One crucial component in the prevention of stroke is the effort of acute stroke therapy. The old paradigm of acute stroke therapy was the points of view “wait and see”, that patients who suffered a stroke were taken to hospital only if the symptoms become heavy stroke.
Nowadays, stroke patients are the most residents in the wards or rooms in almost all service centers nervous patient hospitalization. Besides causing economic burden for patients and their families, stroke is also a burden for the government and health insurance companies. In addition, the disability caused by stroke can also cause loss of patient revenue.
Stroke remains a major problem in the field of neurology and general health. To overcome this crucial issue, it is required a stroke prevention strategy that includes preventive aspects, rehabilitation therapy, and promotion.
Based on various clinical studies, it has been concluded that stroke is an emergency that must be addressed immediately, as severe trauma or acute myocardial infarction. Thus”time is brain” is a way of looking at a more appropriate in the acute phase of stroke therapy.
Thrombolytic therapy in acute ischemic stroke patients, for example, is only done three-hour time interval since stroke attack. In fact, the success of acute stroke therapy is determined by the number of stages and a chain linked to each other (chain of stroke survival and recovery). There are seven acute stroke therapy stages, these stages include: recognition of symptoms and signs of stroke by patients, families or people around the patient, good communication systems between the public and hospitals and delivery facilities of the patient to the hospital. Based on research results, it is revealed that the emergency ambulance service is the most significant component associated with the speed of stroke patients arrived at the hospital.
Not less important, it is the triage of emergency care installations, which should immediately evaluate the patient, including a CT-scan head, determining the diagnosis and treatment plan, and general treatment including surgery if necessary.
There is one chain that is also very important to the success of acute stroke therapy; it is equipment or facilities acute care and early treatment of stroke therapy clinic. These are based on research conducted mobilization or early practice, the most important factors associated with successful therapy;
During this time, nursing model of stroke patients is done in the same way with the nursing of patients with other diseases, resulted duration of hospitalization treatment grow longer. Besides, handling also becomes less perfect.
It have been already conducted various tests special care model for stroke patients in some areas such as clinical treatment of stroke. Among other things, the intensive care unit, acute stroke, stroke rehabilitation units, and acute stroke care unit and early rehabilitation. In the application of specific treatment model for patients with stroke, these units are controlled by multi-discipliner team involving various fields of expertise, ranging from neurological specialists, paramedics, nutritionist, therapist, social worker and other areas related to medical rehabilitation units.