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Healthy Hearts Webinar Series: 02 Signs of a Stroke

Sarah Falcone, RN, and Yesica Santana, RN, discuss the importance of recognizing the signs of stroke, how to reduce your risk of a stroke, identifying if you are having a stroke, and what to do if you are having a stroke—concluded by Q&A with Sarah and Yesica and fellow Heart of a Giant Nurses, Maria and Idongesit. After watching this webinar, you will have a clear understanding of what a stroke is and what to do if you see signs of a stroke. Click here to download the materials from the webinar.

4:39 Introduction to Sarah and Yesica
4:57 Heart of A Giant Foundation’s Mission
5:10 Stroke Facts
5:50 What is a Stroke?
6:43 Ischemic Stroke
7:16 Hemorrhagic Stroke
7:20 Transient Ischemic Attack known as TIA “mini-stroke.”
7:50 Stroke Risk Factors
9:22 Some have a Higher Risk
10:16 The Simple 7 to Reduce your Risk of a Stroke
12:31 Stroke Warning Signs
12:52 F.A.S.T acronym to remember the signs of a stroke
13:11 The Signs of a Stroke
15:27 Other Symptoms of a Stroke
16:25 If you think you are having a stroke
17:03 Steps to take before an Emergency
18:41 F.A.S.T acronym, and Does it work for all types of stroke?
47:53 Call to Action to Join the Healthy Hearts Community Program

What is a Stroke? (5:50)

A stroke occurs when blood circulation to the brain is affected; either the blood flow is stopped, or, impaired. As a result, the blood can’t get to the part of the brain that it needs to for your brain.

Three types of Strokes
– Ischemic: Blood vessels are blocked by a clot or fatty plaque or burst.
– Hemorrhagic: A brain bleed
– Transient Ischemic Attack (TIA): Mimi-stroke

Factors that can increase your risk (7:50)
Age- The chance of a stroke doubles for each decade of life over age 55
Heredity (Family History)- Higher risk if grandparents, parents, sister, or brother have had a stroke.
Race/Ethnicity- African- Americans have a much higher risk of death from stroke.
Sex- Women have more strokes than men
Prior Stroke, TIA, or Heart Attack- If you’ve had a stroke or heart attack, your risk increases.
The Simple 7 to reduce your risk (10:16)

  1. Get Active
  2. Eat Better
  3. Control Weight
  4. Avoid Smoking
  5. Manage Cholesterol
  6. Maintain Blood Pressure
  7. Control Blood Sugar

Plus, Get regular check-ups and take medicine as prescribed.

Stroke Warning Signs (12:31)
Use F.A.S.T to help see the warning signs
F.A.S.T is an acronym for Face. Arm. Speech. Time

Face Drooping- Does one side of the face droop, or is it numb? Ask the person to smile, and look to see if it is uneven.
Arm Weakness- Is one arm weak? Ask the person to raise both arms. Does one arm drift downward?
Speech Difficulty- Is speech slurred? Is the person unable to speak? Ask the person to repeat a simple sentence like “The sky is blue.” Is the sentence repeated correctly?
Time to Call 9-1-1- If someone shows any of these symptoms, even if the symptoms go away, call 9-1-1 and get them to the hospital immediately. Check the time, so you’ll know when the first symptoms appeared.

Other Symptoms (15:27)
– Sudden numbness or weakness of the leg, arm, or face.
– Sudden confusion or trouble understanding
– Sudden trouble seeing in one or both eyes
– Sudden trouble walking, dizziness, loss of balance, or coordination
– Sudden server headache with no known cause

Call 9-1-1 if someone shows any of these symptoms

If you think you are having a stroke
Get to the hospital right away
Don’t drive yourself (get a neighbor or a family member to drive you)
Get Help F.A.S.T

Four out of five strokes, about 80% can be prevented. So that means they could not have happened.

Resources in this Webinar

Learn more about Healthy Hearts Communities “I Am Because We Are.”

Comprehensive healthcare support, education, coaching, and access to digital health technology to patients and their families between doctor’s visits to better health outcomes.
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Here are some key moments in the discussion:

10:31 Yesica on routine “I always tell as a coach, as a registered nurse I would say, stay active, get active, get a routine every day. Moving your body is really really beneficial for you to have a routine and keep moving.”

13:22 Yesica on Identifying Signs “Most people would have even side of the face, and you will notice, right. And also, they will be complaining of numbness. And one of the things that you could do is to ask the person, can you smile for me?”

19:00 Yesica “F.A.S.T. It’s actually proven by the American Heart Association (AHA) that it is part of the warning sign, and it can, does save your life.”

19:14 Sarah “ I just wanted to mention that there was a study in the AHA Journal. They studied patients who, I guess, came into the hospital with the fast signs of a suspected stroke. And they found out that a F.A.S.T assessment will give an 88% sensitivity for detecting a stroke. There are some types of stroke that maybe that face arms and speech won’t signal.”

21:19 Idongesit on knowing the signs “mentioned that there are sometimes different presentations in women. So women may have atypical signs such as jaw pain, and may not know until it’s too late.”

24:10 Sarah on stroke severity “Strokes can be very mild, such as the case of the TIA, the trans ischemic attack, or the mini-stroke. Those sometimes may not leave any sequella or symptoms after they resolve on their own.”

24:52 Sarah on stroke severity “You can have a severe stroke that may cause a person not to be able to walk or talk anymore for the rest of their life, or they could have a very sudden stroke that causes the brain to stop. And a patient becomes brain dead or dies. So it could be a wide range of different types of strokes and how serious they depend on the case.”

31:47 Maria on atypical signs of a stroke in Women “One thing that is important for women to know is that if you, all of a sudden, are they’re asleep and you wake up with what we call a Thunderclap headache, an unusual headache. You may have chronic headaches, but one day you wake up with a more severe headache. And it’s like the worst headache of your life. That’s a 9 1 1 because you may not have any other symptoms, but that can be a big sign for stroke.”

32:55 Sarah, on an atypical case of a women patient, “I had a lady. Who thought her glasses prescription was wrong. She had a sudden change in vision, but she thought, oh, it’s just time for me to get my eyes checked. I haven’t had my eyes checked in a long while, so she put it off another month or so. And by the time she went to the doctor and they looked at her eyes, the eye doctor, they came out and said, ma’am, I’m sorry, you need to go to the hospital right now. There’s been. Something we can see something’s blown out in your eye, and you need to get a brain scan right now. So that’s an example, a real-life example. If you can see across the room one day and tomorrow you can’t, call your doctor.”

39:11 Maria’s personal story “My husband had a stroke, and he had numbness in his right leg for quite a while. And he the most motive motivated person. I know. And he not only went to rehab, but when he came home, he did his own. Own therapy, own rehab, and now he’s fully functioning, and back to work. So again, as Sarah said, it always depends on the person and how hard they’re going to work. Somethings you can’t get back depending on where the stroke is.”

Healthy Hearts Webinar Series: 01 High Blood Pressure talks alongside Idongesit Obeye she is an RN, BSN, MSN-prepared nurse with licensure in New York, New Jersey, and Massachusett, about blood pressure and the normal range for blood pressure numbers, how High Blood Pressure (Hypertension) can impact your health, and what you can do to help control blood pressure —concluded by Q&A Idongesit, and fellow Heart of a Giant Nurses, Maria Dalomba and Velma Glover. After watching this webinar, you will learn how to prevent and manage High Blood Pressure.3:00 Introduction to Bouba
3:28 Heart of A Giant Foundation’s & Healthy Heart Community Mission
5:27 Empower to serve
6:35 Idongesit’s Introduction
8:35 Having High Blood Pressure, you are not alone
10:01 Who is most affected by High Blood Pressure?
10:50 What is blood pressure?
12:06 What do the blood pressure numbers mean?
12:54 What is Systolic blood pressure
13:07 What is Diastolic blood pressure
14:47 Healthy and unhealthy blood pressure ranges
16:55 Preventing and managing high blood pressure
17:51 High blood pressure lifestyle changes
18:33 Having High blood pressure can hurt your body
19:00 A unhealthy diet can increase your risk factor for High Blood pressure
19:28 High blood pressure can affect the whole body
21:05 Hypertension stage 1 high risk
21:55 Hypertension stage 2 high risk
22:55 Non-modifiable risk factors
25:50 Modifiable risk factors
27:44 Be empowered with Blood Pressure control
28:21 Take your medication if prescribed
28:55 Be aware of how certain over-the-counter medications can affect your Blood Pressure
29:30 Working with your health care provider and making lifestyle changes, you can control your Blood Pressure.
29:41 Monitor your Blood Pressure at home
30:12 Where you can purchase blood pressure monitors
30:33 Sarah Falcone Introduction
34:37 Q&A Having High Blood Pressure, you are not alone (8:35)
More than half of American adults have high blood pressure. Many don’t even know they have it. High blood pressure can be a silent killer.
-Over 1-2 African Americans have high blood pressure
– Over 1-3 Asians, Island Pacific have high blood pressure
– Over 1-3 Hispanic, Latinx have high blood pressureWhat is Systolic and Diastolic mean? (12:54-13:07)
The top number is Systolic pressure, which is the force your blood flows to your arteries as it comes out of your heart.
The bottom number is Diastolic pressure, which is how much pressure your heart exerts against your artery walls while it rests between beats.
There is a third number which is your pulse.
Some things to look for:
If Systolic pressure is higher than 130 and Diastolic pressure is higher than 80. You may have high blood pressure. Your health care provider may recommend monitoring your blood pressure and determine if it is situational or not.Stage 1 Hypertension (130 -139 Systolic and 80-89mm Diastolic) (21:05)
At this stage, your health care provider will prescribe a treatment plan with lifestyle changes and
May consider medication for blood pressure based on your risk of atherosclerotic cardiovascular diseases, such as heart attack or stroke.Stage 2 Hypertension (140 Systolic /90mm Diastolic) (21:55)
At this stage, your care provider will likely prescribe blood pressure medication and lifestyle changes.
It is important to find a health care provider who has a history of helping patients with hypertension.Risk factors for developing High Blood Pressure
As mentioned earlier, some risk factors are predisposed for some individuals in the minority community.
Non-Modifiable risk factors (22:55)
-Family History
-Increased Age
-Male Gender
-Race/Ethnic background
-Chronic Kidney Disease
-PregnancyModifiable risk factors (25:50)
-Lack of physical activity
-Unhealthy diet
-Drinking too much alcohol
-Smoking and tobacco
-Being overweight or obese
-High cholesterol
-StressResources in this Webinar more about Healthy Hearts Communities “I Am Because We Are.” healthcare support, education, coaching, and access to digital health technology to patients and their families between doctor’s visits to better health outcomes.
Sign up here for the Healthy Hearts Community. It’s FreeHere are some key moments in the discussion:5:10 Bouba “The idea of community and that’s where we, always try to bring in
African philosophy of Ubuntu, “I am because we are,” in Africa, in most places, we believe that we are all part of the community. So we are better when a community is better and vice versa.”7:27 Idongesit “If I asked for a show of hands, how often have you gone to see a doctor’s office and feel like you were rushed out of the office, or you only spent 10 minutes with the doctor? Not really having time to talk about what you really came in for, so it happens healthcare, unfortunately, has become very–speedy and almost conveyor belt like in nature. Where you get in, and you get out. Whatever the doctor says, you go home without understanding what was said.”17:50 Idongesit “When we talk about lifestyle changes, if you’re somebody that has a desk job, and you don’t commute a lot, we, all of us working from home. Most of us have become less and less active. So lifestyle change can include exercising, changing your diet, or at least modifying your diet or adding things that get you moving”Idongesit “People talk about physical activity. Oh, I don’t want to go to the gym. I don’t have time to go to the gym. I work, I’m a mom, all those things. So yes, they do apply. But I think, if anything, this pandemic has taught us to step away from the traditionalist way of thinking. If you can move your feet in any direction, put on music, dance to it, clean your house, and move around. That counts as exercise. You can go out and take 30 minutes to walk.”32:21 Maria “I want to say that I really enjoyed how you made the analogies because it’s hard for a person who hasn’t been to medical school or who is. Finding out that they have high blood pressure to stand the numbers and understand what’s going on in their bodies. And so it’s important for us to educate the community so that they know what those numbers mean.”32:43 Maria “Another important thing is you get one high blood pressure, your first one, don’t panic. Blood pressure goes up and down. So could be triggering you, your blood pressure goes up, you relax, you dance, your blood pressure comes down.”33:31 Velma “One really common thing, and maybe it was already stated, but dehydration is a prevalent problem that can also cause high blood. Dehydration, you may not think much of it, but it matters a lot to your health and wellbeing. So being able to drink water is half of your body weight. For example, if you weigh 150 pounds and divide that in half to be 75 ounces, which is close to nine cups of water.”The way we diagnose somebody with high blood pressure is that you have to have three consecutive readings. So you come in the first time, and your blood pressure is 140 over 90. So we’reWe’s not going to diagnose you that day with high blood pressure. We will have you follow up in a week, and recheck that.Now, the next week you can say, oh, you know, I was late again, and be anxious, we may ask you to check your blood pressure at home. And then if you come in a third time and your blood pressure is still high, it’s most likely that you are hypertensive.”