Unit SCM 201

Group Agreement Confidentiality Respect Mobile Phones Break times Domestics (Fire, WC) Introductions SfC QCF Unit SCM 201

Aims Provide an understanding of different types of Stroke. Signs, symptoms and effect on the person.   Promote appropriate responses in the event of a Stroke and positive management and support following a Stroke SfC QCF Unit SCM 201

Learning Outcomes Know what a Stroke is Know how to recognise Stroke Understand the management of risk factors Understand the importance of emergency response and treatment Understand the management of Stroke SfC QCF Unit SCM 201

The Brain Happens in the brain Different areas of the brain control different functions of the body How someone is affected by a stroke will depend on which area of the brain is affected SfC QCF Unit SCM 201

BRAIN Game around this perhaps labelling different parts and different out comes eg emotions, feelings, vision, spelling words, thinking, planning, memory understanding right side left body left side right body SfC QCF Unit SCM 201

What is a Stroke? The blood supply is cut off to the brain Stops oxygen and nutrients reaching the brain Damages or kills brain cells and stops parts of the brain working properly Keep it basic! And brief! SfC QCF Unit SCM 201

Other conditions mistaken for stroke Hypoglycemia (low blood sugar) Bells Palsy Migraine Epilepsy SfC QCF Unit SCM 201

What is Stroke? Two types of stroke Ischaemic – most common type of stroke (approx 80%) Hemorrhagic- less common type of stroke (approx 20%) SfC QCF Unit SCM 201

Ischaemic Stroke A blockage cerebral thrombosis a blood clot in an artery to the brain cerebral embolism a clot, air bubble of globule of fat carried to the brain and causing a blockage SfC QCF Unit SCM 201

Haemorrhagic Stroke A bleed Intracerebral haemorrhage a blood vessel bursts in the brain Subarachnoid haemorrhage a blood vessel burst in the space between the brain and skull SfC QCF Unit SCM 201

Stroke animation stroke SfC QCF Unit SCM 201

Trans Ischaemic Attack TIA or mini stroke Similar signs to a stroke Temporary disruption of supply of blood SfC QCF Unit SCM 201

Trans Ischaemic Attack Part of the brain goes without oxygen and nutrients for a brief period of time A sign that parts of the brain aren't getting enough oxygen SfC QCF Unit SCM 201

Trans Ischaemic Attack Only lasts a short period of time minutes or hours up to 24 hours Don’t Ignore signs increased risk of stroke SfC QCF Unit SCM 201

TIA Experience NHS CHOICES TIA SfC QCF Unit SCM 201

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Signs and Symptoms of a stroke? SfC QCF Unit SCM 201

Signs and symptoms of a stroke Dropping eyes, mouth, arms, legs Blurred vision Slurred speech Confusion Weakness, numbness or paralysis Loss of consciousness Dizziness Sudden severe headache Do to board SfC QCF Unit SCM 201

Show video clip downloaded from youtube

ACT FAST SfC QCF Unit SCM 201

Key stages of stroke Symptoms usually develop quickly and suddenly As a result of a blockage or bleed in the brain Different areas of the brain relate to different areas of the body SfC QCF Unit SCM 201

Key Stages of stroke This may happen when someone is asleep and they can wake up with symptoms Symptoms include weakness, confusion, slurred speech and drooping of eyes, mouth or face SfC QCF Unit SCM 201

Key stages of stroke Everyone's stroke is different and depending on the area of the brain that is effected and the damage that is done FAST can help recognise the symptoms Emergency treatment is needed SfC QCF Unit SCM 201

Key Stages of stroke Admitted to hospital where test and scans such as MRI and CT are preformed to confirm stroke and its type Admitted to specialist stroke unit and treatment would be given depending on the type of stroke SfC QCF Unit SCM 201

Key stages of stroke Treatment is given depending on the type of stroke that has happened such as clot busting medication for ischemic strokes As the swelling decreases damaged areas of the brain may recover SfC QCF Unit SCM 201

Key Stages of Stroke Other areas of the brain can learn to take over from the parts that are too damaged to recover SfC QCF Unit SCM 201

Key stages of stroke Most recovery usually happens in the first few months following a stroke however recovery can take many years Assessments and support would be available such as SALT and physiotherapists SfC QCF Unit SCM 201

Key stages of stroke Rehabilitation happens in specialist units or at home Prevention is important as following a stroke you are at risk of having another one. SfC QCF Unit SCM 201

How can a stroke effect somebody? SfC QCF Unit SCM 201

Affected by stroke Eating and drinking Continence Communication Memory Behaviour Changes in mood Changes in personality SfC QCF Unit SCM 201

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Stroke Facts 150,000 people a year are affected by stroke in the UK (NICE guidelines 2010) Stroke is the third largest cause of death in the UK (National Stroke Strategy 2007) Everyone can do something to reduce their risk of stroke SfC QCF Unit SCM 201

Stroke Facts 20–30 per cent of people who have a stroke die within a month. 25 per cent of strokes occur in people who are under the age of 65. There are over 900,000 people living in England who have had a stroke. (National stroke strategy 2007) SfC QCF Unit SCM 201

Risk Factors Age Ethnicity Genetics Lifestyle, diet, lack of exercise, smoking High blood pressure or other conditions Drinking Obesity SfC QCF Unit SCM 201

How might these risk factors change in different settings? How might risk change? How might these risk factors change in different settings? SfC QCF Unit SCM 201

How to reduce risk SfC QCF Unit SCM 201

Review of day 1 Know what a Stroke is Know how to recognise Stroke Understand the management of risk factors Understand the importance of emergency response and treatment Understand the management of Stroke SfC QCF Unit SCM 201

Homework Revisit skills today and practice Make a start on completing workbook Complete reflective journal from todays session Record all your learning and hours SfC QCF Unit SCM 201

How to contact me Phone 01743 254815 Email jade.matravers@shropshire.gov.uk SfC QCF Unit SCM 201

Level 2 Stroke Awareness Award Blockage TIA bleed Stroke Awareness time FAST brain Day 2 SfC QCF Unit SCM 201

Group Agreement Confidentiality Respect Mobile Phones Break times Domestics (Fire, WC) Introductions SfC QCF Unit SCM 201

Aims Provide an understanding of different types of Stroke. Signs, symptoms and effect on the person.   Promote appropriate responses in the event of a Stroke and positive management and support following a Stroke SfC QCF Unit SCM 201

Learning Outcomes Know what a Stroke is Know how to recognise Stroke Understand the management of risk factors Understand the importance of emergency response and treatment Understand the management of Stroke SfC QCF Unit SCM 201

What did we cover last week? SfC QCF Unit SCM 201

A Trainer Bubble Production Bubble Busters A Trainer Bubble Production SfC QCF Unit SCM 201 © Trainer Bubble

H H B I F A B T L W P S S B B T G D R O Restart H H B I F A B T L W P S S B B T G D R O © Trainer Bubble

Why is stroke a medical emergency? TIME = BRAIN The quicker help is sort the quicker treatment is can be given Limiting the damage to the brain SfC QCF Unit SCM 201

Suspecting Stroke FAST Check in safe position Do not give food/drink whist waiting for help Check airway is open and clear- recovery position Call 999 – check your policies and procedures. Last out in order what would you do do it to board SfC QCF Unit SCM 201

Impact on individual of key stages of stoke Onset Diagnosis Treatment Rehabilitation Prevention SfC QCF Unit SCM 201

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What would you need to record following this incident? Group work case study produce list with flip chart paper SfC QCF Unit SCM 201

Recording Time eg first symptoms When, where, who What symptoms you observed Any observations taken What action you took eg FAST, Recovery position etc SfC QCF Unit SCM 201

Recording Time you summoned help, who you called, name or reference number Who else was there, help received Who else you contacted eg relative, manager etc Any other medical information SfC QCF Unit SCM 201

Why is stroke care important? Aim one (National stroke strategy 2007) For those who have had a stroke and their relatives and carers, whether at home or in care homes, to achieve a good quality of life and maximise independence, well-being and choices. SfC QCF Unit SCM 201

Why is stroke care important? Psychological and emotional well being Improved recovery Active participation Quality of life Needs met SfC QCF Unit SCM 201

Support ? SfC QCF Unit SCM 201