Stroke Center Services

 
The caring professionals at the Certified Primary Stroke Center provide:

  • Accurate diagnoses, using the latest procedures and equipment
  • State of the art therapy including IV tPA and mechanical clot removal
  • Compassionate treatment across the continuum of care
  • Current information for the prevention of stroke

Diagnosis

  • Neuroimaging

    • Magnetic resonance imaging (MRI) produces a 3-dimensional, detailed image of the head, which is used to pinpoint the size and location of a stroke.
    • MR angiography is a thorough MRI study of the blood vessels.
    • Computed tomography (CT) perfusion is used to help neurologists determine the best treatment for a stroke patient.
    • Transthoracic and transesophageal echocardiography (TTE, TEE) are tests that use ultrasound waves to take pictures of the heart and the circulating blood. They are useful in helping to determine the cause of a stroke.
    • Carotid duplex scanning is a test that uses ultrasound waves to take a picture of the carotid arteries in the neck, which carry blood to the brain.
  • The NIH Stroke Scale is a test done by certified nurses and physicians to assess the extent of injury and to make sure that the stroke has stabilized. It is a series of questions asked to stroke patients, such as: “What is the date? What time is it? Where are you?” They also test the strength of a patient’s arms and legs. These are way to monitor the effects of a stroke. is a test done by certified nurses to assess the extent of injury and to make sure that the stroke has stabilized. 

Treatment

  • Acute care (immediate, short-term care in the hospital) for stroke patients includes a wide range of treatments, depending on the type and severity of the stroke.
    • Intravenous tPA (clot buster)
    • Thrombectomy: PeaceHealth Sacred Heart Medical Center at RiverBend has established a 24/7 thrombectomy program to treat large vessel occlusions, the most severe kind of stroke. This therapy requires emergent extraction of the clot from the brain using a small tube (catheter) threaded up from the groin. By rapidly removing these clots, patient outcomes are significantly improved. Our successful thrombectomy program is the result of extensive collaboration between regional EMS, ED providers, neurology, and radiology. PeaceHealth Sacred Heart Medical Center at RiverBend is the only center in Oregon outside of Portland to provide 24/7 thrombectomy for patients with large vessel occlusion.

    • Emergency treatment
    • Medications to prevent blood clots from forming
    • Tests to measure blood sugar, risk of heart attack, and the level of oxygen in the blood
    • Constant monitoring of vital signs, including heart activity
  • Secondary care involves treatment in the hospital to prevent complications. It focuses on helping patients overcome some of stroke’s most serious effects and to make them as independent as possible.

    • Surgical procedures, including carotid endarterectomy and stenting, aneurysm treatment, and full compliment of cardiac therapy.
    • Interventional radiology, a medical specialty where doctors use imaging technologies to discover blockages in arteries and to treat damaged arteries
    • Extensive investigation of cause of stroke and treatment of the cause
    • Creation of a plan of care with the help of a speech therapist, physical therapist, and occupational therapist
    • Information on self-care, at-home care, family involvement, rehabilitation facilities, and preventing a second stroke
  • Follow-up care is treatment for stroke patients after they leave the hospital and move on to a rehabilitation center or back home.
    • Physical therapy: relearning to walk, sit, lie down, switch from one type of movement to another
    • Occupational therapy: relearning to eat, drink, swallow, dress, bathe, cook, read, write, use the toilet
    • Speech therapy: relearning speech and language skills
    • Psychological therapy: help in dealing with mental or emotional changes
  • Palliative care is hospice care in a hospital setting. It addresses the physical, emotional, spiritual, and practical needs of the dying person and the family. A new Palliative Care Center will be located within Sacred Heart Medical Center at RiverBend.

Prevention

The Certified Primary Stroke Center provides a wide assortment of resources used in the prevention of stroke:

  • Referrals and partnerships with community groups
  • Involvement in support groups
  • Free publications
  • Web sources
  • Stroke awareness campaigns
  • Expert speakers available to make presentations to community groups