Stroke in Geriatric Patients (2022)-AAMA Geriatrics ABC Program_Course 2 Stroke_eHandbook

AAMA Geriatrics ABC Program_Course 2 Stroke_eHandbook_2022
Pdf Summary
The Course 2 eHandbook titled "Stroke in Geriatric Patients" is a comprehensive guide designed to educate about stroke management, particularly in older adults. The handbook is divided into several sections that cover a range of topics from acute management and rehabilitation to pharmacologic interventions and coding guidelines.<br /><br />**Key Sections:**<br />1. **Key Point Summaries:** This section introduces stroke as a "brain attack," emphasizing the importance of immediate medical intervention. The guide differentiates between ischemic and hemorrhagic strokes, outlines risk factors (both modifiable and non-modifiable), and stresses the importance of prevention through lifestyle changes and medical management.<br /><br />2. **Acute Management of Hemorrhagic Stroke:** It describes the medical and surgical interventions needed for hemorrhagic strokes, underlining the urgency of treating brain bleeds to improve outcomes. Procedures include surgical clipping, endovascular coiling, and AVM repair.<br /><br />3. **Stroke Rehabilitation:** The handbook discusses the stages of post-stroke rehabilitation, which should begin as soon as the patient is medically stable. Various rehabilitation settings are outlined, including inpatient/hospital-based programs, skilled nursing facilities, outpatient programs, and home-based programs. The section emphasizes a multidisciplinary approach involving different healthcare professionals like physicians, nurses, physical therapists, and speech therapists.<br /><br />4. **Pharmacologic Management of Ischemic Stroke:** It elaborates on the use of tissue plasminogen activator (tPA) as the gold standard for treating acute ischemic stroke within specific time windows. It also covers secondary prevention strategies using antiplatelet and anticoagulant agents, listing medications like aspirin, clopidogrel, ticagrelor, warfarin, and Direct Oral Anticoagulants (DOACs).<br /><br />5. **Coding Guide:** This section explains the medical coding systems used for stroke management, including Current Procedural Terminology (CPT), International Classification of Diseases (ICD-10-CM), and the Healthcare Common Procedure Coding System (HCPCS). Examples of relevant codes are provided for various stroke-related procedures.<br /><br />6. **Stroke Fact Sheet:** A concise PDF resource summarizing stroke types, risk factors, management strategies, and rehabilitation needs. It touches on the immediate actions required during a stroke and the importance of identifying symptoms quickly.<br /><br />7. **Guidelines for Interacting with a Stroke Survivor:** Practical tips for effective communication and support for stroke survivors, emphasizing compassion, patience, and understanding the unique challenges they face.<br /><br />Overall, the handbook serves as a detailed educational resource for healthcare providers involved in the care and rehabilitation of geriatric stroke patients.
Keywords
Stroke
Geriatric
Acute Management
Rehabilitation
Pharmacologic Interventions
Ischemic Stroke
Hemorrhagic Stroke
Medical Coding
Prevention
Healthcare Providers