Stroke Care A Practical Manual

Stroke is common, complicated to manage, and a major health concern worldwide. However, evidence shows that thorough and organized care from teams of health professionals on stroke units leads to substantially fewer deaths and better recovery than other types of care. For all the members of the stroke team, including doctors, nurses, stroke co-ordinators, physiotherapists, occupational therapists, and speech and language therapy members, this handbook provides a holistic approach to the care of patients with transient ischemic attacks (TIA) and stroke. It covers the wide range of knowledge and skills needed to tackle problems that may lead up to, or follow on from a stroke, and follows the course of a patient's 'journey' from diagnosis to life at home, incorporating recent changes in the field of stroke medicine, including the latest clinical trials. For this new edition, practice recommendations have been fully updated in light of the evidence supporting prevention (including early intervention and DOACs), acute care (in particular, thrombectomy and the role of hyperacute stroke units), rehabilitation, and long-term care. Chapter 5 'Neuroimaging in stroke' has been expanded to include new technical developments and the book includes a brand new chapter on cognitive impairment.

1 - Is it a stroke?
2 - What to do in the first few days
3 - The first two weeks
4 - Subarachnoid haemorrhage
5 - Neuroimaging in stroke
6 - Making difficult decisions
7 - End-of-life care
8 - Rehabilitation
9 - Hospital discharge
10 - Preventing strokes and other vascular events
11 - Outcomes and prognosis
12 - Longer-term problems and their management
13 - Cognitive impairment after stroke

Rowan H Harwood is a Consultant Geriatrician and Professor in geriatric medicine at the University of Nottingham. Particular interests include stroke, delirium, dementia, clinical ethics and end-of-life care. He is Editor-in-Chief of the journal 'Age and Ageing', and co-chairs the WHO Technical Advisory Group for monitoring the UN Decade of Healthy Ageing. Dr Farhad Huwez (PhD, FRCP, FRCPG) is a Consultant Stroke Physician at Hyperacute Stroke unit of Royal London Hospital where a large number of Mechanical Thrombectomy procedures are done regularly. Previously he led Stroke Service in Basildon. Initially, he trained in Cardiology and obtained a PhD from Glasgow University. He subsequently completed specialist training in General and Geriatrics Medicine and is visiting Professor of Geriatrics in New Vision University at Tbilisi Georgia. Dr Paul Guyler is a Consultant in Stroke Medicine and Clinical Director for the East of England Regional Stroke Network. He is Deputy Associate Dean for Undergraduate Education at Southend Hospital and an Honorary Visiting Senior Clinical Lecturer with Anglia Ruskin University. He has also been Principal Investigator in many NIHR trials of stroke research. He has been awarded multiple awards, including two Health Service Journal Awards for Delivering Quality and Value and Service Redesign. Sajid Alam trained at the Barts and London School of Medicine. He is the clinical lead for stroke services at Ipswich Hospital. He has championed the use for remote technology in stroke with the Mobile Stroke Unit and virtual stroke consultations. Dr Catherine Gaynor is a Consultant Geriatrician and Nottingham University Hospitals NHS Trust, Nottingham, UK.