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 transient ischaemic attack
e6k_2:
atypical presentation of transient ischaemic attack (TIA), TIA mimics, and how to act when they are identified
e6k_3:
how to distinguish between stroke and transient ischaemic attack
e6k_4:
pharmacological and non-pharmacological interventions, including those for the prevention and management of risk for future vascular events, their level of urgency, and potential side effects
e6k_5:
late complications of surgical procedures and the implications of the procedures on lifestyle
e6k_6:
risk factors for further vascular events
e6k_7:
likely persistent deficits or other ongoing effects of transient ischaemic attack
e6k_8:
medication adherence: how to assess it; how it is affected by individual preference; how to motivate; and how to facilitate improved engagement
e6k_9:
how community targets for risk factor management affect prevention strategies
e6k_10:
the implications of transient ischaemic attack for lifestyle; driving; occupation, including voluntary work or education; and social participation
e6k_11:
why transient ischaemic attack review is important
Skills and ability to...
e6s_1:
recognise recurrent vascular events
e6s_2:
perform a holistic overview, including assessment of pharmacological, non-pharmacological, and psychological interventions
e6s_3:
perform and interpret blood pressure measurement and electrocardiogram (ECG)
e6s_4:
use results of history and investigations to confirm a diagnosis and make an individual management plan for the patient
e6s_5:
identify who provides interventions, treatments, and immediate or ongoing risk factor management for transient ischaemic attack locally, and refer efficiently and effectively
e6s_6:
recognise individuals with persistent deficits or other ongoing effects of transient ischaemic attack and arrange rehabilitation, support, and management
e6s_7:
recognise stroke-related communication difficulties and adapt methods of communication to discuss with the patient, carer, and family: diagnosis and results of investigations; risk of future vascular event and actions to be taken if a further vascular event occurs; methods of secondary prevention; subsequent needs and aspirations; and a management plan
e6s_8:
encourage people to come for review and arrange follow-up appointment where possible
e6s_9:
assess medication adherence and facilitate improved engagement
e6s_10:
monitor progress and agree or change a maintenance or management plan in conjunction with those affected by stroke
e6s_11:
identify where community targets for risk factor management may affect prevention strategies and take steps to overcome this
