1.6 Stroke Statistics:
Globally the leading reason for mortality and morbidity rate is stroke. Nearly twenty million individuals can suffer from stroke annually and around five million individuals won't survive [1]. The developing countries account for a median of 85% of worldwide deaths from stroke [2]. Stroke ends up in practical impairments with a median rate of two hundredth survivors who need institutional care once an amount of three months and 15%-30% are going to be disabled for good [3].
A very important life dynamical event is that stroke not solely affects the disabled person, however additionally the caregivers. Utility analyzes describes that stroke is viewed by people who face risk factors as being worse than death [4]. Effective ways of screening, analysis techniques, are coming up with management methods which are established at high price in extremely developed countries []. However developing countries like India and some of the neighboring countries lack such facilities [5].
1.5 National Status-Indian Scenario:
An entity states that, stroke the extremely important term that accelerates the mortality and morbidity rate in our country. The disabling cerebral tube sickness additionally incorporates an important impact on residual advantages that ends up in the most important economic loss [6]. Though India is rated among the country lacking enough information associated with stroke, a number of the recent studies elucidated the stroke pattern to significant extent in our country with a prevalence rate of 471.58/Lakh population [7].
Some of the Mortality and Morbidity in India:
1. Prevalence of 55.6/100000 individuals suffering from stroke [8]
2. 0.63 million death rate [9]
3. New acute stro...
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...nvolves relearning the talents required for everyday living like uptake, toileting, dressing and taking care of oneself [31].
3.3 Speech Therapy:
Speech language pathology is another major rehabilitative medical care. Some stroke survivors area unit left with brain disorder, an impairment of language and speaking skills within which the stroke survivor will assume likewise as before the stroke, however is unable to induce the proper words out or is unable to method words coming back [32]. Brain disorder is sometimes caused by a stroke on the left aspect of the brain. Speech language pathology will teach the aphasic stroke survivor and his or her family members’ ways for dealing with this frustrating impairment. Speech language pathologists additionally work to assist the stroke survivor deal with blackout and alternative "thought" issues caused by the stroke [33].
Stroke survivors or anyone with chronic illness and health providers remain hopeful and “realistic” by counting on each other. The patients while being realistic about the outcome of their disease, stay hopeful that each of their health care providers will give them the appropriate care and will make sure that they can live with their disease in the best way possible.
Cerebral vascular accidents are becoming a predominant health issue within society, effecting approximately 51,000 Australians each year (1,2), and has been identified as the second most common cause of death within communities. The Australian Government currently spends in excess of $5 billion annually on treatments for cerebral vascular accidents with costs continuing to increase dramatically (2,3). Strokes are a major cause of mortality and one of the most common causes of permanent disability, statistics show that there is over 440,000 people living with the debilitating effects following strokes in Australia alone (2,3).
Nowadays, stroke has become one of the major causes of death and lifelong disability in adults
The main aim of this report is to present and analyse the disease called Cerebrovascular Accident popularly known as stroke. This disease affects the cerebrovascular system, which is a part of the cardiovascular system. To achieve this aim this report will firstly talk about the cerebrovascular system with its structure and functions. The main body of this report will look at causes, symptoms, diagnosis, treatments and prevention of stroke.
The human body is an amazing machine, we have cells, tissues, organs and organ system that come together to create the human race. Each system plays a key role in our bodies mechanism. Without each systems our bodies would not function properly, but what happens when one of these system fails? The Cardiovascular system components are blood, blood vessels and the heart. The hearts function is to pump blood to all the major organs and tissues (Circulatory). It’s also important to be aware of the derivation that our bodies may encounter, for example a stroke. In this passage I discuss different types of strokes, what are the signs and symptoms and after care for this disorder of the cardiovascular system.
Stroke occurs when the blood supply to the brain is blocked or condensed. Blood works to transport oxygen and other beneficial substances to the body’s cells and organs, as well as the brain. There are two main types of strokes that are known as Ischemic strokes and Hemorrhagic strokes. When the blood vessels that provides for the brain becomes congested, is it referred to as ischemic stroke, the most common stroke within adults. Blood clots, a cluster of blood that sticks together, are the cause of Ischemic strokes. Ischemic strokes also takes place when arteries become backed up with plague, leaving less blood to flow. Plague is cholesterol, calcium and fibrous and connective tissue that sticks to the walls of blood vessels. Ischemic strokes eternally damage the brain and cause a person's body to no longer function habitually.Some risk factors that may increase stroke are high cholesterol, diabetes, high blood pressure, and obesity. Some stroke factors are also due to old age or having a family that has a history of strokes. Men are more likely to have a stroke but the most st...
Aphasia can be defined as a disorder that is caused by damage to parts of the brain that are responsible for language (“Aphasia” n.p.). Wernicke’s aphasia is a type of fluent aphasia (with the other type being nonfluent). It is named after Carl Wernicke who described the disorder as “an amnesiac disorder characterized by fluent but disordered speech, with a similar disorder in writing, and impaired understanding of oral speech and reading” (“Wernicke’s” n.p.). Wernicke’s aphasia can also be known as sensory aphasia, fluent aphasia, or receptive aphasia. It is a type of aphasia that is caused by damage to Wernicke’s area in the brain, in the posterior part of the temporal lobe of the left hemisphere. This area of the brain contains motor neurons responsible for the understanding of spoken language and is believed to be the receptive language center (“Rogers” n.p.). Wernicke’s aphasia can be most efficiently defined as a fluent language disorder commonly caused by strokes and characterized by difficulty comprehending spoken language and producing meaningful speech and writing which is both assessable by an SLP and treatable by a variety of methods.
Aphasia is an acquired communication disorder that disrupts communication and it can deteriorate a person’s coping potential and quality of life (Parr, 2001) which involve damage to the parts of brain that contain language (ASHA, 2013). Statistics from United States indicated around 25-40% of stroke survivors developed aphasia (National Association of Aphasia, NAA, 2013). Aphasia will affect both the ability to produce or comprehend spoken language and written language while intelligence is left intact (NAA, 2013). In US, it is found that the most common cause of aphasia is stroke (85%) and others including Traumatic Brain Injury (TBI), brain tumor or other degenerative diseases (NAA, 2013).
The World Health Organisation (2013) explains that an Ischaemic stroke occurs as a result of a blood vessel becoming blocked by a clot, reducing the supply of oxygen to the brain and, therefore, damaging tissue. The rationale for selecting Mary for this discussion is; the author wishes to expand her evidenced based knowledge of stroke since it is the principal cause of disability and the third leading cause of mortality within the Scottish population (Scottish Intercollegiate Guidelines Network (SIGN), 2008) and, therefore, a national priority. In response to this priority, the Scottish Government (2009) produced their ‘Better Heart Disease and Stroke Care Action Plan’. Additionally, they have introduced a HEAT target to ensure 90% of stroke patients get transferred to a specialised stroke unit on the day of admission to hospital (Scottish Government, 2012).
“Time is brain” is the repeated catch phrase when addressing the treatment and management of stroke (Saver, 2006). Access to prompt and appropriate medical care during the first few hours of stroke onset is critical to patient survival and outcomes. Recent changes in the guidelines for acute stroke care released by the American Heart Association (AHA) and the American Stroke Association (ASA) have improved patient access to treatment. Stroke treatment now follows the model of myocardial infarction treatment. Hospitals are categorized into four levels based on stroke treatment capability. The most specialized treatment is available in comprehensive stroke centers followed by primary stroke centers, acute stroke-ready hospitals, and community hospitals. The use of telemedicine now enables even community hospitals, with limited specialized capabilities, to care for stroke patients. Telemedicine puts emergency hospital personnel in contact with neurologists providing expertise in the evaluation of a stroke patient and determination of their eligibility for treatment with thrombolytic medication (Jefferey, 2013).
Stroke is a serious medical condition that affects people of all ages specifically older adults. People suffer from a stroke when there is decreased blood flow to the brain. Blood supply decreases due to a blockage or a rupture of a blood vessel which then leads to brain tissues dying. The two types of stroke are ischemic stroke and hemorrhagic stroke. An ischemic stroke is caused by a blood clot blocking the artery that brings oxygenated blood to the brain. On the other hand, a hemorrhagic stroke is when an artery in the brain leaks or ruptures (“About Stroke,” 2013). According to the Centers for Disease Control and Prevention (CDC), “Stroke is the fourth leading cause of death in the United States and is a major cause of adult disability” (“About Stroke,” 2013). Stroke causes a number of disabilities and also leads to decreased mobility in over half of the victims that are 65 and older. The CDC lists several risk factors of stroke such as heredity, age, gender and ethnicity as well as medical conditions such as high blood pressure, high cholesterol, diabetes and excessive weight gain that in...
Stroke has been classified as the most disabling chronic disease, with deleterious consequences for individuals, families, and society1. Stroke impacts on all domains in the ICF. The body dimension (body functions and structures), the individual dimension (activity), and the social dimension (participation). All domains influence each other2.
Communication After Brain Stroke Allow me, to introduce to you, Jill Bolte Taylor. She is a Neuro scientist with a Ph. D. She is a research specialist at the Harvard University School of Medicine where she also teaches. She teaches: gross anatomy, human neuroanatomy, and histology. She is an accomplished, published professional that serves on the board of directors of the National Alliance on Mental Health. She is skilled at communication in all forms: teaching, writing, and speaking.
"My most valuable tool is words, the words I can now use only with difficulty. My voice is debilitated - mute, a prisoner of a communication system damaged by a stroke that has robbed me of language," stated A. H. Raskins, one of approximately one million people in the United States who suffer from aphasia (1), a disorder which limits the comprehension and expression of language. It is an acquired impairment due to brain injury in the left cerebral hemisphere. The most common cause of aphasia is a stroke, but other causes are brain tumors, head injury, or other neuralgic illnesses. Of the estimated 400,000 strokes which occur a year, approximately 80,000 of those patients develop some form of aphasia (2). Another important observation is that within the United States, there are twice as many people with aphasia as there are individuals with Parkinson's disease (2). Yet, what is so astounding is the lack of public awareness about aphasia. Aphasia attacks an intricate part of a person's daily life - the simple act of communication and sharing. The disbursement of such a tool deprives an individual of education learned through their life, often leaving the ill fated feeling hopeless and alone. In considering the effects of aphasia, a deeper analysis of the two most common forms of aphasia will be examined: Broca's aphasia and Wernicke's aphasia. While both forms occur usually as a result of a stroke in the left hemisphere of the brain, their particular site of impairment produces different side effects in an individual's comprehension and speech. These regions have been further studied through experimental researches such as positron emission tomography (PET). Moreover, although there is currently no cure for the disorder, there are treatments and certain guidelines to follow when encountering an aphasic.
Stroke is a commonly known disease that is often fatal. This cellular disease occurs when blood flow to the brain is interrupted by either a blood clot halting the progress of blood cells in an artery, called an Ischemic stroke, or a blood vessel in the brain bursting or leaking causing internal bleeding in the brain, called a hemorrhagic stroke. When this happens, brain cells are deprived of oxygen and nutrients because the blood cells carrying these essential things are stopped, causing them to die. When the cells in the brain die, sensation or movement in a limb might be cut off and may limit an organism’s abilities. A person with stroke is affected depending on where in the brain the stroke occurs. In other words, symptoms of a stroke