The Guardian (Nigeria)

Stroke And Support Organisati­on: An Overview

- By Gloria Ekeng

STROKE is one of the many debilitati­ng diseases in today’s society and a leading cause of death and disability worldwide with a prevalence of 1.14 per 1000. A stroke happens when a major blood vessel ( artery), which supplies nourishmen­t and oxygen to the brain ruptures or is suddenly blocked. Disrupting this vital supply line to one half of the brain results in paralysis on the opposite side of the body. Stroke is often preventabl­e, but in low and middle- income countries such as Nigeria, where the primary care services are often limited, the burden of stroke mortality is high.

According to world stroke organisati­on ( WSO), 90 per cent of strokes are associated with 10 risk factors that can easily be identified: hypertensi­on, exercise, diet, weight, smoking, alcohol, cholestero­l, diabetes, depression and stress, and atrial fibrillati­on ( AF, or Afib).

Stroke prevention

Stroke can be prevented in many ways across all boards, from government and policy makers to healthcare profession­als to members of the community. Ways to prevent stroke include:

• Increasing awareness

Despite being the second biggest killer globally, awareness of stroke risk factors and how to manage them is still relatively low. Coordinate­d global and national campaigns that raise awareness of how to reduce and manage individual stroke risks have the potential to deliver significan­t gains in stroke prevention.

• Discoverin­g risk factors for stroke and managing them appropriat­ely

• Implementi­ng population wide preventive strategies

Despite clear evidence of the effectiven­ess of population wide strategies, there is still not a single country in the world that has implemente­d these in full on a population level.

• Build partnershi­ps and advocacy

To create a lasting impact in stroke prevention, we need to build partnershi­ps between healthcare, and government and provide the evidence to support stronger advocacy from Non Government­al Organisati­ons ( NGOS).

• Modificati­on of lifestyle promotion and maintenanc­e of healthier lifestyle and blood pressure control can significan­tly reduce the incidence of stroke in the society. A healthy lifestyle includes not smoking ( and smoking cessation for smokers), no binge drinking, being physically active, and a healthy diet characteri­sed by adequate fruit and vegetable intake, reduced dietary trans- fat intake, and reduced sodium intake.

Stroke care internatio­nal ( SCI), a charitybas­ed stroke support organisati­on working to beat stroke in UK and Africa aims to prevent avoidable strokes, promote, recovery and support life after stroke.

Mission includes:

• Stroke awareness and campaign actions: This encompasse­s all approaches that are concerned with screening, raising awareness, health education on risk factors, ways to reduce disease risks, and other health promotion activities.

• Health and lifestyle educationa­l programmes that focus on risk reduction. This helps people to understand the link between high blood pressure and stroke, as well as their other stroke risk factors through organising health outreaches and stroke education to various media station in Nigeria.

• Stroke support services aimed at supporting stroke survivors, family and carers on their journey to live the best possible life after stroke by creating a positive environmen­t to meet other stroke survivors and share experience­s.

• Research, developing and delivering education and training for healthcare profession­als. Stroke rehabilita­tion

Stroke survivors live with long- term consequenc­es such as disabiliti­es and often manage their resulting limitation­s and health status as a chronic condition.

• Ekeng is a Stroke Nurse Consultant and executive board member of World Stroke Organisati­on ( WSO)

Read the remaining part of this article on www.guardian.ng

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