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Index
Cover
Series Page
Title Page
Copyright
Contributors
Preface
Chapter 1: Introduction to Stroke
Pathology
Epidemiology
Risk Factors for Stroke
Prognosis
Further Reading
Chapter 2: Primary Prevention of Stroke
Population Approaches
Identification of People at High Risk of Stroke
Lifestyle Modification
Drug Treatment
Management of Stroke-specific Risk Factors
Further Reading
Chapter 3: Transient Ischaemic Attack
Prognosis Following TIA
Initial Management of TIA
Investigation of a TIA
Role of Brain Imaging in TIA
Acute Pharmacological Management of TIA
Role of Carotid Endarterectomy
Long-term Secondary Prevention Following TIA
Further Reading
Chapter 4: Acute Stroke
Urgent Recognition of Stroke
Immediate Assessment
Investigation
Monitoring and Stabilisation
Treatment
Further Reading
Chapter 5: Medical Complications of Stroke
Classification and Frequency of Complications
Infection After Stroke
Reduced Mobility After Stroke
Neurological Complications After Stroke
Continence and Constipation After Stroke
Swallowing, Nutrition and Hydration
Further Reading
Chapter 6: Stroke Rehabilitation
When Should Rehabilitation Start and Who Should be Involved?
Rehabilitation Process
Occupational Therapist
Physiotherapist
Speech and Language Therapists
How Much Rehabilitation is Beneficial?
Rehabilitation Following Transfer of Care From Hospital, Including Early Supported Discharge
When Does Rehabilitation Stop?
Further Reading
Chapter 7: Stroke in Younger People
Different Strokes
Return to Work
Vocational Rehabilitation
Sex After Stroke
Further Reading
Chapter 8: Mobility
Quality of Gait
Walking Aids
Environmental Considerations
Wheelchair Provision
Driving
Adjuncts to Mobility Retraining
Outdoor Mobility
Further Reading
Chapter 9: Communication and Swallowing
Aphasia
How Many People are Dysphasic?
Impact of Aphasia
Screening Tests and Intervention
Dysarthria
Dyspraxia
Speech and Language Therapy
Swallowing Problems
Further Reading
Chapter 10: Psychological Problems after Stroke
Emotional Distress
Depression and Anxiety
Impact of Emotional Distress on Recovery
Assessment of Mood Disorders
Treatment of Emotional Disorders
Conclusion
Further Reading
Chapter 11: Secondary Prevention of Stroke
Risk of Recurrence
Blood Pressure Lowering
Cholesterol Lowering
Antiplatelet Treatment
Lifestyle
Patient-specific Risk Factors
Further Reading
Chapter 12: Long-term Support for Stroke Survivors and their Carers
Assessment of Ongoing Stroke Needs
The Role of the Third Sector in Long-term Care
Leisure and Social Reintegration
Environmental Adaptations
Rehabilitation in Care Homes
Further Reading
Index
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