ABSTRACT
Persistent intracranial hypertension must be treated to prevent secondary damage to the brain tissue in and surrounding the hematoma. Hypertension must be treated. There is controversy as to how to manage hypertension, as it may contribute to further bleeding, while blood pressure (BP) must be maintained for cerebral perfusion. Interventional embolization, coiling, and radiosurgery are not used for hemorrhagic strokes. Pitfalls include the inability to go back to work, financial hardships, costs of care, inability to work, work retraining, etc. Social services referral is warranted to help family with in-house support. Depression with patient given recovery period and neurologic deficits. Assess patient's support system, access to transportation, and compliance with follow-up care. The advanced practice health professional offers significant benefits in managing and treating hemorrhagic stroke patients. Acute care nurse practitioners were found to improve clinical and financial outcomes by identifying patients at risk, monitoring for complications, and overall managing the patients.
