Ischemic Stroke Follow Up

Monitoring

Rehabilitation  

All persons with stroke should be assessed for their rehabilitation needs. This is for the prevention of complications such as swallowing problems, skin breakdown, deep venous thrombosis (DVT), bowel and bladder dysfunction, malnutrition, pain, and contractures. An intermittent pneumatic compression may be used as an add-on therapy to routine care (eg Aspirin and hydration) to reduce DVT risk in immobile stroke patients without contraindications. Assessment of impairments such as communication and motor impairments, cognitive deficits, visual and spatial deficiency (eye movements, visual field, perceptual deficits), psychological deficits, and sensory deficits should be done. Once the patient is stable, an individualized rehabilitation program should be started to prevent long-term complications. Early rehabilitation interventions within 24-48 hours for hospitalized stroke patients should be considered. Based on the Canadian Stroke Rehabilitation Clinician Handbook 2020, the Austrian Guideline of Neurorehabilitation After Stroke 2018 and the German Society of Neurorehabilitation 2021 guideline, Cerebrolysin can be considered as a rehabilitative treatment to improve motor function of the upper extremity when given within the first 1-3 days up to 21 days following moderate to severe acute ischemic stroke. Studies showed that very early mobilization (<24 hours) may affect the outcome and thus should be avoided.

Ischemic Stroke_Follow Up