Interventions for Haemorrhagic Stroke

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Age Cohort: 60+ years

Health Promotion	Disease Prevention	Curative	Rehabilitative	Palliative
Community Level
Information to patients/families/communities on hemorrhagic stroke disease including prevention measures Provision of IEC materials Advocacy for patients with hemorrhagic stroke disease including for availability of services Health workers training on hemorrhagic stroke	Lifestyle changes to prevent high blood pressure/blood pressure control Avoidance of Alcohol and drug use Physical activity Exercises Healthy nutrition Regular medical check ups	Recognition of signs of hemorrhagic stroke including total or limited loss of consciousness, vomiting sudden and severe headache weakness or numbness in the face, leg or arm on one side of the body, seizures, dizziness, loss of balance problems with speech or swallowing, confusion or disorientation Immediate referral to a hospital	Home based rehabilitation services Community based rehabilitation programs for persons with stroke	Psychosocial support for the adults with ischemic heart disease and their families to prevent anxiety, depression and stress that may be associated with living with the condition Joining a patient support group Seeking support from family and friends
Primary Care
Health workers training on hemorrhagic stroke Information to patients/families/communities on hemorrhagic stroke disease including prevention measures Provision of IEC materials Advocacy for patients with hemorrhagic stroke disease including for availability of services	Lifestyle changes to prevent high blood pressure/blood pressure control, Avoidance of Alcohol and drug use Physical activity Exercises Healthy nutrition Early diagnosis and management of High blood pressure Regular medical check ups	Stabilize the patient eg IV fluids/control bleeding Immediate referral to a hospital for emergency treatment for elderly persons with hemorrhagic stroke.	Physical rehabilitation/physical exercises to restore the motor functions	Psychosocial support for the elderly person with Hemorrhagic stroke and their families to prevent anxiety, depression and stress that may be associated with having the condition Joining a patient support group Seeking support from family and friends
Referral Facility: General
Information to patients/families/communities on hemorrhagic stroke disease including prevention measures Provision of IEC materials Advocacy for patients with hemorrhagic stroke disease including for availability of services Health workers training on hemorrhagic stroke	Lifestyle changes to prevent high blood pressure/blood pressure control Avoidance of Alcohol and drug use Physical activity Exercises Healthy nutrition Early diagnosis and management of High blood pressure Regular medical check ups	Immediate emergency treatment for elderly persons with hemorrhagic stroke. Controlling the bleeding in the brain Reducing the pressure caused by the bleeding. Supportive care Fluids therapy-IV fluids Plenty of rest rest Surgical interventions for serious haemorrhagic stroke-e.g. to repair raptured vessels Management of other associated medical problems e.g. blood pressure ICU services Follow up	Occupational, therapy to help the patient participate in gainful occupation Physical therapy /exercises for motor function Rehabilitation to help regain motor skills and coordination. Speech therapy to help regain lost speech Therapy to help regain sensory function	Psychosocial support for the elderly person with ischemic stroke and their families to prevent anxiety, depression, and stress that may be associated with having the condition and/or the complications Joining a patient support group Seeking support from family and friends
Referral Facility: Specialist
Information to patients/families/communities on hemorrhagic stroke disease including prevention measures Provision of IEC materials Advocacy for patients with hemorrhagic stroke disease including for availability of services Health workers training on hemorrhagic stroke	Lifestyle changes to prevent high blood pressure/blood pressure control Avoidance of Alcohol and drug use Physical activity Exercises Healthy nutrition Early diagnosis and management of High blood pressure Regular medical check ups	Immediate emergency treatment for elderly persons with hemorrhagic stroke. Controlling the bleeding in the brain Reducing the pressure caused by the bleeding. Supportive care Fluids therapy-IV fluids Plenty of rest rest Surgical interventions for serious haemorrhagic stroke-e.g. to repair raptured vessels Management of other associated medical problems e.g. blood pressure ICU services Follow up	Occupational, therapy to help the patient participate in gainful occupation Physical therapy /exercises for motor function Rehabilitation to help regain motor skills and coordination. Speech therapy to help regain lost speech Therapy to help regain sensory function	Psychosocial support for the elderly person with ischemic stroke and their families to prevent anxiety, depression, and stress that may be associated with having the condition and/or the complications Joining a patient support group Seeking support from family and friends