ABSTRACT
Stroke care involves all of these objectives. There are now several proven interventions that can decrease the risk of stroke, such as treatment of hypertension and use of anticoagulation or antiplatelet drugs in patients with atrial fibrillation. Stroke complications such as pressure sores and joint contractures can be prevented with appropriate nursing and physiotherapy interventions. Thrombolytic therapy attempts to 'cure' a stroke that would otherwise have evolved, and a few of the rare causes of stroke, such as infective endocarditis, are curable. High-quality stroke care, such as that which is provided on dedicated stroke units, reduces stroke mortality and improves functional outcomes compared with lower-quality care. Stroke patients are prone to pain (e.g. in a subluxing shoulder) and depression, which may both be relieved by treatment. Many stroke manifestations, such as perceptual impairments, are bewildering and require explanation. Recovery from a stroke is often slower than for many other medical conditions, and the risk of recurrence is relatively high, so information on the prognosis is required. Supporting the carers of stroke survivors who remain very dependent is also important if such care is to be maintained for any length of time.
