How is decreased mobility managed in patients with posterior cerebral artery (PCA) stroke?

Updated: Jul 30, 2018
  • Author: Erek K Helseth, MD; Chief Editor: Helmi L Lutsep, MD  more...
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Answer

Painful contractures develop rapidly in weakened limbs and may impede recovery. Early and frequent performance of range of motion can help to prevent this problem.

Weakened patients may fall and suffer traumatic head injury or fractured hips. Close monitoring of patients with cognitive impairment and training of family is important.

Although deep venous thrombosis (DVT) is unusual in patients with isolated posterior cerebral artery (PCA) stroke, any patient who has diminished mobility from stroke (ie, concurrent brainstem stroke) or a comorbid condition should receive prophylactic therapy for DVT. This includes early mobilization, subcutaneous heparin, pneumatic pressure, and elastic stockings.

Decubitus ulcers develop rapidly in immobilized patients. Wet bedclothes facilitate skin breakdown. Attentive nursing care is essential.


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