Stroke Cerebral Vascular Accident

Stroke can be a result of hemorrhage or ischemia. The prognosis of patients who have had a cerebral vascular accident (CVA) is unpredictable and may be extended, resulting in caregiver fatigue. Approximately one-third of patients who have a stroke will die within 2 years. Patients with stroke deal with loss of physical and cognitive function, poststroke pain and frequent depression. Incontinence, aphasia and dysphagia and seizures are also common. Patients who have dysphagia have a high incidence of aspiration pneumonia, which often is the cause of death (see Chap. 11).

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