Registered Nurses' Association of Ontario

Nursing Best Practice Guidelines

Complications as Experienced by Many Clients Post Stroke

 • Falls (Lindsay et al., Update 2010; McLean, 2004; Tsur & Segal, 2010; Wagner, Phillips, Hunsaker, & Forducey, 2009; Watanabe, 2005) and potential for falls resulting in hip fractures (Czernuszenko & Czlonkowska, 2009; Eng, Pang, & Ashe, 2008; Mackintosh et al., 2005; Pouwells et al., 2009),
• Fatigue & depression (Schepers, Visser-Meily, Ketelarr, & Lindeman, 2006; Smith, van den Broek, Renkens, & Denollet, 2008),
• Nocturnal hypoxia (see Recommendation 3.0),
• Potential development of pneumonia from immobility (Grajales et al., 2010; McLean, 2004; 2007) and dysphagia (Hinchey et al., 2005; Masiero et al., 2008).
• Pressure ulcers (McLean, 2004; 2007),
• Shoulder pain (Chae et al., 2007; Lindsay et al.; McLean, 2004; Suethanapornkul et al., 2008),
• Spasticity/contractures (Sommerfeld, Eek, Svensson, Holmqvist, & von Arbin, 2004),
• Urinary tract infections (Lindsay et al.; McLean, 2004 & 2007), and
• Venous thromboembolism (Lindsay et al.; McLean, 2007).

 

A cohort study by Sackley et al. (2008) identified that mobility-related complications such as falls, contracture, pain, shoulder pain, depression and pressure sores remain common in the first year and early assessment and implementation of interventions to prevent or limit complications are necessary.