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Source: American Medical Directors Association (AMDA). Stroke management and prevention in the long-term care setting. Columbia (MD): American Medical Directors Association (AMDA); 2005. 40 p. Stroke ACUTE STROKE. Does the patient show signs or symptoms of an acute stroke? Recognition POST-STROKE. Has the patient had a previous stroke or a TIA? Has the patient already been evaluated appropriately? STROKE PREVENTION. Does the patient have risk factors for stroke? Monitor for subsequent risk factors or symptoms. ACUTE STROKE. Confirm that the patient is suffering an acute stroke. Assessment ACUTE STROKE. Assess the appropriateness of transferring the patient to a hospital for further evaluation and treatment. ACUTE STROKE. Perform a diagnostic evaluation for acute stroke. ACUTE STROKE/POST-STROKE. Perform a multidisciplinary functional assessment. ACUTE STROKE/POST-STROKE. Summarize the patient's condition. ACUTE STROKE. Treat medical conditions that accompany or mimic a stroke. Treatment ACUTE STROKE/POST-STROKE. Develop and implement a care plan to identify and address stroke-related complications. ACUTE STROKE/POST-STROKE. Develop and implement a multidisciplinary treatment plan that treats stroke complications. POST-STROKE. Develop and implement a rehabilitation plan to maximize function. POST-STROKE. Develop and implement a plan for preventing recurrent strokes. STROKE PREVENTION. Address stroke risk factors. Monitor and periodically document the physical, functional, and psychosocial progress of the patient with an old or new stroke. Monitoring Monitor the patient to ensure that modifiable risk factors for stroke are adequately controlled. Monitor the facility's management of stroke and stroke risk factors. All copyrights are reserved by the American Medical Directors Association.