stroke home services quality reports & minutes guiodelines & protocols

stroke information

rehabilitation & the multidisciplinary team
-- occupational therapy
-- speech & language therapy

Initial Management of Stroke in Orkney

The majority of stroke patients will require urgent admission to hospital for accurate diagnosis, medical and nursing interventions and appropriate rehabilitation to reduce impairment and disability.

Most people who have had a stroke are admitted to the Balfour Hospital, to one of the Acute Male or Female wards initially, for diagnosis, medical and nursing interventions and to initiate rehabilitation.

Because the treatment of cerebral infarct and cerebral haemorrhage is different, most people who have had a stroke need a CT scan. Indeed, one of the National Standards for stroke care is that 80% of patients with a stroke should have a scan within 48 hours of admission.

However, there is no CT scanner in Orkney, so we have to transfer patients to the Stroke Unit in Aberdeen for this to be done.

computerised tomography scanner

After returning from ARI, the rehabilitation that started before transfer is carried out in a variety of settings in the Balfour, but principally in Piper Ward, where the staff have built up a considerable amount of expertise in the multidisciplinary rehabilitation of stroke patients.