Interventions for Intracerebral Haemorrage

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Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community sensitization on early identification of signs and symptoms of stroke using FAST (facial weakness, arm weakness, speech problems, and time to call)	Lifestyle modifications, healthier diet, quitting smoking and alcohol, exercise. Monitor blood pressure and sugar through community screening services	Symptom recognition using FAST (Face Arm Speech Test	ABC (Airway, breathing, and circulatory) support Immediate transfer of suspected cases to a higher-level health care facility	Home-based self-management rehabilitation Physical activity counselling and exercise training	Physical, emotional, social and spiritual support based on cultural needs, values and preferences of patients and families
Primary Care
Patient education on early identification of signs and symptoms of stroke using FAST (facial weakness, arm weakness, speech problems, and time to call)	Guidance on lifestyle modifications, healthier diet, quitting smoking and alcohol, exercise. Screening and treatment of CVD risk factors Close monitoring of patients on anticoagulant and antiplatelet medications	Symptom recognition using FAST (Face Arm Speech Test)	ABC (Airway, breathing, and circulatory) support Immediate transfer of suspected cases to a higher-level health care facility	Physical activity counselling and exercise training Provision and training in the use of assistive products	Physical, emotional, social and spiritual support based on cultural needs, values and preferences of patients and families
Referral Facility: General
Patient education on early identification of signs and symptoms of stroke	Screening and treatment of CVD risk factors Close monitoring of patients on anticoagulant and antiplatelet medications	History Physical examination Neurological examination Complete blood count Troponin test Basic metabolic panel Coagulation factors, including PTT, PT, and INR Electrocardiogram (ECG)	ABC (Airway, breathing, and circulatory) support Fresh frozen plasma (FFP) Vitamin K Prothrombin complex concentrates Antihypertensive medications Anti-seizure medications Glycaemic control Surgical evacuation of the clot	Physical activity counselling and exercise training Provision and training in the use of assistive products Occupational therapy Speech and language therapy	Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families
Referral Facility: Specialist
Patient education on early identification of signs and symptoms of stroke	Screening and treatment of CVD risk factors Close monitoring of patients on anticoagulant and antiplatelet medications	History Physical examination Neurological examination Troponin test Complete blood count Basic metabolic panel Coagulation factors, including PTT, PT, and INR Electrocardiogram (ECG) Computed tomography (CT) Magnetic resonance imaging (MRI)	ABC (Airway, breathing, and circulatory) support Fresh frozen plasma (FFP) Vitamin K Prothrombin complex concentrates Antihypertensive medications Anti-seizure medications Glycaemic control Surgical evacuation of clot	Physical activity counselling and exercise training Provision and training in the use of assistive products Occupational therapy Speech and language therapy	Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community sensitization on early identification of signs and symptoms of stroke using FAST (facial weakness, arm weakness, speech problems, and time to call)	Lifestyle modifications, healthier diet, quitting smoking and alcohol, exercise. Monitor blood pressure and sugar through community screening services	Symptom recognition using FAST (Face Arm Speech Test)	ABC (Airway, breathing, and circulatory) support Immediate transfer of suspected cases to a higher-level health care facility	Home-based self-management rehabilitation Physical activity counselling and exercise training	Physical, emotional, social and spiritual support based on cultural needs, values and preferences of patients and families
Primary Care
Patient education on early identification of signs and symptoms of stroke using FAST (facial weakness, arm weakness, speech problems, and time to call)		Symptom recognition using FAST (Face Arm Speech Test)	ABC (Airway, breathing, and circulatory) support Immediate transfer of suspected cases to a higher-level health care facility	Physical activity counselling and exercise training Provision and training in the use of assistive products	Physical, emotional, social and spiritual support based on cultural needs, values and preferences of patients and families
Referral Facility: General
Patient education on early identification of signs and symptoms of stroke	Screening and treatment of CVD risk factors Close monitoring of patients on anticoagulant and antiplatelet medications	History Physical examination Neurological examination Complete blood count Troponin test Basic metabolic panel Coagulation factors, including PTT, PT, and INR Electrocardiogram (ECG)	ABC (Airway, breathing, and circulatory) support Fresh frozen plasma (FFP) Vitamin K Prothrombin complex concentrates Antihypertensive medications Anti-seizure medications Glycaemic control Surgical evacuation of the clot	Physical activity counselling and exercise training Provision and training in the use of assistive products Occupational therapy Speech and language therapy	Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families
Referral Facility: Specialist
Patient education on early identification of signs and symptoms of stroke	Screening and treatment of CVD risk factors Close monitoring of patients on anticoagulant and antiplatelet medications	History Physical examination Neurological examination Troponin test Complete blood count Basic metabolic panel Coagulation factors, including PTT, PT, and INR Electrocardiogram (ECG) Computed tomography (CT) Magnetic resonance imaging (MRI)	ABC (Airway, breathing, and circulatory) support Fresh frozen plasma (FFP) Vitamin K Prothrombin complex concentrates Antihypertensive medications Anti-seizure medications Glycaemic control Surgical evacuation of clot	Physical activity counselling and exercise training Provision and training in the use of assistive products Occupational therapy Speech and language therapy	Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families

Age Cohort: 12 - 24 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community sensitization on early identification of signs and symptoms of Intracerebral haemorrhage using FAST (facial weakness, arm weakness, speech problems, and time to call)	Lifestyle modifications, healthier diet, quitting smoking and alcohol, exercise. Monitor blood pressure and sugar through community screening services	Symptom recognition using FAST (Face Arm Speech Test)	ABC (Airway, breathing, and circulatory) support Immediate transfer of suspected cases to a higher-level health care facility	Home-based self-management rehabilitation Physical activity counselling and exercise training	Physical, emotional, social and spiritual support based on cultural needs, values and preferences of patients and families
Primary Care
Patient education on early identification of signs and symptoms of intracerebral haemorrhage using FAST (facial weakness, arm weakness, speech problems, and time to call)	Lifestyle modifications, healthier diet, quitting smoking and alcohol, exercise. Monitor blood pressure and sugar through community screening services Close monitoring of patients on anticoagulant and antiplatelet medications	Symptom recognition using FAST (Face Arm Speech Test	ABC (Airway, breathing, and circulatory) support Immediate transfer of suspected cases to a higher-level health care facility	Cardiac rehabilitation: nutritional counselling, weight management, blood pressure management, lipid management, diabetic management, smoking cessation, psychological management, physical activity counselling, exercise training	Physical, emotional, social and spiritual support based on cultural needs, values and preferences of patients and families
Referral Facility: General
	Regular monitoring of patients with high blood pressure Close monitoring of patients on anticoagulant and antiplatelet medications	History Physical examination Neurological examination Complete blood count Troponin test Basic metabolic panel Coagulation factors, including PTT, PT, and INR Electrocardiogram (ECG)	ABC (Airway, breathing, and circulatory) support Fresh frozen plasma (FFP) Vitamin K Prothrombin complex concentrates Antihypertensive medications Anti-seizure medications Glycaemic control Surgical evacuation of the clot	Cardiac rehabilitation: nutritional counselling, weight management, blood pressure management, lipid management, diabetic management, smoking cessation, psychological management, physical activity counselling, exercise training Occupational therapy Speech and language therapy	Physical, emotional, social and spiritual support based on cultural needs, values and preferences of patients and families
Referral Facility: Specialist
Regular monitoring of patients with high blood pressure Close monitoring of patients on anticoagulant and antiplatelet medications	History Physical examination Neurological examination Troponin test Complete blood count Basic metabolic panel Coagulation factors, including PTT, PT, and INR Electrocardiogram (ECG) Computerized tomography (CT) scan Magnetic resonance imaging (MRI)	ABC (Airway, breathing, and circulatory) support Fresh frozen plasma (FFP) Vitamin K Prothrombin complex concentrates Antihypertensive medications Anti-seizure medications Glycaemic control Surgical evacuation of the clot	Physiotherapy Occupational therapy Speech and language therapy	Cardiac rehabilitation: nutritional counselling, weight management, blood pressure management, lipid management, diabetic management, smoking cessation, psychological management, physical activity counselling, exercise training Occupational therapy Speech and language therapy	Physical, emotional, social and spiritual support based on cultural needs, values and preferences of patients and families