Monitoring a patient following an acute ischaemic stroke

Stroke is a leading cause of death and disability, causing around 38000 deaths each year in the UK, while approximately 1.3million people live with the effects of stroke. The World Stroke Organisation reported that 1 in 4 adults over the age of 25 years will experience stroke in their lifetime, with a loss of 143million healthy years lost each year. Monitoring a patient following an acute ischaemic stroke is critical to assess recovery, prevent complications, and optimise treatment. The initial phase focuses on stabilising and monitoring changes in the patient's condition. Continuous monitoring of vital signs alongside neurological assessment and haemodynamic and metabolic monitoring is necessary to determine changes in the person's condition and any progression of stroke symptoms. Early detection of post-stroke complications can significantly impact recovery and close monitoring allows for prompt intervention. Nurses play a significant role in the care of the person following an acute ischaemic stroke and, together with the multidisciplinary team, ensure comprehensive care is provided. This article outlines the key aspects of monitoring a patient after an acute ischaemic stroke and how the likelihood of complications can be reduced.