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:
Risk factors for stroke and TIA (e.g. lifestyle, socioeconomic, cultural, vascular, familial, genetic, concurrent medications, comorbidities)
e2k_2:
Stroke types and their aetiologies
e2k_3:
Risk of stroke depending on type and aetiology
e2k_4:
Advocates for stroke patients when there is a legal duty to instruct an IMCA, taking account of religious and cultural aspirations
e2k_5:
Who provides interventions for primary and secondary prevention of stroke
e2k_6:
Pharmacological and non-pharmacological interventions for primary and secondary prevention of stroke, and side effects of treatment
e2k_7:
Methods of changing behaviour

Skills and ability to...

e2s_1:
Take and interpret thorough history, taking third party information where possible, and assess mental capacity
e2s_2:
Determine, plan and initiate appropriate assessments/investigations and interventions/treatments; provide information, relevant to individual needs and aspirations (personalise information)
e2s_3:
Elicit needs and aspirations of those at risk of stroke and those affected by stroke
e2s_4:
Identify risk factors and apply vascular risk assessment tools
e2s_5:
Communicate and discuss: current event; risk of future vascular event; need for assessments/investigations, interventions/ treatments and their timeframes; rationale for treatment and possible side effects of treatment; and provide timely information, advice and support
e2s_6:
Assess services (health, social, voluntary and independent) available locally for those affected by stroke: identify the full range available; establish relevance; communicate and liaise with services; signpost service
e2s_7:
Assess motivation and take steps to augment management
e2s_8:
Monitor progress and agree or change a maintenance or management plan
e2s_9:
Assess and facilitate concordance