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Stroke unit

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What is stroke unit?

A stroke unit is an organized in-hospital facility that entirely (or next to entirely) is devoted to care for patients with stroke. It is staffed by a multidisciplinary team with special knowledge in stroke care.

The characteristics of a stroke unit  are:

  • It is a geographically identifiable unit in a hospital devoted entirely (or next to entirely) to stroke care.
  • Its staff has expert knowledge in stroke and rehabilitation. In Sweden, there are educational programs leading to a stroke competence certification5.
  • It provides detailed information and educates patients and next-of-kins during the hospital stay

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Initial Treatment

If you experience a stroke, you will likely be initially admitted to an emergency department to stabilize your condition and determine the type of stroke. If it is caused by a blood clot (ischemic stroke), clot-busting medication can help reduce long-term effects if you are treated in time.Depending on the stroke’s severity, you may need to spend time in intensive care or acute care.

The rehabilitation team includes physiatrists, neurologists, physical and occupational therapists, speech-language pathologists and nurses. They meet daily to discuss the patient’s condition, and some form of therapy is delivered as often as every hour during the first day or two.

First Few Weeks After a Stroke

The typical length of a hospital stay after a stroke is five to seven days. During this time, the stroke care team will evaluate the effects of the stroke, which will determine the rehabilitation plan.

The long-term effects of stroke — which vary from person to person, depending on the stroke’s severity and the area of the brain affected — may include:

  • Cognitive symptoms like memory problems and trouble speaking
  • Physical symptoms such as weakness, paralysis and difficulty swallowing
  • Emotional symptoms like depression and impulsivity
  • Heavy fatigue and trouble sleeping

Leaving the Hospital After a Stroke

Your care team will formulate a discharge plan that will depend on your level of functional impairment. After the hospital stay, you might continue your rehabilitation:

  • In an inpatient rehabilitation unit or independent rehabilitation facility, if you can benefit from being monitored by a physician and can tolerate three hours of therapy per day
  • At a subacute rehabilitation facility, if you require a slower course of rehabilitation with one to two hours of therapy daily
  • At home with visits to an outpatient rehabilitation clinic as needed

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