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Monday, September 16, 2013
  Clinical Accuracy Spoken Here  

CV Risk: Stroke Recurrence

According to the National Institute of Neurological Disorders and Stokes, 25 percent of people who recover from a first stroke have another within five years. The chance of death and disability increases with each stroke.

People can do a lot to prevent a recurrence. Besides lifestyle changes and medication that lowers blood pressure and cholesterol, surgery may be beneficial. In a carotid endarterectomy, surgeons open up the carotid artery and remove plaque. Surgeons also may open up a clogged carotid artery with a small balloon and insert a stent to keep the artery open.

[Reference: CV Risk, Module B, Stroke-CM Role]
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  Excellence in Case Mgmt  

CV Risk: CM Coordinates Sundry Rehab Care

The National Stroke Association states that 25% of stroke survivors will have minor impairments, and up to 40% will have moderate to severe impairments necessitating treatment and rehabilitation services. That alone clearly indicates the need for Case Management to provide coordination of services, resource management and care oversight.

Stroke survivors may require a diverse menu of therapy for recovering lost abilities in communication, mobility and cognition. Therefore, as soon as a patient is medically stable, the multidisciplinary rehabilitation team will develop a rehab treatment plan in conjunction with the patient and family.

[Reference: CV Risk, Module B, Stroke-CM Role]
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  Improving Patient Care...  

CV Risk: Focus Interventions on At Risk Groups

To decrease morbidity and mortality from heart disease, public health programs must improve identification of persons with multiple risk factors and focus interventions on those populations.
In the U.S., the highest death rates from heart disease are in Appalachia. Overall death rates per 100,000 population for the five largest U.S. racial/ethnic groups are: blacks, 300; whites, 228; Hispanics, 173; American Indian/Alaskan Natives, 160; and Asian and Pacific Islanders, 128.

CDC funds many "Heart-healthy and Stroke-free Communities" health department programs. They emphasize the use of education, environmental strategies, and system changes to address heart disease and stroke among diverse populations.

[Reference: CV Risk, Module A, Pathophysiology]
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