Back home after transient ischaemic attack (TIA)

Some people were seen by their GP or were taken to A&E after their TIA or minor stroke, and once their symptoms had subsided and medication (primarily aspirin) had been prescribed were able to go home to recover. Some people were given further appointments to visit a TIA clinic or outpatient department at a later date. A few of these people, particularly where there were no lasting effects, viewed the episode more as a ‘warning’ and spoke in positive terms about getting on with life, putting it behind them and that it was important not to dwell on things.

Ken who had fully recovered by the time he returned home feels its important to keep going – it…

Age at interview 78

Gender Male

Age at diagnosis 74

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Brian recovered completely from his TIA and doesnt think too much about it now I was over it…

Age at interview 85

Gender Male

Age at diagnosis 84

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Some, but not all of the people we interviewed had been admitted into hospital for a few days and in some cases a few weeks. Although it was usually a relief to be back home, it could be difficult to adjust to normal life again, particularly if they were experiencing residual symptoms (see ‘Residual symptoms‘). Most people were shocked to have been diagnosed with a TIA or minor stroke and it took a while for them to come to terms with what had happened to them. Because quite often a TIA or minor stroke happens without prior warning, some people were worried that they might have another episode. It could also be difficult to come to terms with the lifestyle adjustments that were recommended by the doctor or consultant (see ‘Lifestyle changes‘).

Clare was left with a feeling of fear and uncertainty when she returned home and she worried that…

Age at interview 50

Gender Female

Age at diagnosis 48

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Ken felt shocked and upset at first that this had happened to him because up until then hed been…

Age at interview 68

Gender Male

Age at diagnosis 68

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For some people the fear of a repetition of events led to more extreme anxiety. A few people saw their doctor about this and were prescribed anti depressants, or referred for counselling, but not everyone mentioned it to their GP. Brian (Interview 08) said he kept his depression to himself as he didn’t want to be on anti-depressant medication. David (below) said he was sent home from hospital without much information about his condition, and he felt he needed more support afterwards. When Michelle was sent home she was feeling very upset and was still experiencing symptoms but had not yet been given any explanation about what had been wrong.

Ros who lives alone felt that after her TIA her anxiety about having another stroke got out of…

Age at interview 69

Gender Female

Age at diagnosis 69

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David felt lost when he returned home and didnt know how to cope

Age at interview 67

Gender Male

Age at diagnosis 67

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A few other people, like David, were disappointed with the lack of support afterwards. He described it as like ‘being in the wilderness’. A small minority of people said that they had been let down by ‘administrative errors’ that had left them waiting for a long time without a proper diagnosis, or as in David’s case being sent home without the home care /support team being notified.

The co-ordinator in the hospital and the practice nurse admitted that an administrative error had…

Age at interview 67

Gender Male

Age at diagnosis 67

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Rich feels that the support team should be aiming at getting him back to how he was before the…

Age at interview 66

Gender Male

Age at diagnosis 62

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Support from family and friends helped people to re-adjust to life at home again. A number of people said they felt it was important to be able to talk to other people about fears and worries, and that family and friends needed to know what was wrong and how they could help.

John felt able to talk to his wife and family about how frightened he had felt and says its…

Age at interview 59

Gender Male

Age at diagnosis 58

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Some people relied on their partner or spouse to care for them after they returned home. At times this could feel a bit much, and it could be difficult in the early days at home to work out just how much help was needed or wanted.

Angus wife worried about him and wanted him to take things easy but he didnt want to be…

Age at interview 61

Gender Male

Age at diagnosis 60

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For some people this was a double edged sword, not wanting to burden someone else, but at the same time finding that it strengthened the bond between them (see also ‘Support and information‘ and ‘Talking about it‘).

Yvonnes husband has cancer and so they support each other through difficult times. At first he…

Age at interview 54

Gender Female

Age at diagnosis 54

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George’s wife worried about him over- doing things and sometimes he felt she was nagging him…

Age at interview 77

Gender Male

Age at diagnosis 71

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David feels guilty that he has to rely so much on his wife now but feels that overall it has…

Age at interview 67

Gender Male

Age at diagnosis 67

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A few of the people we interviewed lived alone and said that it was important to keep in touch with friends and family and not to be alone with their worries and anxieties.

Jennfier worries sometimes that if she had another episode that she would not be able to alert…

Age at interview 55

Gender Female

Age at diagnosis 53

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Ann recently experienced symptoms similar to those of her previous TIAs and she felt worried…

Age at interview 79

Gender Female

Age at diagnosis 72

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