Stroke
Stroke is a disease that is ideally suited for preventative efforts since it is very common, very costly and has well defined modifiable risk factors. Several risk factors have been identified that when controlled will result in significant decreases in stroke rates. High-risk individuals can be identified, even prior to having an initial episode, and with behavioral, lifestyle and medication interventions they can reduce their risk. Even in patients who have already experienced a stroke event, therapies that target atherosclerosis can lower the risk of recurrent events and death.
The Stroke Prevention Program is designed for individuals who have risk factors for stroke, including obesity, diabetes, hypertension, elevated cholesterol and family history of strokes or cerebrovascular disease. In addition, individuals who have already suffered a primary stroke or transient ischemic attack will benefit from the program to prevent recurrent episodes.
Patients may be self referred or referred at hospital discharge, by primary care physicians or other medical specialists. Initial evaluation will include a history and physical exam and measurement of physical signs and laboratory studies to assess stroke risk. Program components include a smoking cessation program when appropriate, nutrition evaluation and counseling, exercise program and medical follow up for diabetes, hypertension, elevated cholesterol and possibly antithrombotic therapy. Involvement in an ongoing program is designed to maximize compliance and therefore risk reduction. Each patient will be matched with a Case Shepherd, who will personally make sure they are following through.