HEMISPHERES VII DISCHARGE CONSIDERATIONS
AND STROKE PREVENTION QUESTIONS WITH
VERIFIED ANSWERS
Education core measure
Required performance measure
Educate on stroke pathophysiology, signs and symptoms,
medications, and prevention provided to family caregiver
Discharge mrs
Required performance measure
mRS at discharge
90 day post discharge mRS
<= 2 is favorable outcome
Rehabilitation Goals
Required performance measure
Establish goals for physical, occupational and speech therapy
Teaching topics for stroke
Required performance measure
*Stroke -what caused, symptoms, what to do, and when to call
911
, *Medications - use, dosage, possible side effects
*Risk factors and comorbidity management - most common are
HTN DM, Afib, heart, lung, kidney disease
*Smoking cessation - counseling or advice if needed
*Follow-up - on appointment's importance
Home safety - mobility impairment, fall risk
Personal needs - incontinence, sexual performance
Therapies- address communication, pain, spasticity and physical
rehab
Caregiver skills training - specific to patient needs
Lifestyle changes - ability to return to work or live
independently
Psychosocial support - cognitive impairment, depression
Four types of meds required for performance measure
Antiplatelets
Anticoagulants
Lipid lowering medications
Antidepressants
Anticoagulants types
apixaban, dabigatran, edoxaban, rivaroxaban, or warfarin
High intensity statin therapy
Atorvastatin 40-80 mg (Lipitor)
Rosuvastatin 20-40 mg (Crestor)
AND STROKE PREVENTION QUESTIONS WITH
VERIFIED ANSWERS
Education core measure
Required performance measure
Educate on stroke pathophysiology, signs and symptoms,
medications, and prevention provided to family caregiver
Discharge mrs
Required performance measure
mRS at discharge
90 day post discharge mRS
<= 2 is favorable outcome
Rehabilitation Goals
Required performance measure
Establish goals for physical, occupational and speech therapy
Teaching topics for stroke
Required performance measure
*Stroke -what caused, symptoms, what to do, and when to call
911
, *Medications - use, dosage, possible side effects
*Risk factors and comorbidity management - most common are
HTN DM, Afib, heart, lung, kidney disease
*Smoking cessation - counseling or advice if needed
*Follow-up - on appointment's importance
Home safety - mobility impairment, fall risk
Personal needs - incontinence, sexual performance
Therapies- address communication, pain, spasticity and physical
rehab
Caregiver skills training - specific to patient needs
Lifestyle changes - ability to return to work or live
independently
Psychosocial support - cognitive impairment, depression
Four types of meds required for performance measure
Antiplatelets
Anticoagulants
Lipid lowering medications
Antidepressants
Anticoagulants types
apixaban, dabigatran, edoxaban, rivaroxaban, or warfarin
High intensity statin therapy
Atorvastatin 40-80 mg (Lipitor)
Rosuvastatin 20-40 mg (Crestor)
