This guideline offers best practice advice on the care of adults with acute stroke or TIA.
Treatment and care should take into account peoples' needs and preferences. People with acute stroke or TIA should have the opportunity where possible to make informed decisions about their care and treatment, in partnership with their healthcare professionals. However, the person's consent may be difficult to obtain at the time of an acute episode, or where the stroke or TIA results in communication problems. If the person does not have the capacity to make decisions, healthcare professionals should follow the Department of Health's advice on consent and the code of practice that accompanies the Mental Capacity Act. In Wales, healthcare professionals should follow advice on consent from the Welsh Government.
Good communication between healthcare professionals and people with acute stroke or TIA, as well as their families and carers, is essential. It should be supported by evidence-based written information tailored to the person's needs. Treatment and care, and the information people are given about it, should be culturally appropriate. It should also be accessible to people with dysphasia or additional needs such as physical, sensory or learning disabilities, and to people who do not speak or read English.
Where appropriate, families and carers should have the opportunity to be involved in decisions about treatment and care.
Families and carers should also be given the information and support they need.