Cardiovascular & Stroke Risk (QMS-F057) CARDIOVASCULAR & STROKE RISK (QMS-F057) Notify Document Ref: QMS-F057 (Cardiovascular & Stroke Risk) Version: 1.0 Confidentiality Level: HIGH (Medical Records) CQC Alignment: Safe (Mitigating Risk) Service User Full NameService User ID NumberOperating Local Authority- Select -HaringeyIslingtonWaltham ForestBarnetOtherCare Funding & Financial Arrangements- Select -Local Authority Managed (Direct Commissioning)NHS Funded (Continuing Healthcare - CHC)Direct Payments (Personal Budgets)Self-Funded (Full Cost)OtherSECTION 1 - Cardiovascular BaselineIdentified Cardiovascular Conditions: Hypertension (High Blood Pressure) Hypotension (Low Blood Pressure) Angina Pectoris Heart Failure Atrial Fibrillation (Irregular heartbeat) Pacemaker / Defibrillator fitted No known cardiovascular conditionsDoes the service user experience frequent chest pain, palpitations, or severe breathlessness upon minor exertion?- Select -YesNoSECTION 2 - Stroke / TIA HistoryHas the service user previously suffered a Stroke or TIA (Mini-stroke)?- Select -Yes - StrokeYes - TIA onlyNoResidual Physical & Cognitive Effects of Stroke: Left-sided weakness / paralysis (Hemiplegia) Right-sided weakness / paralysis (Hemiplegia) Facial drooping Speech impairment (Aphasia / Dysphasia) Swallowing difficulties (Requires IDDSI diet - Link to Form 76) Cognitive impact / Memory loss Fully recovered (No residual effects)Specific Care Adaptations for Stroke RecoverySECTION 3 - Health Monitoring & MedicationsIs the service user prescribed Anticoagulants (Blood thinners like Warfarin or Apixaban)?Blood thinners mean any minor cut or fall requires immediate medical attention due to severe bleeding risks.Yes (High bleeding risk)NoAngina Management (GTN Spray)- Select -GTN Spray prescribed (Self-administers)GTN Spray prescribed (Care Worker assists/prompts only)No GTN spray prescribedDoes the service user require Care Workers to record daily Blood Pressure readings?- Select -Yes (Must log on Form 96)NoMandatory BP Monitoring Rule- Select -I confirm that only Care Workers with formally documented competency training will be assigned to take and record blood pressure readings.SECTION 4 - Emergency Protocol & Sign-offEmergency Action Plan (Cardiac Event / Suspected Stroke)Assessor NameDate of AssessmentSave Cardiovascular Risk
