Strategies to Prevent and Treat Stroke Complications

Applying intermittent external compression devices when anticoagulants are contraindicated and providing frequent active and passive leg exercises

Turning bedridden patients frequently, with special attention to pressure sites

Passively moving limbs at risk of contractures and placing them in the appropriate resting positions, using splints if necessary

Ensuring adequate fluid intake and nutrition, including evaluating patients for swallowing difficulties and providing nutritional support as necessary

Encouraging early ambulation (as soon as vital signs are normal), with close monitoring

Maximizing lung function (eg, smoking cessation, deep breathing exercises, respiratory therapy, measures to prevent aspiration in patients with dysphagia)

Looking for and treating infections early, especially pneumonia, urinary tract infections, and skin infections

Managing urinary bladder problems in bedbound patients, preferably without using an indwelling catheter

Promoting risk factor modification (eg, smoking cessation, weight loss, healthful diet)

Prescribing early rehabilitation (eg, active and passive exercises, range-of-motion exercises)

Compassionately discussing residual function, prognosis for recovery, and strategies to compensate for lost function with the patient

Encouraging maximum independence through rehabilitation

Encouraging the patient and family members to contact stroke support groups for social and psychologic support