Rural Management of Stroke

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Rural Management of Stroke

• 07/09/2009
• Fiona Ryan

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Stroke Care Coordinator

• Bathurst Orange Health Services incorporating
  Eastern and Southern Clusters
• Fiona Ryan
• 0417 451 997
• Fiona.Ryan_at_gwahs.nsw.health.gov.au

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Stroke Care Coordinator Role

• To implement systems which facilitate evidence
  based care of people with stroke and those at
  risk of stroke.
• Negotiating care pathways
• Developing systems and protocols
• Delivering and facilitating education
• Monitoring performance

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Local Information

• Specialist acute stroke care at Orange and
  Bathurst
• Co-location of patients with stroke
• Access to cardiac monitoring
• 24 hour CT scanning CT perfusion/ CTA
• Physician care
• Pathways of care
• Specialist stroke training for staff
• Opportunity for thrombolysis

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Local Information

• Specialist Stroke Inpatient Rehabilitation in
  Bathurst and Orange
• Pathways of care
• Rehabilitation Physicians
• Dedicated Nursing and Allied Health staff
• Specialist stroke training for staff
• Limited outpatient rehabilitation

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Local Information

• Acute Stroke (not TIA) admissions to Orange 2008
  (approx) 150
• Acute Stroke (not TIA) admissions to Bathurst
  2008 (approx) 80

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Local Information

• Our community is not recognising stroke as an
  emergency.
• Tend to admit higher risk TIA to facilitate
  quicker secondary prevention investigations and
  education.
• As we do not have a neurologist driving our
  stroke care much of the follow up of secondary
  prevention investigations is left to the general
  practitioner.
• We are developing stroke support groups in
  Bathurst and Orange. I can be contacted for
  details.

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National Stroke Foundation

• Clinical Guidelines for Stroke and TIA Management
• A quick guide for general practice.
• A guide for general practice
• http//www.strokefoundation.com.au/component/optio
  n,com_docman/task,cat_view/gid,76/dir,DESC/order,d
  ate/limit,5/limitstart,5/