![]() The exact mechanism of urinary incontinence after a stroke is unclear. Adequate education and support may restore the independence of patients with stroke or minimise any resultant dependency.įollowing stroke, patients often experience variable degrees of urinary frequency, urgency or incontinence due to neurogenic bladder, leading to incomplete bladder emptying. Primary care physicians can identify and treat post-stroke mood issues and involve psychological counselling for patients and caregivers. ![]() Instituting secondary prevention and attention to bowel and bladder problems can help reduce medical complications and re-admissions, while adequate analgesia, positioning/splinting of limbs and physiotherapy can lessen discomfort and preventable suffering. ![]() Early screening and appropriate management is key. The primary care physician is best positioned to optimise chronic disease control, reduce risk and manage complications of stroke. Over time, the immediate clinical consequences of the stroke are complicated by a variety of lesser-known medical, musculoskeletal and psychosocial difficulties. For many stroke survivors and their families, the acute stroke is the beginning of an ongoing struggle with physical impairment and subsequent disability. ![]() Despite a decline in mortality from stroke, the annual incidence in the general population is increasing.
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