Clinical Guidelines for Stroke Management - InformMe

The Australian and New Zealand Clinical Guidelines for Stroke Management are living guidelines, updated as new evidence emerges. They supersede the 2017 ... × Ourwebsites InformMe EnableMe StrokeFoundation {{user.firstName}}{{user.lastName}} Signup Signin Search Guidelines Learningandresources Strokedata Improvingcare Newsandevents AboutInformMe ContactUs Donate Goback Mysites MyQIplans Mylearning Editmyprofile Logout WhereamI? Home Guidelines ClinicalGuidelinesforStrokeManagement ClinicalGuidelinesforStrokeManagement TheAustralianandNewZealandClinicalGuidelinesforStrokeManagementarelivingguidelines,updatedasnewevidenceemerges.Theysupersedethe2017ClinicalGuidelines. Howtousetheguidelines MAGICapp.orgistheplatformthathoststheguidelines.Whenyouclickalinkyoumaybeaskedtoaccepttermsandconditions,ortoloadthelatestversion.Pleaseagreeandcontinuetotheguidelines. SaveaPDFoftheguidelinesastheyaretodaybyclickingonthePDFlinkinthetoprightcornerofMAGICapp. Versionhistoryofeachrecommendationcanbeseenbyclickingtheexclamationicontoitsright,oryoucanseeadescriptionofchangesintheversionhistoryofeachchapterundertheAboutlinkinthetoprightcornerofMAGICapp. Seealistofallupdates,plusdraftsforconsultation.  Ifyouhaveanyquestions,pleasecontact [email protected] Contents TheClinicalGuidelinescoverthewholecontinuumofstrokecare,across8chapters. Introduction Methodology Glossaryandabbreviations Chapter1:Pre-hospitalcare Clinicalquestion Pre-hospitalcare Chapter2:Earlyassessmentanddiagnosis Clinicalquestions Earlyassessmentanddiagnosis-overview Transientischaemicattack Assessmentofsuspectedstroke Investigations Imaging Cardiacinvestigations Chapter3:Acutemedicalandsurgicalmanagement Clinicalquestions Acutemedicalandsurgicalmanagement-overview Strokeunitcare Assessmentforrehabilitation Palliativecare Reperfusiontherapy Thrombolysis Neurointervention Dysphagia Acuteantithrombotictherapy Acutebloodpressureloweringtherapy Surgeryforischaemicstroke Managementofcerebraloedema Intracerebralhaemorrhage(ICH)management Medicalinterventions Surgicalinterventions Oxygentherapy Neuroprotection Glycaemictherapy Pyrexiamanagement Acutestroketelehealthservices Headposition Chapter4:Secondaryprevention Clinicalquestions Secondaryprevention-overview Adherencetopharmacotherapy Bloodpressureloweringtherapy Managementofatrialfibrillation Antiplatelettherapy Cholesterolloweringtherapy Carotidsurgery Cervicalarterydissection Cerebralvenoussinusthrombosis Diabetesmanagement Patentforamenovalemanagement Hormonereplacementtherapy Oralcontraception Lifestylemodifications Diet Physicalactivity Obesity Smoking Alcohol Chapter5:Rehabilitation Clinicalquestions Rehabilitation-overview Commencementofrehabilitation Amountofrehabilitation Earlysupporteddischargeservices Home-basedrehabilitation Goalsetting Sensorimotorimpairments Weakness Lossofsensation Lossofcardiorespiratoryfitness Visualfieldloss Activitylimitations Sitting Standingupfromsitting Standing Walking Armactivity Participationrestrictions Activitiesofdailyliving Communicationdifficulties Assessmentofcommunicationdeficits Aphasia Apraxiaofspeech Dysarthria Cognitivecommunicationdeficits Cognitionandperceptiondifficulties Assessmentofcognition Perception Attentionandconcentration Memory Executivefunction Limbapraxia Neglect Telehealthinrehabilitation Chapter6:Managingcomplications Clinicalquestions Managingcomplications-overview Nutritionandhydration Earlyhydration Earlyfeeding Oralhygiene Spasticity Contracture Subluxation Pain Centralpost-strokepain (indevelopment) Shoulderpain Swellingoftheextremities Fatigue Incontinence Urinaryincontinence Faecalincontinence Mooddisturbance Moodassessment Personalityandbehaviour Treatmentforemotionalism Preventionofdepression Treatmentfordepression Treatmentforanxiety Deepvenousthrombosisorpulmonaryembolism Falls Pressureinjury Chapter7:Dischargeplanningandtransferofcare Clinicalquestions Dischargeplanningandtransferofcare-overview Informationandeducation Dischargecareplans Patientandcarerneeds Homeassessment Carertraining Chapter8:Communityparticipationandlong-termcare Clinicalquestions Communityparticipationandlong-termcare-overview Self-management Driving Communitymobilityandoutdoortravel Leisure Returntowork Sexuality Support Peersupport Carersupport  Suggestanewtopicorquestion Havewemissedanythingimportant?Tokeepthelivingguidelinesrelevant,ourprojectsteeringcommitteeannuallyreviewsthetopicstheguidelinescoverandthequestionsaboutpracticethattheyanswer. Wewelcomesuggestionsfornewtopicstoconsiderduringourannualreview. Pleaseemailyoursuggestionsto [email protected] Shortsummaries SummaryofClinicalGuidelinesrecommendations(2017) [PDF543KB] Healthcareprofessional2-pagesummary(2017) [PDF] Consumerresources PlainEnglishsummaryforconsumers(2017) [PDF] Cholesterolloweringtopreventanotherstroke Discipline-specificsummaries Dietetics[PDF190KB] Emergencydepartment[PDF322KB] Generalpractitioners[PDF335KB] Nursing[PDF459KB] Occupationaltherapy[PDF303KB] Pharmacy[PDF296KB] Physiotherapy[PDF301KB] Psychology[PDF221KB] Socialwork[PDF193KB] Speechpathology[PDF222KB] Developmentprocess Detailsofhowwedeveloptheguidelines,alongwithadministrativeandtechnicalreportsandotherdocumentsrequiredforNHMRCapproval,canbefoundunderGuidelinesdevelopmentprocess. Thisincludesacurrentlistofworkinggroupmembersandotherpeopleinvolvedindevelopingtheguidelines. Implementationtools Inthisvideo,Co-chairoftheGuidelinesContentWorkingGroup,Assoc.Prof.CoralieEnglish,explainstheguidelinesforstrokerehabilitation: Suggestedcitation StrokeFoundation(2022).ClinicalGuidelinesforStrokeManagement.MelbourneAustralia. ©NopartofthispublicationcanbereproducedbyanyprocesswithoutpermissionfromtheStrokeFoundation.2022.   About Strokesaurus Termsofuse ContactUs ©2022StrokeFoundationABN42006173379-Alldonations$2andoveraretaxdeductible DigitalAgency-VERSA