Health Ministry News
STROKE
By Joanne Berven, RN
Stroke, even by name, can be scary. It can be deadly, or it can leave one with a myriad of problems and the inability to function normally.
There are basically three kinds of stroke.
1.) Hemorrhagic stroke is bleeding into the brain. A classic sign is experiencing suddenly “the worst headache of your life”.
The best thing to do when this occurs is to call 911 to be transported to a nearby stroke center for specialized and immediate treatment.
2.) Ischemic stroke is a clot that shuts down blood flow to the brain. This type of stroke is more common. Like a heart attack, the clot blocks the blood flow to the tissues beyond it. Symptoms depend on what tissues are involved.
3.) A Transient Ischemic Attack (TIA), or a mini-stroke, is one where there are symptoms, but they go away in a short period of time. However, it is a warning sign of a possible bigger stroke.
Symptoms of stroke include balance issues, trouble seeing out of one for both eyes, facial droop, weakness or paralysis of arms, trouble speaking, and not making sense. Be aware of when symptoms start or when was the person last seen in a normal state. This will be one of the first things you will be asked when calling for help.
Treatment depends on what kind of stroke (this is determined at the hospital) and what the symptoms are and how long the person has had symptoms.
Use this acronym BEFAST to remember the symptoms:
Balance: sudden loss of coordination
Eyes (visual disturbances): trouble seeing out of one or both eyes
Facial droop: Ask the person to smile; is the smile normal or does it droop to one side?
Arm or leg weakness: Ask the person to raise both arms; does one arm drift downward and is the person not able to lift his or her arm?
Speech: Ask the person to repeat a simple phrase; is the speech slurred or strange?
Time to call 911.
The longer one goes without treatment, the worse the outcome.
All stroke symptoms are a medical emergency therefore call 911 immediately. For our area, the Stanford-ValleyCare (Pleasanton) is our nearby stroke center. Do not drive to the hospital. Paramedics may be able to start treatment when they get to you. Or, while in transport to the hospital, they can alert medical staff of your symptoms and be better prepared for treatment upon arrival. (Trust me – I have 20 years of experience in the ER!)
Stroke risks: High blood pressure, smoking, overweight, diabetes, too much alcohol, sedentary lifestyle.
Lifestyle changes to help prevent stroke: control your blood pressure, manage your cholesterol, stop smoking, eat healthy, regular physical exercise; diabetes and blood pressure management
Here are some helpful resources to learn more about stroke: