Un accidente cerebrovascular es un problema de salud grave que casi siempre produce cambios a largo plazo en la vida de un sobreviviente de un accidente cerebrovascular.
Las personas que sufren un derrame cerebral necesitan atención médica de emergencia. La atención médica inmediatamente después de un accidente cerebrovascular y durante todo el proceso de recuperación proviene de una amplia variedad de profesionales de la salud, pacientes. Existen numerosos tratamientos y herramientas que se utilizan para ayudar a cuidar un derrame cerebral. Pero son las personas trabajadoras involucradas en el cuidado de un accidente cerebrovascular de un paciente las que tienen un impacto más profundo en su comodidad y resultados.
Si ha sufrido un accidente cerebrovascular, usted y su familia conocerán a varios miembros del equipo durante los primeros meses después de un accidente cerebrovascular y posiblemente en los próximos años.
Médico de familia : un médico de familia es un médico al que debe consultar para chequeos regulares, mantenimiento de la salud y problemas de salud. Las estimaciones sugieren que hasta el 30% de los accidentes cerebrovasculares no son notados por el paciente. Estos trazos inadvertidos se denominan trazos silenciosos . Algunos pacientes que no notan un accidente cerebrovascular pueden acudir al médico por una queja aparentemente simple, como hormigueo o mareo . Los médicos de familia detectan los cambios causados por un accidente cerebrovascular durante los exámenes físicos de rutina y luego inician planes de tratamiento y medidas preventivas para evitar más accidentes cerebrovasculares.
911 operador / operador : algunos pacientes tienen más síntomas repentinos y requieren ayuda de emergencia. Los despachadores del 911 están capacitados para enviar ayuda inmediata para un posible accidente cerebrovascular.
Paramedics – When emergency help is called, paramedics are called to assess and transport the patient. Paramedics are trained to evaluate emergency health situations and to medically stabilize patients and transport patients to a facility with resources, such as a hospital, urgent care center, or emergency room. Paramedics also report the clinical condition to the staff that will continue medical care.
Emergency ward triage desk – Some stroke patients go to the emergency room alone or with family. Patients will sign in and describe medical complaints to a professional at the triage desk. The triage staff is trained to ask vital questions to determine how urgent the situation is and to prioritize patients who require immediate care.
Nurses – Nurses in the hospital, urgent care or emergency room examine patients and closely monitor changes. Nurses administer medications, follow through with care, monitor test results, coordinate the timing of most of the testing, patient care, essential needs and maintain flow of the many team members. Nurses are also the primary communicators when a patient is transferred from one area of care to another-for example from the emergency room to the intensive care unit, or from the inpatient hospital ward to the rehabilitation floor.
Nurses aid – A nurse’s aid carries out direct patient care, often with the direction and supervision of a nurse or nursing coordinator.
Medical students – Medical students on rotations are assigned to follow patients and to report the progress to supervising physicians. Medical students often take a very meticulous history and perform a detailed physical examination, which they will be evaluated on for accuracy and thoroughness. Medical students do not make decisions or deliver direct patient care. A medical student will most likely remember every detail of your story for the next 50 years, particularly if he or she has not yet seen many patients with a stroke.
Resident – The resident physician is a physician in training who has completed medical school. Residents have more responsibility and experience than medical students, but they are still supervised by attending physicians, who have completed training and licensing.
Emergency physician – The emergency physician is a physician who is on staff in the emergency room. This physician’s expertise lies in stabilizing patients, managing urgent matters and arranging for specialty care during the hospital stay. The emergency physician will recognize that you have had a stroke and will begin acute care.
Radiology technician – If you need an imaging study of the brain, such as a Brain CT scan or a Brain MRI, you will meet a radiology technician. The technician gets you properly situated, explains what you should expect during the study, determines the settings of the equipment, runs the equipment, and may take additional pictures, or pictures from different angles to optimize the clarity of the study.
Phlebotomist – The phlebotomist is specialized in drawing blood. The phlebotomist will make you comfortable and obtain blood using a needle inserted into a small vein, and will take it to the laboratory for testing. Usually, this process is quite quick.
Neurologist – A neurologist is a doctor specialized in care of the nervous system. A neurologist might be asked to evaluate you in the emergency room, in the hospital, or in a follow-up office visit. The neurologist will be able to explain where the stroke occurred, what caused it, what you should expect, the best route of treatment, and what you can do to optimize your recovery.
Neurosurgeon – A neurosurgeon is a doctor who operates on the brain. If you have a hemorrhagic stroke, with a large area of bleeding, the blood may need to be removed. If a stroke is caused by an abnormal blood vessel, called an aneurysm, a neurosurgeon or interventional neuroradiologist, might repair it. Additionally, if a stroke causes severe swelling and compression of the structures if the brain, a neurosurgeon might remove a portion of the skull temporarily while the swelling resolves.
Vascular surgeon – Some patients have a severe narrowing of the carotid artery, which supplies the brain with blood. Severe narrowing of the carotid arteries can be a risk factor for stroke for some people and may need to be repaired.
Radiologist -A radiologist is a doctor who is specialized in reading and interpreting x-rays and other imaging studies. A radiologist will carefully examine your imaging studies and provide a report with the findings. Your imaging studies will also be thoroughly evaluated by the other doctors caring for you as well.
Physical therapist – During recovery, a physical therapist will evaluate your abilities and work on re-training muscles for imported mobility.
Occupational therapist – The occupational therapist is similar to the physical therapist, and some of the exercises may be similar. In general, occupational therapy is more focused on safety and carrying out tasks, while physical therapy is more focused on strengthening muscles and improving coordination.
Speech and swallow specialist– A speech and swallow specialist will evaluate your speech and swallowing. These tasks require many muscles to work together. A treatment plan for improving speech and safe swallowing will be produced after the evaluation.
Dietician – A dietician will work on making a plan to include proper calorie intake with the right amount of nutrients, including proteins, carbohydrates fats, vitamins, minerals, and salt. You may have to make some dietary changes if your cholesterol, blood sugar or blood pressure measurements are found to be too high.
The Scientist– A scientist does research that will improve stroke care. It may take years for research to become approved. Your care now is a result of years of painstaking research done by many dedicated scientists.
There are a variety of people who take care of a stroke patient. They each have their own role, yet they work together. All members of your team should be open to answering questions about your care, and about what you should expect next.