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Family physicians have key role in stroke strategy


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In 2005, the Heart and Stroke Foundation of Newfoundland and Labrador and the Canadian Stroke Strategy joined forces to look at an organized system of stroke care.

By Leigh Thorne

Stroke can happen to anyone, at any time and at any age. Yet stroke is largely preventable and treatable.

In 2005, the Heart and Stroke Foundation of Newfoundland and Labrador and the Canadian Stroke Strategy joined forces to look at an organized system of stroke care. To this end, a Provincial Advisory Committee was formed, extensive stakeholder consultations took place and the Newfoundland and Labrador Integrated Stroke Strategy was developed in 2006, in partnership with the Department of Health and Community Services. The stroke strategy contains 15 key recommendations regarding primary and secondary stroke prevention; emergency/acute care management; rehabilitation and community re-engagement; and, measuring/monitoring

Key recommendations of particular interest to family practitioners are the need to diagnose and more effectively treat hypertension, a leading risk factor for stroke, and the need to provide secondary prevention education to those who have had a transient ischemic attack (TIA) or stroke within the past two years.

Currently, work is well under way to implement the strategy and to improve stroke care throughout our province. Each regional health authority is customizing resources to meet its unique population and geographic needs. For example, Western Health has created the province’s first designated stroke unit at Western Memorial Hospital in Corner Brook. Central and Labrador/Grenfell are establishing regional action committees to implement the strategy, with a closer look at telehealth and meeting rehabilitation needs in their areas. The medicine program of Eastern Health has appointed a stroke program coordinator to facilitate enhanced stroke care, including initiatives such as t-PA protocols that can be utilized throughout the province.

The document, Canadian Best Practice Recommendations for Stroke Care: 2006, is available online (PDF). It provides evidence-based guidelines as we work together to implement the Newfoundland and Labrador Integrated Stroke Strategy. The Heart and Stroke Foundation of Newfoundland and Labrador has additional information regarding the strategy, stroke warning signs and stroke care. Please check online  or call the office at (709) 753-8521.

Leigh Thorne is the provincial stroke navigator with the Canadian Stroke Strategy and the Heart and Stroke Foundation of Newfoundland and Labrador.

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