E6: Treatment (TIA)

All people with TIA or minor stroke are followed up one month after the event, in either primary or secondary care. (Key: e = element | k = knowledge | s = skill)

Knowledge and understanding of…

e6k_1:
The signs and symptoms of TIA
e6k_2:
Atypical presentation of TIA and TIA mimics and how to act when they are identified
e6k_3:
How to distinguish between stroke and TIA
e6k_4:
Risk factors for further vascular events (e.g. type and aetiology of current event, lifestyle, socioeconomic, cultural, vascular, familial, genetic, concurrent medications, comorbidities)
e6k_5:
Pharmacological and non-pharmacological interventions, and the level of urgency for risk factor management
e6k_6:
Side effects of pharmacological and non-pharmacological interventions as well as the prevention and management of vascular events
e6k_7:
Late complications of surgical procedures (e.g. stenting, carotid endarterectomy, closure of ASD and PFO) and the implications of the procedures on lifestyle
e6k_8:
Implications of TIA for lifestyle, driving, work and family
e6k_9:
Potential interventions for immediate and ongoing risk factor management
e6k_10:
Methods of changing behaviour
e6k_11:
How QOF and community targets for risk factor management affect prevention strategies
e6k_12:
Concordance: how to assess; how it is affected by individual preference; how to motivate; how to manage non-concordance
e6k_13:
Likely persistent deficits or other ongoing problems
e6k_14:
Why TIA/stroke review is important

Skills and ability to...

e6s_1:
Recognise recurrent vascular events
e6s_2:
Perform a holistic overview, including assessment of pharmacological and non-pharmacological interventions
e6s_3:
Perform and interpret blood pressure measurement and ECG
e6s_4:
Assess and facilitate concordance
e6s_5:
Assess motivation and take steps to augment management
e6s_6:
Monitor progress and agree on or change to a maintenance or management plan
e6s_7:
Use results of history and investigations to confirm a diagnosis and make an individual management plan for the patient, taking into account personal preferences
e6s_8:
Identify interventions and treatments for stroke and TIA available locally and know how to refer patients efficiently
e6s_9:
Communicate and discuss with the patient, carer, and health and social care professionals a diagnosis, results of investigations and subsequent needs and aspirations and a management plan, as well as the actions to be taken if a further vascular event occurs
e6s_10:
Identify who provides interventions for immediate and ongoing risk factor management locally and refer
e6s_11:
Identify where QOF and community targets for risk factor management may affect prevention strategies and take steps to overcome this
e6s_12:
Recognise individuals with persistent deficits or other ongoing problems and arrange rehabilitation, support and management
e6s_13:
Encourage people to come for review