Implementing a stroke risk assessment program in a community setting

Stroke, one of the most catastrophic medical events to befall an individual, is also one of the most preventable. Stroke risk assessment screenings (SRAS) provide an ideal means of lowering the risk by identifying high-risk individuals and educating the community about recognition and prevention of stroke. To facilitate public awareness in a northwestern Pennsylvania county, a multifocal media campaign was initiated approximately 2 months before the screening program. From April 1 to June 30, 1998, screenings were offered free-of-charge at 61 public sites. The screenings were staffed by volunteer nurses. A brief health history was taken and risk factor assessments (blood pressure, pulse, and carotid bruit screening) were performed. Individualized action plans were developed and discussed with the participants. The signs and symptoms of stroke were reviewed and educational material provided. Utilizing American Heart Association (AHA) guidelines, the nurses recommended medical follow-up as appropriate. With 3,116 individuals evaluated, this program represented the largest coordinated effort by any county in Pennsylvania. This program was thought to be instrumental in increasing community awareness of stroke.