# Geriatric Stroke Management and Nursing Care Guide
> Expert clinical guide on stroke assessment, MDT management, and nursing care priorities for geriatric patients, including NIHSS and Barthel Index scales.

Tags: stroke-management, geriatric-nursing, clinical-research, rehabilitation, medical-education, neurology, nursing-care
## Stroke Patients in the Geriatric Ward: Assessment, Management & Nursing Care

## Epidemiology & Statistics
* 80% of strokes occur in people over 65 years.
* Risk doubles every decade after age 55.
* 30-day mortality in elderly stroke patients is 25-30%.

## Types of Stroke
* Ischaemic Stroke: 87% of all strokes, caused by arterial occlusion.
* Haemorrhagic Stroke: 13% of all strokes, higher mortality rate.
* TIA: Strong predictor of major stroke.

## Clinical Assessment Tools
* **NIHSS:** Gold standard for neurological severity (0–42).
* **mRS:** Measures functional disability (0–6).
* **GCS:** Assesses level of consciousness.
* **Barthel Index:** Measures independence in activities of daily living (0–100).

## Acute Management & Nursing Priorities
* **Medical:** IV Thrombolysis (<4.5 hrs) and Mechanical Thrombectomy (<24 hrs).
* **Nursing:** hourly neuro obs, dysphagia screening (SALT referral), pressure injury prevention (Q2h repositioning), and falls prevention.

## Common Complications
* Aspiration Pneumonia (30–40% incidence).
* Deep Vein Thrombosis (20–75% incidence).
* Delirium (25–48% incidence).
* Depression (30–40% incidence).

## Secondary Prevention
* Blood Pressure Target: <130/80 mmHg.
* Management of lipids, glycaemic control, and antithrombotic therapy.
---
This presentation was created with [Bobr AI](https://bobr.ai) — an AI presentation generator.