Friday, March 9, 2012

Self care measures after a stroke.


What are self care measures?

* Self-care measures are steps you can take to help cope with a stroke and its treatment. You may help yourself feel better by changing the way you do things. You also may need to stop doing certain things that make you feel worse. Self-care measures may include meeting with different caregivers to teach you new skills. You may learn to use tools that help you take care of yourself. Self-care measures may include increasing your physical activity or attending counseling. You may also learn to use tools that make it easier for you to take care of yourself.

* You may use self-care measures by yourself or with help from caregivers, support groups, friends, or family. Self-care measures may help you do your normal daily activities. Using self-care measures also may decrease your symptoms, such as pain and problems moving.

How do I use self care measures? Self-care measures are used in addition to your caregiver's treatment and care for your stroke. Your self-care measures will depend on your condition, treatment, and health. Your caregiver will develop a plan with you to care for yourself at home and at work. Ask your caregiver why you had a stroke and how to help prevent another one. Always follow your caregiver's instructions on how to take your medicines. Ask your caregiver for more information about your condition, treatment, and care.

What changes should I expect after having a stroke? After having a stroke, you may have problems that get in the way of doing your normal activities. You may have trouble washing yourself, getting dressed, feeding yourself, or going shopping. You may also find it hard to make a meal or take your medicines correctly. You may have some of the following symptoms:

* Moving problems: You may have trouble moving parts of your body. This may happen only on one side of your body. You may find it hard to walk without help. You may also have trouble doing things that are done in many steps, such as eating and dressing. You may also have any of the following movement problems:

** Balance: You may have trouble keeping your balance.

** Muscles and joints: You may have weakness on one side of your face. You may also be weak on one side of your body. You may not be able to move one of your arms or legs. You may also feel stiffness and pain in your joints. Your joints are where two bones meet. Your muscles may become shorter, causing you pain and making it hard for you to move.

** Swallowing: Your neck and throat muscles may become weak after you have a stroke. If this happens, you may have trouble swallowing. If you have trouble eating and drinking, you may not get enough nutrition. You may also breathe food or liquid into your lungs.

* Sensing problems:

** Pain: You may feel pain in different parts of your body, such as your joints and muscles.

** Touch: You may have trouble feeling things that touch your skin.

** Vision (eyesight): You may be able to see only half of something that is in front of you.

* Thinking and mood problems:

** Awareness: You may not be able to understand the changes to your body after your stroke. You may not know which parts of your body have trouble moving. You may think you can do things that you cannot, such as walking. You may think you moved a part of your body even if you have not moved at all. It may also be hard to understand the distance between two things. You may get easily lost.

** Body neglect: You may only pay attention to one side of your body. This is called one-sided neglect. You may only dress one side of your body. You may also shave your face or body on one side but not the other.

** Language: You may have trouble speaking. You may not be able to talk at all. You may not be able to understand what other people are saying. You may also have trouble reading or writing.

** Memory: You may have trouble remembering things that you have just been told. You may also not remember things that happened in the past.

* Urinating and bowel movement problems:

** Bowel movements (BM): You may have incontinence (you may not be able to control when you have a BM). You may also have constipation (dry, hard stools).

** Urinating: You may not be able to control when you urinate.

What therapies may help me after I have a stroke? Your caregiver may design a rehabilitation (rehab) program for you. Rehab is a set of programs that may help you relearn skills that you had before your stroke. You may learn to take care of yourself again and be less dependent on other people. Your rehab program may help you return to your normal daily activities. You may learn ways to decrease problems after your stroke. During your rehab program, you may see many different kinds of caregivers. One caregiver called a case manager may help keep track of your progress during your rehab program. Ask your caregiver for more information about these therapies:

* Eating and swallowing:

Your doctor may ask a swallowing therapist to work with you if you have trouble swallowing. This person has special training to help people learn safer ways to swallow. The swallowing therapist will also help you learn which foods and liquids are safe to eat and drink.

** You may be fed by an IV or a nasogastric (NG) tube if your swallowing problems are very bad. An NG tube is put in through your nose and goes down into your stomach. The tube may also go directly from the outside of your body into your stomach. This is called a gastrostomy tube.

** You may be given thickened liquids to drink because they may be easier for you to swallow. A special powder is used to thicken liquids. You may also be able to eat softer (mashed) foods. You may be able to eat what you usually eat when your swallowing gets better.

* Occupational therapy: Occupational therapy (OT) uses work, self-care, and play activities to help you in your daily life. An occupational therapist will work with you and your family to develop skills you lost after your stroke. You may learn special skills for bathing, dressing, cooking, eating, and driving. An occupational therapist may give you equipment to help you do things at home or work. You and your therapist will plan a therapy program that is right for you.

* Physical therapy: A physical therapist will help you with special exercises. These exercises make your bones and muscles stronger. Your

caregiver may use special machines to help you exercise. He may teach you to think about movements before you do them. Your caregiver may also exercise your arms and legs for you. This is called passive exercise because you do not do the moving. Physical therapy may help you move better on your own. Physical therapy may also help decrease muscle pain and joint stiffness caused by your stroke.

* Recreation therapy: Ask your caregiver about how a recreation therapist can help you do leisure activities.

* Speech therapy: A speech therapist may work with you to help you talk or swallow.

* Task-oriented training: During task-oriented training, you will do certain tasks over and over again. With practice, it may be easier for you to do your normal daily activities. You may learn how to reach things while you are seated. You may also learn how to move parts of your body again. With task-oriented training, you may relearn how to do things that are important to you.

* Vocational counseling: Your caregiver may suggest that you go to vocational training. This training may help you return to work. It may also help you find a job that is right for you.

What exercises should I do after having a stroke? Your caregiver may want you to have an exercise plan. With exercise, you may have less pain and more energy. Ask your caregiver about what exercises you should do and how often to do them. Always carefully follow your caregiver's instructions. Your caregiver may have you do any of the following exercises:

* Aerobics: Aerobics are exercises that make your heart pump faster. Aerobics may improve the health of your heart and lungs. Walking or doing simple household chores may be considered aerobic exercises. Your caregiver may use special machines to help you exercise, such as a bicycle that stays in place. Aerobics may help your body become healthier after your stroke.

* Gait training: Your caregiver may have you do gait training to help improve the way you walk. With the help of your caregiver, you may be asked to walk on a treadmill. Your caregiver may increase the speed of the treadmill as you get stronger. You may have a harness (belt) strapped on you for support. You may also wear leg braces. During gait training, your caregiver may help you learn to walk in different directions. He may help you to walk forward, backward, or sideways. You may also practice walking up and downstairs.

* Strength training: This is also called resistance training. During strength training, you may become stronger by lifting weights. It may help your body become stronger and your heart become healthier. Do not lift weights heavier than what your caregiver says is OK.

* Water exercises: Your caregiver may want you to exercise in water. Doing exercises in water may help your muscles become stronger. Ask your caregiver for more information on exercising in water.

* Balance training: During balance training, your caregiver may have you walk on a board. Your caregiver will help support you until you are able to balance on your own.

* Sensory training: During sensory training, your caregiver will help you know when you are being touched. He will also help you hold your body up straight and learn ways to have good posture.

* Vision coaching: Your caregiver may help you to learn how to cope with the changes to your vision. Ask your caregiver about scanning and other ways to help you see what is in front of you.

What tools can help me take care of myself after having a stroke? You may need special tools to help your daily life become easier. You may need tools to help you dress or reach things. Feeding yourself may be easier if you use forks and spoons with bigger handles. A long-handled sponge and a hand-held shower may help you wash yourself. Having grab bars inside your bathroom may help you move better and more safely. You may also need a shower chair. Having toilet seats that are raised higher may also help. Ask your caregiver for more information about these devices.

What can help me move around after I have a stroke? You may need special tools to help you walk or move around your home. You and your caregiver will decide which tools are right for you. Ask you caregiver for more information on tools that may help you walk:

* Canes and walkers: You may need to use a cane or a walker to help you move around. These may help you balance and decrease your risk of falling or being hurt. Your caregiver may want you to use a cane with three or four legs. Your caregiver may want you to use a walker with wheels on some or all of the legs.

* Splints and braces: Your caregiver may ask you to wear special splints or braces. These help keep your bones and joints sturdy as you walk around. If your ankle or knee is weak, you may be asked to wear a brace for support.

* Wheelchairs: A wheelchair may be needed if you cannot walk on your own. Ask your caregiver for more information about different types of wheelchairs. Ask your caregiver how to safely move to and from your wheelchair.

What changes to my diet should I follow after having a stroke? You may see a nutrition caregiver to help you choose a healthy diet. Foods high in fiber, such as high-fiber cereals, whole-grain breads, and beans, may help prevent constipation. Drinking water may help make your stool softer. Ask your caregiver if you should make your food softer or turn it into liquid.

What lifestyle changes should I make after having a stroke?

* Driving: You may need to have a driver's test before you can start driving again. Ask you caregiver when it is OK to drive. Do not drive until your caregiver says it is OK.

* Sexual intercourse (sex): Ask your caregiver when it is OK to have sex.

* Smoking: It is never too late to stop smoking. Smoking harms your heart, lungs, and blood. You are more likely to have another stroke, heart attack, and cancer if you smoke. You will help yourself and those around you by not smoking. Ask your caregiver for more information about how to stop smoking if you are having trouble quitting.

* Working: Ask you caregiver when it is OK to return to work.

What else can I do to cope with the changes from my stroke?

* Mental health counseling: During mental health counseling, you will talk with your caregiver about your feelings and emotions. Your caregiver may help you solve problems. He may also help you learn ways to feel better. He may teach you skills that help you adjust to your condition. Your caregiver may help you feel less scared and sad. Your family members or friends may attend some of your meetings or have counseling meetings of their own.

* Stroke classes: Your caregiver may want you to attend classes for people who have had a stroke. Your caregiver may also attend these classes. You may learn what caused your stroke. You may also learn how to decrease your chances for having another stroke.

What are other ways that may help decrease my symptoms?

* Acupuncture: Acupuncture is a treatment based on a belief that fluids flow through channels in our bodies. Caregivers insert very thin needles just under your skin. This is believed to open the channels, allowing fluids to flow better. This treatment may decrease pain and improve healing. Always see a caregiver for acupuncture. Do not try to give this treatment to yourself.

* Biofeedback: Biofeedback may be used to help retrain your muscles and brain after a stroke. Wires are placed on different parts of your body, such as your chest. They are attached to a monitor that shows information about your body. Biofeedback may show the rhythm of your movement and also how much force you use to do things.

* Electrical nerve stimulation: Electrical nerve stimulation uses special wires to help send mild electric signals through your skin to the brain. Two common types are called transcutaneous electrical nerve stimulation (TENS) and functional electrical stimulation (FES). Electrical nerve stimulation may help decrease your pain. It may also help your muscles and joints move better.

* Ice and heat: Your caregiver may ask you to put heat or ice on your shoulder. This may help decrease your pain. Ask your caregiver for more information about using ice and heat.

* Massage: Soft massage may help decrease your pain. Ask your caregiver if massage is right for you.

* Shoulder support: After a stroke, you may need extra support for your shoulder. You may need to wear a sling around your arm. This may help protect your shoulder from moving out of place. You may also wear a sling on your healthy arm. This may cause you to use your other arm more often and make it stronger.

* Relaxation therapy: Relaxation therapy teaches you how to calm your body and mind. The goal is to feel less physical (body) stress and have less emotional (mind) stress.

Where can I find support and more information? Having a stroke can be very hard for you. You and your family may need help coping with your symptoms and treatment. Talk to your caregiver, family, or friends. Ask your caregiver if you want to talk to a mental health caregiver for more support. You may also want to join a support group. For support and more information, contact any of the following:

* National Institute of Neurological Disorders and Stroke

31 Center Drive

Bethesda, MD 20892

Phone: 1-800-352-9424

Web Address: http://www.ninds.nih.gov

* National Stroke Association

9707 E. Easter Lane

Centennial, CO 80112

Phone: 1-800-787-6537

Web Address: http://www.stroke.org

When should I call my caregiver? Call your caregiver if:

* You feel sadder or more anxious (worried) than usual.

* You have a sore on your skin that does not go away.

* You have new symptoms or your symptoms are getting worse.

* You have pain that does not go away, even after taking medicine to decrease it.

* You cannot swallow.

* You have questions or concerns about your stroke, treatment, or care.

When should I seek immediate help? Seek care immediately or call 911 if:

* You have fallen.

* You have chest pain, with or without sweating.

* You have trouble breathing.

* You have signs and symptoms of a stroke:

The following signs and symptoms may happen suddenly:

** A very bad headache. This may feel like the worst headache of your life.

** Too dizzy to stand.

** Weakness or numbness in your arm, leg, or face. This may happen on only one side of your body.

** Confusion and problems speaking or understanding.

** Not able to see out of one or both of your eyes.


Record Number: A246451887

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What are self care measures?

* Self-care measures are steps you can take to help cope with a stroke and its treatment. You may help yourself feel better by changing the way you do things. You also may need to stop doing certain things that make you feel worse. Self-care measures may include meeting with different caregivers to teach you new skills. You may learn to use tools that help you take care of yourself. Self-care measures may include increasing your physical activity or attending counseling. You may also learn to use tools that make it easier for you to take care of yourself.

* You may use self-care measures by yourself or with help from caregivers, support groups, friends, or family. Self-care measures may help you do your normal daily activities. Using self-care measures also may decrease your symptoms, such as pain and problems moving.

How do I use self care measures? Self-care measures are used in addition to your caregiver's treatment and care for your stroke. Your self-care measures will depend on your condition, treatment, and health. Your caregiver will develop a plan with you to care for yourself at home and at work. Ask your caregiver why you had a stroke and how to help prevent another one. Always follow your caregiver's instructions on how to take your medicines. Ask your caregiver for more information about your condition, treatment, and care.

What changes should I expect after having a stroke? After having a stroke, you may have problems that get in the way of doing your normal activities. You may have trouble washing yourself, getting dressed, feeding yourself, or going shopping. You may also find it hard to make a meal or take your medicines correctly. You may have some of the following symptoms:

* Moving problems: You may have trouble moving parts of your body. This may happen only on one side of your body. You may find it hard to walk without help. You may also have trouble doing things that are done in many steps, such as eating and dressing. You may also have any of the following movement problems:

** Balance: You may have trouble keeping your balance.

** Muscles and joints: You may have weakness on one side of your face. You may also be weak on one side of your body. You may not be able to move one of your arms or legs. You may also feel stiffness and pain in your joints. Your joints are where two bones meet. Your muscles may become shorter, causing you pain and making it hard for you to move.

** Swallowing: Your neck and throat muscles may become weak after you have a stroke. If this happens, you may have trouble swallowing. If you have trouble eating and drinking, you may not get enough nutrition. You may also breathe food or liquid into your lungs.

* Sensing problems:

** Pain: You may feel pain in different parts of your body, such as your joints and muscles.

** Touch: You may have trouble feeling things that touch your skin.

** Vision (eyesight): You may be able to see only half of something that is in front of you.

* Thinking and mood problems:

** Awareness: You may not be able to understand the changes to your body after your stroke. You may not know which parts of your body have trouble moving. You may think you can do things that you cannot, such as walking. You may think you moved a part of your body even if you have not moved at all. It may also be hard to understand the distance between two things. You may get easily lost.

** Body neglect: You may only pay attention to one side of your body. This is called one-sided neglect. You may only dress one side of your body. You may also shave your face or body on one side but not the other.

** Language: You may have trouble speaking. You may not be able to talk at all. You may not be able to understand what other people are saying. You may also have trouble reading or writing.

** Memory: You may have trouble remembering things that you have just been told. You may also not remember things that happened in the past.

* Urinating and bowel movement problems:

** Bowel movements (BM): You may have incontinence (you may not be able to control when you have a BM). You may also have constipation (dry, hard stools).

** Urinating: You may not be able to control when you urinate.

What therapies may help me after I have a stroke? Your caregiver may design a rehabilitation (rehab) program for you. Rehab is a set of programs that may help you relearn skills that you had before your stroke. You may learn to take care of yourself again and be less dependent on other people. Your rehab program may help you return to your normal daily activities. You may learn ways to decrease problems after your stroke. During your rehab program, you may see many different kinds of caregivers. One caregiver called a case manager may help keep track of your progress during your rehab program. Ask your caregiver for more information about these therapies:

* Eating and swallowing:

Your doctor may ask a swallowing therapist to work with you if you have trouble swallowing. This person has special training to help people learn safer ways to swallow. The swallowing therapist will also help you learn which foods and liquids are safe to eat and drink.

** You may be fed by an IV or a nasogastric (NG) tube if your swallowing problems are very bad. An NG tube is put in through your nose and goes down into your stomach. The tube may also go directly from the outside of your body into your stomach. This is called a gastrostomy tube.

** You may be given thickened liquids to drink because they may be easier for you to swallow. A special powder is used to thicken liquids. You may also be able to eat softer (mashed) foods. You may be able to eat what you usually eat when your swallowing gets better.

* Occupational therapy: Occupational therapy (OT) uses work, self-care, and play activities to help you in your daily life. An occupational therapist will work with you and your family to develop skills you lost after your stroke. You may learn special skills for bathing, dressing, cooking, eating, and driving. An occupational therapist may give you equipment to help you do things at home or work. You and your therapist will plan a therapy program that is right for you.

* Physical therapy: A physical therapist will help you with special exercises. These exercises make your bones and muscles stronger. Your

caregiver may use special machines to help you exercise. He may teach you to think about movements before you do them. Your caregiver may also exercise your arms and legs for you. This is called passive exercise because you do not do the moving. Physical therapy may help you move better on your own. Physical therapy may also help decrease muscle pain and joint stiffness caused by your stroke.

* Recreation therapy: Ask your caregiver about how a recreation therapist can help you do leisure activities.

* Speech therapy: A speech therapist may work with you to help you talk or swallow.

* Task-oriented training: During task-oriented training, you will do certain tasks over and over again. With practice, it may be easier for you to do your normal daily activities. You may learn how to reach things while you are seated. You may also learn how to move parts of your body again. With task-oriented training, you may relearn how to do things that are important to you.

* Vocational counseling: Your caregiver may suggest that you go to vocational training. This training may help you return to work. It may also help you find a job that is right for you.

What exercises should I do after having a stroke? Your caregiver may want you to have an exercise plan. With exercise, you may have less pain and more energy. Ask your caregiver about what exercises you should do and how often to do them. Always carefully follow your caregiver's instructions. Your caregiver may have you do any of the following exercises:

* Aerobics: Aerobics are exercises that make your heart pump faster. Aerobics may improve the health of your heart and lungs. Walking or doing simple household chores may be considered aerobic exercises. Your caregiver may use special machines to help you exercise, such as a bicycle that stays in place. Aerobics may help your body become healthier after your stroke.

* Gait training: Your caregiver may have you do gait training to help improve the way you walk. With the help of your caregiver, you may be asked to walk on a treadmill. Your caregiver may increase the speed of the treadmill as you get stronger. You may have a harness (belt) strapped on you for support. You may also wear leg braces. During gait training, your caregiver may help you learn to walk in different directions. He may help you to walk forward, backward, or sideways. You may also practice walking up and downstairs.

* Strength training: This is also called resistance training. During strength training, you may become stronger by lifting weights. It may help your body become stronger and your heart become healthier. Do not lift weights heavier than what your caregiver says is OK.

* Water exercises: Your caregiver may want you to exercise in water. Doing exercises in water may help your muscles become stronger. Ask your caregiver for more information on exercising in water.

* Balance training: During balance training, your caregiver may have you walk on a board. Your caregiver will help support you until you are able to balance on your own.

* Sensory training: During sensory training, your caregiver will help you know when you are being touched. He will also help you hold your body up straight and learn ways to have good posture.

* Vision coaching: Your caregiver may help you to learn how to cope with the changes to your vision. Ask your caregiver about scanning and other ways to help you see what is in front of you.

What tools can help me take care of myself after having a stroke? You may need special tools to help your daily life become easier. You may need tools to help you dress or reach things. Feeding yourself may be easier if you use forks and spoons with bigger handles. A long-handled sponge and a hand-held shower may help you wash yourself. Having grab bars inside your bathroom may help you move better and more safely. You may also need a shower chair. Having toilet seats that are raised higher may also help. Ask your caregiver for more information about these devices.

What can help me move around after I have a stroke? You may need special tools to help you walk or move around your home. You and your caregiver will decide which tools are right for you. Ask you caregiver for more information on tools that may help you walk:

* Canes and walkers: You may need to use a cane or a walker to help you move around. These may help you balance and decrease your risk of falling or being hurt. Your caregiver may want you to use a cane with three or four legs. Your caregiver may want you to use a walker with wheels on some or all of the legs.

* Splints and braces: Your caregiver may ask you to wear special splints or braces. These help keep your bones and joints sturdy as you walk around. If your ankle or knee is weak, you may be asked to wear a brace for support.

* Wheelchairs: A wheelchair may be needed if you cannot walk on your own. Ask your caregiver for more information about different types of wheelchairs. Ask your caregiver how to safely move to and from your wheelchair.

What changes to my diet should I follow after having a stroke? You may see a nutrition caregiver to help you choose a healthy diet. Foods high in fiber, such as high-fiber cereals, whole-grain breads, and beans, may help prevent constipation. Drinking water may help make your stool softer. Ask your caregiver if you should make your food softer or turn it into liquid.

What lifestyle changes should I make after having a stroke?

* Driving: You may need to have a driver's test before you can start driving again. Ask you caregiver when it is OK to drive. Do not drive until your caregiver says it is OK.

* Sexual intercourse (sex): Ask your caregiver when it is OK to have sex.

* Smoking: It is never too late to stop smoking. Smoking harms your heart, lungs, and blood. You are more likely to have another stroke, heart attack, and cancer if you smoke. You will help yourself and those around you by not smoking. Ask your caregiver for more information about how to stop smoking if you are having trouble quitting.

* Working: Ask you caregiver when it is OK to return to work.

What else can I do to cope with the changes from my stroke?

* Mental health counseling: During mental health counseling, you will talk with your caregiver about your feelings and emotions. Your caregiver may help you solve problems. He may also help you learn ways to feel better. He may teach you skills that help you adjust to your condition. Your caregiver may help you feel less scared and sad. Your family members or friends may attend some of your meetings or have counseling meetings of their own.

* Stroke classes: Your caregiver may want you to attend classes for people who have had a stroke. Your caregiver may also attend these classes. You may learn what caused your stroke. You may also learn how to decrease your chances for having another stroke.

What are other ways that may help decrease my symptoms?

* Acupuncture: Acupuncture is a treatment based on a belief that fluids flow through channels in our bodies. Caregivers insert very thin needles just under your skin. This is believed to open the channels, allowing fluids to flow better. This treatment may decrease pain and improve healing. Always see a caregiver for acupuncture. Do not try to give this treatment to yourself.

* Biofeedback: Biofeedback may be used to help retrain your muscles and brain after a stroke. Wires are placed on different parts of your body, such as your chest. They are attached to a monitor that shows information about your body. Biofeedback may show the rhythm of your movement and also how much force you use to do things.

* Electrical nerve stimulation: Electrical nerve stimulation uses special wires to help send mild electric signals through your skin to the brain. Two common types are called transcutaneous electrical nerve stimulation (TENS) and functional electrical stimulation (FES). Electrical nerve stimulation may help decrease your pain. It may also help your muscles and joints move better.

* Ice and heat: Your caregiver may ask you to put heat or ice on your shoulder. This may help decrease your pain. Ask your caregiver for more information about using ice and heat.

* Massage: Soft massage may help decrease your pain. Ask your caregiver if massage is right for you.

* Shoulder support: After a stroke, you may need extra support for your shoulder. You may need to wear a sling around your arm. This may help protect your shoulder from moving out of place. You may also wear a sling on your healthy arm. This may cause you to use your other arm more often and make it stronger.

* Relaxation therapy: Relaxation therapy teaches you how to calm your body and mind. The goal is to feel less physical (body) stress and have less emotional (mind) stress.

Where can I find support and more information? Having a stroke can be very hard for you. You and your family may need help coping with your symptoms and treatment. Talk to your caregiver, family, or friends. Ask your caregiver if you want to talk to a mental health caregiver for more support. You may also want to join a support group. For support and more information, contact any of the following:

* National Institute of Neurological Disorders and Stroke

31 Center Drive

Bethesda, MD 20892

Phone: 1-800-352-9424

Web Address: http://www.ninds.nih.gov

* National Stroke Association

9707 E. Easter Lane

Centennial, CO 80112

Phone: 1-800-787-6537

Web Address: http://www.stroke.org

When should I call my caregiver? Call your caregiver if:

* You feel sadder or more anxious (worried) than usual.

* You have a sore on your skin that does not go away.

* You have new symptoms or your symptoms are getting worse.

* You have pain that does not go away, even after taking medicine to decrease it.

* You cannot swallow.

* You have questions or concerns about your stroke, treatment, or care.

When should I seek immediate help? Seek care immediately or call 911 if:

* You have fallen.

* You have chest pain, with or without sweating.

* You have trouble breathing.

* You have signs and symptoms of a stroke:

The following signs and symptoms may happen suddenly:

** A very bad headache. This may feel like the worst headache of your life.

** Too dizzy to stand.

** Weakness or numbness in your arm, leg, or face. This may happen on only one side of your body.

** Confusion and problems speaking or understanding.

** Not able to see out of one or both of your eyes.


Record Number: A246451887

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