Discharge
Jason’s blood pressure reduction medication is commenced 4 days post stroke (see Topic Loop below for further information). He has had no further seizures and is discharged home with a follow up appointment with the stroke liaison nurse planned for a week later. Jason has also been referred to the specialist alcohol and drugs services who will liaise with him and his partner Suzanne on discharge home.
Follow up
The following week, the stroke liaison nurse visits Jason at home. She measures his blood pressure at 140/87. This is still too high so she advises him to see the practice nurse to have it repeated the following week. She also readdresses the lifestyle risk factors which previously were at the preparation stage of the ‘Readiness to change’ model prior to his discharge to see how he is progressing.
Alcohol – Jason is still planning to reduce his alcohol intake following his 40th birthday which is in one months time. The stroke liaison nurse has some concerns that this might be difficult for Jason as Suzanne reports he has been continuing to drink.
Recreational drugs – Regarding his recreational drug use Jason says “I’ve deleted the number of my dealer from my mobile phone and haven’t seen him since I have been home and I have chucked away all the cocaine that was in the house.”
Topic Loops:
Q. Using the Prochaska and DiClimente model decide which of the stages of change you now think Jason is at regarding his recreational drug use?
Pre-contemplation
Contemplation/Thinking
Preparation/Planning
Action/Making change – ✓ – You have identified that Jason has been taking action to address his use of recreational drugs.
Maintenance or Relapse
Page last reviewed: 05 May 2020
