E2: Managing risk
Those at risk of stroke and those who have had a stroke are assessed for and given information about risk factors and lifestyle management issues so that action can be taken to reduce overall vascular risk.
Key: e = element | k = knowledge | s = skill
Knowledge and understanding of…
e2k_1:
the risk factors for stroke and transient ischaemic attack
e2k_2:
stroke sub-types and their aetiologies
e2k_3:
the risk of further stroke depending on type and aetiology
e2k_4:
who provides interventions for primary and secondary prevention of stroke
e2k_5:
pharmacological and non-pharmacological interventions for primary and secondary prevention of stroke, and side effects of treatment
Skills and ability to...
e2s_1:
take and interpret a thorough medical history, including information from carers, family, and other agencies where possible, and carry out decision-specific mental capacity assessments as appropriate
e2s_2:
identify risk factors and apply vascular risk assessment tools for transient ischaemic attack and screening tests for stroke
e2s_3:
determine, plan, and initiate the appropriate screening, assessments and investigations, and interventions and treatments for risk reduction
e2s_4:
recognise stroke-related communication difficulties and adapt methods of communication to discuss with the patient, carer, and family: current event; risk of future vascular event; need for and timeframes of assessments and investigations; rationale for interventions and treatments, their timeframes, and possible side effects; and provide timely information, advice and support
e2s_5:
identify the full range of local and national resources and services available for those affected by stroke, including: health, social, voluntary, and independent; assess their relevance and suitability for the patient, carer, and family; liaise with services, working across agencies and sharing information where appropriate; communicate referral arrangements, availability and waiting times
e2s_6:
monitor progress and agree or change a maintenance or management plan in conjunction with those at risk of stroke or secondary stroke
e2s_7:
assess medication adherence and facilitate improved engagement
