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What follow-up care is recommended for patients who have survived a subarachnoid haemorrhage after initial treatment?
Answer
Agree and document a follow-up care plan with the person after their aneurysmal subarachnoid haemorrhage, providing a paper copy and contact details for ongoing advice and support 1.
Include the follow-up care plan in the person's medical record and discharge correspondence 1.
Offer rehabilitation in line with NICE guidelines on stroke rehabilitation and critical illness recovery 1.
Consider follow-up neuroimaging based on recovery extent and suitability for further imaging 1.
Manage blood pressure in line with NICE guidelines on hypertension 1.
Discuss and document management plans for non-culprit aneurysms, including options like endovascular coiling, neurosurgical clipping, or monitoring, with a multidisciplinary team 1.
Address other conditions such as headaches, seizures, and the risk of future aneurysms, providing appropriate information and management 1.
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