{"id":683392,"date":"2026-05-31T14:30:51","date_gmt":"2026-05-31T12:30:51","guid":{"rendered":"https:\/\/www.dynseo.com\/prevenir-un-second-avc-guide-pratique-pour-les-familles-et-soignants-2\/"},"modified":"2026-05-31T14:34:42","modified_gmt":"2026-05-31T12:34:42","slug":"preventing-a-second-stroke-practical-guide-for-families-and-caregivers","status":"publish","type":"post","link":"https:\/\/www.dynseo.com\/en\/preventing-a-second-stroke-practical-guide-for-families-and-caregivers\/","title":{"rendered":"Preventing a Second Stroke: Practical Guide for Families and Caregivers"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Article HTML&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row admin_label=&#8221;Contenu&#8221; _builder_version=&#8221;4.16&#8243; width=&#8221;100%&#8221; max_width=&#8221;100%&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; 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{\n.dbi-art-32de5d .cta-formation, .dbi-art-32de5d .cta-outil {flex-direction:column}\n.dbi-art-32de5d .cards-grid {grid-template-columns:1fr}\n.dbi-art-32de5d .cta-formation-main .cta-body {padding:24px}\n}<\/p>\n<\/style>\n<div class=\"dbi-art-32de5d\">\n<header class=\"hero\">\n<div class=\"hero-tag\">\ud83e\udde0 Stroke \u00b7 Prevention \u00b7 Rehabilitation \u00b7 Support<\/div>\n<h1>Preventing a second Stroke:<!\u2013- [et_pb_br_holder] -\u2013>practical guide for families and caregivers<\/h1>\n<pee class=\"hero-sub\">Understanding risk factors, monitoring warning signs, supporting rehabilitation, and actively engaging in prevention of recurrence \u2014 everything that the support network can do concretely<\/pee>\n<div class=\"hero-meta\">\n    <span>\ud83d\udcd6 Reading: ~22 min<\/span><span>\u2705 Updated 2026<\/span><span>\ud83c\udfe5 Families &amp; caregivers Stroke<\/span>\n  <\/div>\n<\/header>\n<div class=\"stats-bar\">\n<div class=\"stats-grid\">\n<div class=\"stat-item\"><span class=\"stat-num\">25 %<\/span><span class=\"stat-label\">of people who have had a Stroke have a second one within 5 years<\/span><\/div>\n<div class=\"stat-item\"><span class=\"stat-num\">80 %<\/span><span class=\"stat-label\">of second Strokes are preventable through active prevention<\/span><\/div>\n<div class=\"stat-item\"><span class=\"stat-num\">3\u00d7<\/span><span class=\"stat-label\">the second Stroke is often more severe than the first<\/span><\/div>\n<div class=\"stat-item\"><span class=\"stat-num\">150,000<\/span><span class=\"stat-label\">Strokes occur each year in France, including 20 % recurrences<\/span><\/div>\n<\/p><\/div>\n<\/div>\n<p><main class=\"container\"><\/p>\n<div class=\"intro-block\">\n    <pee>When a loved one returns home after a Stroke, the anxiety of recurrence often settles in silently. Families wonder: what should I monitor? what can I do to prevent a second Stroke? how can I balance helping with rehabilitation while respecting my loved one&#8217;s autonomy? These questions are legitimate and urgent \u2014 because the data clearly shows: <strong>80 % of Stroke recurrences are preventable<\/strong>. And the support network plays an absolutely central role in this prevention. This comprehensive guide gives you the concrete keys to act effectively, without replacing health professionals but working in complementarity with them.<\/pee>\n  <\/div>\n<p>  <!-- CTA MAIN TRAINING --><br \/>\n  <a href=\"https:\/\/www.dynseo.com\/en\/courses\/preventing-a-second-stroke-the-essential-role-of-loved-ones\/\" class=\"cta-formation-main\"><br \/>\n    <img decoding=\"async\" src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/prevenir-un-second-avc.png\" alt=\"Training Preventing a second Stroke - DYNSEO\" class=\"cta-img\"><\/p>\n<div class=\"cta-body\">\n<div class=\"cta-tag\">\ud83c\udf93 CERTIFIED QUALIOPI TRAINING<\/div>\n<h4>Preventing a second Stroke: the essential role of the support network<\/h4>\n<pee>The complete training for families and caregivers who support a person after a Stroke. Understand the mechanisms of recurrence, identify modifiable risk factors, support cognitive-motor rehabilitation, and know how to react to warning signs. Online, at your own pace, certified.<\/pee>\n<div class=\"cta-features\">\n        <span class=\"cta-feat\">\u2705 Qualiopi Certified<\/span><br \/>\n        <span class=\"cta-feat\">\ud83d\udcbb 100 % online<\/span><br \/>\n        <span class=\"cta-feat\">\u23f1\ufe0f At your own pace<\/span><br \/>\n        <span class=\"cta-feat\">\ud83d\udc68\u200d\ud83d\udc69\u200d\ud83d\udc67 Families &amp; caregivers<\/span><br \/>\n        <span class=\"cta-feat\">\ud83d\udcb0 Fundable OPCO\/CPF<\/span>\n      <\/div>\n<p>      <span class=\"btn-white-lg\">Access the training \u2192<\/span>\n    <\/div>\n<p>  <\/a><\/p>\n<h2>1. Understanding Stroke recurrence: why it happens and how to avoid it<\/h2>\n<pee>A stroke (Stroke) is the result of a sudden interruption of blood supply to a part of the brain \u2014 either by blockage of an artery (ischemic Stroke, 80 % of cases), or by rupture of a vessel (hemorrhagic Stroke, 20 % of cases). In both cases, neurons deprived of oxygen die quickly \u2014 hence the absolute urgency in each episode.<\/pee>\n<pee>Stroke recurrence occurs because the factors that caused the first Stroke are often still present after hospital discharge \u2014 and can even be aggravated by functional sequelae (increased sedentariness, post-Stroke depression, difficulty managing medications). Secondary prevention \u2014 that is, prevention of the second Stroke \u2014 is a race against time that begins as soon as the patient leaves the hospital.<\/pee>\n<\/main><\/p>\n<div class=\"highlight-box\">\n<h4>\u23f1\ufe0f The maximum risk window: the first 90 days<\/h4>\n<pee>The risk of recurrence is highest in the 90 days following the first Stroke \u2014 with a peak in the first 48 hours. It is during this period that the vigilance of those around is most valuable. After 90 days, the risk decreases but remains significantly higher than in the general population for several years. Secondary prevention is therefore a long-term commitment, not a one-time urgency.<\/pee>\n  <\/div>\n<h2>2. Warning signs: knowing how to recognize a Stroke or TIA<\/h2>\n<pee>The acronym <strong>FAST<\/strong> summarizes the warning signs of a Stroke that everyone around should know and be able to identify quickly.<\/pee>\n<div class=\"alerte-box\">\n<h4>\ud83d\udea8 F.A.S.T \u2014 The 4 warning signs of a Stroke<\/h4>\n<div class=\"alerte-grid\">\n<div class=\"a-item\"><span>\ud83d\udc41\ufe0f<\/span><strong>F \u2014 Face:<\/strong> facial distortion, asymmetry, drooping mouth on one side<\/div>\n<div class=\"a-item\"><span>\ud83d\udcaa<\/span><strong>A \u2014 Arm weakness:<\/strong> sudden weakness in one arm, inability to raise both arms to the same height<\/div>\n<div class=\"a-item\"><span>\ud83d\udde3\ufe0f<\/span><strong>S \u2014 Speech difficulties:<\/strong> difficulty speaking, incomprehensible words, incoherent speech<\/div>\n<div class=\"a-item\"><span>\ud83d\udcde<\/span><strong>T \u2014 In an emergency, call 15:<\/strong> every minute counts \u2014 do not wait for it to pass<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"tip-box\">\n<div class=\"icon\">\u26a0\ufe0f<\/div>\n<pee><strong>TIA: a warning sign that should never be ignored<\/strong>. A transient ischemic attack (TIA) presents the same symptoms as a Stroke but resolves spontaneously in less than an hour. Its brief duration often leads to it being underestimated \u2014 &#8220;it&#8217;s over, I won&#8217;t go to the emergency room.&#8221; However, a TIA is an absolute medical emergency: 10% of people with a TIA will have a Stroke within 48 hours. Any suspicion of a TIA should trigger an immediate call to 15.<\/pee>\n  <\/div>\n<h2>3. Modifiable risk factors: the possible action of those around<\/h2>\n<pee>Preventing a second Stroke largely relies on controlling risk factors. Some are modifiable \u2014 and those around can play a decisive role in their daily management.<\/pee>\n<div class=\"risque-grid\">\n<div class=\"risque-card modifiable\"><span class=\"r-emoji\">\ud83d\udc8a<\/span><\/p>\n<h4>High blood pressure<\/h4>\n<pee>1st risk factor for Stroke. Daily monitoring of blood pressure. Those around can help take blood pressure and monitor treatment adherence.<\/pee><\/div>\n<div class=\"risque-card modifiable\"><span class=\"r-emoji\">\ud83e\ude78<\/span><\/p>\n<h4>Atrial fibrillation<\/h4>\n<pee>An irregular heartbeat increases the risk of Stroke by 5 times. Anticoagulants are essential \u2014 those around help ensure regular intake.<\/pee><\/div>\n<div class=\"risque-card modifiable\"><span class=\"r-emoji\">\ud83c\udf6c<\/span><\/p>\n<h4>Diabetes<\/h4>\n<pee>Unbalanced blood sugar = increased vascular risk. Proper diet, blood sugar monitoring, physical activity \u2014 all accessible with the support of those around.<\/pee><\/div>\n<div class=\"risque-card modifiable\"><span class=\"r-emoji\">\ud83d\udeac<\/span><\/p>\n<h4>Smoking<\/h4>\n<pee>Increases the risk by 2 to 4 times. Quitting smoking halves this risk within a year. Those around can support cessation without guilt.<\/pee><\/div>\n<div class=\"risque-card modifiable\"><span class=\"r-emoji\">\ud83c\udf77<\/span><\/p>\n<h4>Excessive alcohol<\/h4>\n<pee>More than 2 glasses\/day increases vascular risk and can interact with anticoagulant treatments. Gradual reduction rather than abrupt cessation.<\/pee><\/div>\n<div class=\"risque-card modifiable\"><span class=\"r-emoji\">\ud83c\udfc3<\/span><\/p>\n<h4>Sedentary lifestyle<\/h4>\n<pee>Lack of physical activity promotes high blood pressure, diabetes, and obesity. 30 minutes of daily walking significantly reduces the risk of recurrence.<\/pee><\/div>\n<div class=\"risque-card modifiable\"><span class=\"r-emoji\">\ud83d\ude14<\/span><\/p>\n<h4>Post-Stroke depression<\/h4>\n<pee>Affects 30 to 40% of Stroke survivors. If untreated, it exacerbates all other risk factors and reduces treatment adherence.<\/pee><\/div>\n<div class=\"risque-card non-modifiable\"><span class=\"r-emoji\">\ud83d\udc74<\/span><\/p>\n<h4>Age and history<\/h4>\n<pee>Non-modifiable. But knowing these factors allows for increased vigilance in daily monitoring.<\/pee><\/div>\n<\/p><\/div>\n<h2>4. Therapeutic adherence: the central role of the entourage<\/h2>\n<pee>Therapeutic adherence \u2014 the regular and correct intake of prescribed medications \u2014 is one of the most important factors in secondary prevention. And it is one of the most fragile points in daily life after a Stroke.<\/pee>\n<h3>4.1 Why is adherence so difficult after a Stroke?<\/h3>\n<pee>Frequent cognitive disorders after a Stroke (memory, attention, planning) make managing a treatment particularly difficult. A patient may have forgotten if they took their medication an hour after taking it. They may confuse medications. They may stop a treatment because they &#8220;do not feel immediate benefit.&#8221; These situations are not due to bad will \u2014 they are a direct consequence of neurological sequelae.<\/pee>\n<div class=\"numbered-card\">\n<div class=\"num-badge\">1<\/div>\n<div class=\"num-content\">\n<h4>Set up a weekly pill organizer<\/h4>\n<pee>A weekly pill organizer with daily compartments filled by the caregiver or nurse allows for a quick check to see if medications have been taken. It reduces the risk of double dosing or forgetting, and significantly simplifies daily management for the patient and family.<\/pee>\n    <\/div>\n<\/p><\/div>\n<div class=\"numbered-card\">\n<div class=\"num-badge\">2<\/div>\n<div class=\"num-content\">\n<h4>Synchronize intake with daily rituals<\/h4>\n<pee>Linking medication intake to an immutable ritual (breakfast, bedtime) reduces the risk of forgetting. Alarms on the phone or a watch can serve as reminders without requiring the constant intervention of a loved one.<\/pee>\n    <\/div>\n<\/p><\/div>\n<div class=\"numbered-card\">\n<div class=\"num-badge\">3<\/div>\n<div class=\"num-content\">\n<h4>Understand the treatment to better support<\/h4>\n<pee>The entourage that understands the usefulness of each medication can explain to the patient why they need to take them even when they &#8220;feel fine.&#8221; This shared understanding reduces resistance and spontaneous treatment discontinuation \u2014 particularly for anticoagulants whose protective effect is invisible in daily life.<\/pee>\n    <\/div>\n<\/p><\/div>\n<h2>5. Monitoring blood pressure: a vital daily gesture<\/h2>\n<pee>High blood pressure is the primary risk factor for Stroke and recurrence. Daily monitoring is one of the most effective preventive measures that the entourage can implement at home. An automatic arm blood pressure monitor (more accurate than wrist models) is an investment that can literally save lives.<\/pee>\n<div class=\"table-wrap\">\n<table>\n<thead>\n<tr>\n<th>Blood pressure values<\/th>\n<th>Interpretation<\/th>\n<th>Recommended action<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><strong>Less than 130\/80 mmHg<\/strong><\/td>\n<td><span class=\"badge badge-green\">Optimal post-Stroke goal<\/span><\/td>\n<td>Maintain \u2014 report to the doctor if stable<\/td>\n<\/tr>\n<tr>\n<td><strong>130-139 \/ 80-89 mmHg<\/strong><\/td>\n<td><span class=\"badge badge-yellow\">Slightly elevated<\/span><\/td>\n<td>Increased monitoring \u2014 report at the next consultation<\/td>\n<\/tr>\n<tr>\n<td><strong>140-179 \/ 90-109 mmHg<\/strong><\/td>\n<td><span class=\"badge badge-pink\">Proven hypertension<\/span><\/td>\n<td>Contact the treating physician within 24-48h<\/td>\n<\/tr>\n<tr>\n<td><strong>180+ \/ 110+ mmHg<\/strong><\/td>\n<td><span class=\"badge badge-pink\">Hypertensive emergency<\/span><\/td>\n<td><strong>Call 15 immediately<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n<div class=\"tip-box\">\n<div class=\"icon\">\ud83d\udcca<\/div>\n<pee><strong>The rule of 3 measurements:<\/strong> Take the blood pressure 3 times at 1-2 minute intervals, while sitting, after 5 minutes of rest. Note the 3 values and communicate them to your doctor. The first measurement is often higher \u2014 it&#8217;s the average of the 3 that counts. Keeping a blood pressure diary (date, time, values) allows the doctor to assess the effectiveness of the treatment.<\/pee>\n  <\/div>\n<h2>6. Diet and physical activity: the fundamental levers<\/h2>\n<h3>6.1 The protective diet<\/h3>\n<pee>The Mediterranean diet is the only diet whose preventive effectiveness on cardiovascular and cerebrovascular risk is solidly demonstrated. It is based on simple principles: abundant vegetables and fruits (at least 5 servings per day), fatty fish 2 to 3 times a week, olive oil as the main fat, whole grains, legumes regularly, red meat limited to once a week, reduced salt.<\/pee>\n<h3>6.2 Adapted physical activity<\/h3>\n<pee>Regular physical activity reduces blood pressure, improves glycemic and lipid profiles, promotes maintaining a healthy weight, and combats post-Stroke depression. After a Stroke, the goal is to gradually resume physical activity adapted to the sequelae \u2014 in coordination with the physiotherapist and rehabilitation doctor.<\/pee>\n<div class=\"cards-grid\">\n<div class=\"card\">\n<div class=\"card-icon blue\">\ud83d\udeb6<\/div>\n<h4>Daily walking<\/h4>\n<pee>30 minutes of walking at a moderate pace, 5 days a week. Realistic goal, no equipment needed, adaptable to motor limitations. Family members can walk with the person \u2014 a powerful social lever for regularity.<\/pee><\/div>\n<div class=\"card\">\n<div class=\"card-icon teal\">\ud83c\udfca<\/div>\n<h4>Swimming and aquagym<\/h4>\n<pee>Ideal for people with motor sequelae \u2014 the support of water reduces joint stress. Improves cardiovascular health, balance, and psychological well-being.<\/pee><\/div>\n<div class=\"card\">\n<div class=\"card-icon yellow\">\ud83e\uddd8<\/div>\n<h4>Yoga and tai chi<\/h4>\n<pee>Work on balance, flexibility, and breathing \u2014 three areas often affected after a Stroke. Also reduce anxiety and improve sleep quality.<\/pee><\/div>\n<div class=\"card\">\n<div class=\"card-icon pink\">\ud83d\udeb4<\/div>\n<h4>Cycling or recumbent bike<\/h4>\n<pee>Stationary or recumbent cycling is suitable for people with motor limitations of the lower limbs. Maintains regular aerobic activity without the risk of falling.<\/pee><\/div>\n<\/p><\/div>\n<h2>7. Cognitive rehabilitation after Stroke: a often neglected issue<\/h2>\n<pee>The cognitive sequelae of Stroke \u2014 memory, attention, language, executive function disorders \u2014 are often the least visible but the most impactful on quality of life and daily autonomy. They also increase the risk of recurrence by compromising treatment adherence and management of risk factors.<\/pee>\n<div class=\"reeduc-band\">\n<h3>\ud83e\udde0 Post-Stroke rehabilitation professionals<\/h3>\n<div class=\"reeduc-grid\">\n<div class=\"reeduc-item\"><span class=\"ri-emoji\">\ud83d\udde3\ufe0f<\/span><\/p>\n<h4>Speech therapist<\/h4>\n<pee>Aphasia, dysarthria, swallowing disorders, language memory<\/pee><\/div>\n<div class=\"reeduc-item\"><span class=\"ri-emoji\">\ud83c\udfc3<\/span><\/p>\n<h4>Physiotherapist<\/h4>\n<pee>Motor recovery, balance, walking, prevention of complications<\/pee><\/div>\n<div class=\"reeduc-item\"><span class=\"ri-emoji\">\ud83d\udd27<\/span><\/p>\n<h4>Occupational therapist<\/h4>\n<pee>Autonomy in daily activities, technical aids, home adaptation<\/pee><\/div>\n<div class=\"reeduc-item\"><span class=\"ri-emoji\">\ud83e\udde0<\/span><\/p>\n<h4>Neuropsychologist<\/h4>\n<pee>Assessment of cognitive functions, cognitive rehabilitation program, psychological support<\/pee><\/div>\n<div class=\"reeduc-item\"><span class=\"ri-emoji\">\ud83d\udc8a<\/span><\/p>\n<h4>Rehabilitation doctor<\/h4>\n<pee>Coordination of rehabilitation, spasticity, pain, medication follow-up<\/pee><\/div>\n<div class=\"reeduc-item\"><span class=\"ri-emoji\">\ud83d\udc99<\/span><\/p>\n<h4>Psychologist<\/h4>\n<pee>Post-Stroke depression, anxiety, identity reconstruction, support for caregivers<\/pee><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<pee>Regular cognitive stimulation, complementary to professional rehabilitation, can be practiced at home with the help of family. The application <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/clint-brain-games-for-adults\/\" style=\"color:var(--blue)\"><strong>CLINT<\/strong><\/a> from DYNSEO is specifically designed for adults with cognitive disorders post-Stroke. It offers progressive activities working on memory, attention, executive functions, and language \u2014 in a playful and supportive format, accessible from a tablet or computer. The <a href=\"https:\/\/www.dynseo.com\/en\/our-tests\/\" style=\"color:var(--blue)\">DYNSEO cognitive tests<\/a> allow for regular assessment of cognitive functions and inform the medical team about progress.<\/pee>\n<div class=\"cta-outil\">\n<div class=\"cta-icon\">\ud83d\udde3\ufe0f<\/div>\n<div>\n<h4>DYNSEO Articulation Tracking Chart<\/h4>\n<pee>For individuals with aphasia or dysarthria after a Stroke, the articulation tracking chart allows for tracking progress in producing difficult sounds and words \u2014 in line with the work of the speech therapist. A coordination tool between family and language rehabilitation professionals.<\/pee>\n      <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/articulatory-tracking-chart\/\" class=\"btn-blue\">Access the chart<\/a>\n    <\/div>\n<\/p><\/div>\n<div class=\"cta-outil\">\n<div class=\"cta-icon\">\ud83d\uddfa\ufe0f<\/div>\n<div>\n<h4>DYNSEO Complex Sounds Picture Book<\/h4>\n<pee>The complex sounds picture book is a valuable visual support for language rehabilitation after Stroke. It helps individuals with aphasia to regain the association between a sound and its graphic representation \u2014 a complementary tool to the speech therapist&#8217;s work, usable by family members between sessions.<\/pee>\n      <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/imagier-of-complex-sounds\/\" class=\"btn-blue\">Access the picture book<\/a>\n    <\/div>\n<\/p><\/div>\n<p>  <!-- CTA SECONDARY TRAINING --><\/p>\n<div class=\"cta-formation\">\n<div class=\"cta-icon\">\ud83c\udf93<\/div>\n<div>\n<h4>Training \u2014 Preventing a second Stroke: the essential role of family<\/h4>\n<pee>The complete training for families and caregivers who support a post-Stroke individual. Risk factors, home monitoring, support for rehabilitation, management of cognitive and emotional consequences \u2014 online, certified Qualiopi, fundable by OPCO or CPF.<\/pee>\n      <a href=\"https:\/\/www.dynseo.com\/en\/courses\/preventing-a-second-stroke-the-essential-role-of-loved-ones\/\" class=\"btn-white\">Access the training \u2192<\/a>\n    <\/div>\n<\/p><\/div>\n<h2>8. Post-Stroke depression: the invisible risk factor<\/h2>\n<pee>Post-Stroke depression affects 30 to 40% of survivors \u2014 and it is profoundly underdiagnosed and undertreated. It is not &#8220;a normal reaction to a difficult situation&#8221; that should be accepted \u2014 it is a neurological and psychological complication that worsens all other risk factors, reduces treatment adherence, compromises rehabilitation, and multiplies the risk of recurrence.<\/pee>\n<div class=\"cards-grid\">\n<div class=\"card\">\n<div class=\"card-icon pink\">\ud83d\ude14<\/div>\n<h4>Signs to watch for<\/h4>\n<pee>Persistent sadness, loss of interest in usual activities, extreme fatigue, social withdrawal, pessimism about recovery, irritability, sleep and appetite disturbances.<\/pee><\/div>\n<div class=\"card\">\n<div class=\"card-icon blue\">\ud83e\udd1d<\/div>\n<h4>The role of family<\/h4>\n<pee>Do not minimize depression. Do not encourage &#8220;making an effort&#8221; or &#8220;being positive.&#8221; Report to the attending physician. Maintain an active social connection. Encourage participation in rehabilitation activities.<\/pee><\/div>\n<div class=\"card\">\n<div class=\"card-icon teal\">\ud83d\udc8a<\/div>\n<h4>Available treatments<\/h4>\n<pee>Antidepressants are effective in post-Stroke depression \u2014 but their prescription requires a medical evaluation. Psychotherapy and support groups for Stroke survivors are also beneficial.<\/pee><\/div>\n<div class=\"card\">\n<div class=\"card-icon yellow\">\ud83c\udf1f<\/div>\n<h4>Taking care of the caregiver<\/h4>\n<pee>Primary caregivers themselves have a high risk of depression and burnout. Their health is inseparable from the quality of support they can provide.<\/pee><\/div>\n<\/p><\/div>\n<div class=\"cta-outil\">\n<div class=\"cta-icon\">\ud83c\udf21\ufe0f<\/div>\n<div>\n<h4>DYNSEO Emotion Thermometer<\/h4>\n<pee>The emotion thermometer is a simple tool to help the person after a Stroke identify and communicate their daily emotional state \u2014 valuable for early detection of signs of depression or anxiety, and to facilitate communication with the doctor during follow-up consultations.<\/pee>\n      <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/emotion-thermometer\/\" class=\"btn-blue\">Access the thermometer<\/a>\n    <\/div>\n<\/p><\/div>\n<div class=\"cta-outil\">\n<div class=\"cta-icon\">\ud83c\udfad<\/div>\n<div>\n<h4>DYNSEO Facial Expression Decoder<\/h4>\n<pee>After a Stroke, some people have difficulty reading others&#8217; facial expressions \u2014 a neurological consequence that complicates social interactions and can lead to misunderstood conflicts. The DYNSEO facial expression decoder is a rehabilitation tool for this fundamental social skill.<\/pee>\n      <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/facial-expression-decoder\/\" class=\"btn-blue\">Access the decoder<\/a>\n    <\/div>\n<\/p><\/div>\n<h2>9. Organizing medical follow-up: the checklist for caregivers<\/h2>\n<pee>Caregivers can play a crucial role in organizing and following up on medical appointments \u2014 particularly for people with cognitive sequelae who struggle to manage their health calendar alone.<\/pee>\n<ul class=\"checklist\">\n<li><strong>Cardiology<\/strong> \u2014 Regular follow-up if AF or heart disease. Annual ECG at minimum. Monitoring of anticoagulation (INR if on vitamin K antagonists)<\/li>\n<li><strong>Neurology<\/strong> \u2014 Post-Stroke neurological follow-up recommended at 3 months, 6 months, then annually<\/li>\n<li><strong>General Practitioner<\/strong> \u2014 Blood pressure at each consultation. Annual lipid and glycemic assessment. Review of treatment<\/li>\n<li><strong>Speech Therapy<\/strong> \u2014 If language sequelae \u2014 regular and maintained over the long term<\/li>\n<li><strong>Physiotherapy<\/strong> \u2014 If motor sequelae \u2014 maintain the program even when progress seems stagnant<\/li>\n<li><strong>Ophthalmology<\/strong> \u2014 If visual disorders post-Stroke (hemianopsia, diplopia) \u2014 annual<\/li>\n<li><strong>Cognitive Assessment<\/strong> \u2014 MMS or annual neuropsychological evaluation to monitor the evolution of cognitive functions<\/li>\n<\/ul>\n<h2>10. Communication after Stroke: adapting to maintain the connection<\/h2>\n<pee>Language disorders (aphasia, dysarthria) after a Stroke are often one of the most painful challenges for the person and their caregivers. The person has things to say, emotions to express, decisions to make \u2014 but the words do not come as before.<\/pee>\n<pee>The <a href=\"https:\/\/www.dynseo.com\/mon-dico-une-application-pour-favoriser-la-communication\/\" style=\"color:var(--blue)\"><strong>MY DICTIONARY<\/strong><\/a> app from DYNSEO is an Augmentative and Alternative Communication (AAC) application that helps people with aphasia communicate their needs, emotions, and choices through pictograms, photos, and thematic categories. For global cognitive rehabilitation, the <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\" style=\"color:var(--blue)\"><strong>SCARLETT<\/strong><\/a> app offers activities tailored for seniors, with an interface accessible even for people with significant motor limitations.<\/pee>\n<div class=\"two-cols\">\n<div class=\"col-block\">\n<h4>\ud83d\udcac Communication tips with a person with aphasia<\/h4>\n<ul>\n<li>Speak slowly and clearly, face to face<\/li>\n<li>Use short and simple sentences<\/li>\n<li>Ask closed questions (yes\/no) if necessary<\/li>\n<li>Give time to respond \u2014 do not complete sentences<\/li>\n<li>Use visual supports (images, photos, gestures)<\/li>\n<li>Confirm understanding without condescension<\/li>\n<\/ul><\/div>\n<div class=\"col-block\">\n<h4>\u274c What to avoid<\/h4>\n<ul>\n<li>Talking about the person in the third person in their presence<\/li>\n<li>Speaking louder (aphasia is not deafness)<\/li>\n<li>Finishing sentences for them<\/li>\n<li>Systematically correcting language errors<\/li>\n<li>Excluding the person from decisions that concern them<\/li>\n<li>Confusing difficulty speaking with difficulty understanding<\/li>\n<\/ul><\/div>\n<\/p><\/div>\n<div class=\"cta-outil\">\n<div class=\"cta-icon\">\ud83c\udfaf<\/div>\n<div>\n<h4>DYNSEO Choice Wheel<\/h4>\n<pee>The choice wheel is a visual tool that allows the person after a Stroke to make concrete choices (activity, meal, outing) independently, even when language is limited. Preserving the sense of autonomy and control is fundamental for well-being and motivation in rehabilitation.<\/pee>\n      <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/choice-wheel-outils-formation-dynseo\/\" class=\"btn-blue\">Access the choice wheel<\/a>\n    <\/div>\n<\/p><\/div>\n<div class=\"quote-box\">\n    <pee>\u201cAfter my husband&#8217;s Stroke, I felt completely lost. We were given a list of medications and went home. The DYNSEO training taught me what I could do concretely \u2014 monitor blood pressure, how to talk to him, how to encourage him to walk. For the first time, I felt useful and not just anxious.\u201d<\/pee>\n    <cite>\u2014 Testimony from a caregiver who took the DYNSEO training on preventing a second Stroke<\/cite>\n  <\/div>\n<div class=\"conclusion\">\n<h2>The support network: the first line of defense against recurrence<\/h2>\n<pee>80% of second Strokes are preventable. And in this prevention, the support network plays a role that no healthcare professional can take on \u2014 daily presence, attentive vigilance, support for adherence and rehabilitation. Training to better support is the most useful gesture you can make for your loved one.<\/pee>\n    <a href=\"https:\/\/www.dynseo.com\/en\/courses\/preventing-a-second-stroke-the-essential-role-of-loved-ones\/\" class=\"btn-cta\">Access the Stroke training \u2192<\/a>\n  <\/div>\n<p><\/main><\/p>\n<section class=\"faq-section\">\n<div class=\"container\">\n<h2>FAQ \u2014 Preventing a second Stroke<\/h2>\n<div class=\"faq-item\">\n<h4><span>Q1<\/span> How long does the high risk of recurrence last after a first Stroke?<\/h4>\n<pee>The risk of recurrence is highest in the 90 days following the first Stroke, peaking in the first 48 hours. It remains significantly higher than in the general population for 5 to 10 years. At 5 years, about 25% of people who have had a Stroke will have a second one. This risk decreases significantly with good control of risk factors (blood pressure, anticoagulants if AF, tobacco, alcohol, diet, physical activity).<\/pee><\/div>\n<div class=\"faq-item\">\n<h4><span>Q2<\/span> Can cognitive recovery after a Stroke continue for years after the event?<\/h4>\n<pee>Yes \u2014 neuroplasticity (the brain&#8217;s ability to reorganize its connections) remains active well beyond the first 6 months, which constitute the maximum recovery period. Progress can occur several years after a Stroke, particularly with active rehabilitation and regular cognitive stimulation. This is why one should never give up on rehabilitation and cognitive stimulation, even when progress seems slow.<\/pee><\/div>\n<div class=\"faq-item\">\n<h4><span>Q3<\/span> How to support rehabilitation without creating excessive dependence?<\/h4>\n<pee>The key is to support the effort without doing it for them. Encourage the person to try themselves before intervening, value every attempt even if imperfect, and adjust the level of support to the evolution of abilities \u2014 always aiming for a bit more autonomy than the previous week. Work with the rehabilitation team to understand exactly what level of help is recommended for each type of task. The ultimate goal is autonomy \u2014 not permanent assistance.<\/pee><\/div>\n<div class=\"faq-item\">\n<h4><span>Q4<\/span> What to do if the person refuses to take their medication or see a doctor?<\/h4>\n<pee>Refusal of treatment after a Stroke is common and can have several causes: unexpressed real side effects, denial of illness, depression, or cognitive disorders that impair judgment. In the face of this refusal, do not force but understand the reason. Involve the treating physician quickly \u2014 a medical interview can overcome resistances that the family cannot overcome alone. In cases of severe cognitive disorders compromising judgment and endangering life, a legal protection procedure (guardianship, curatorship) may be considered.<\/pee><\/div>\n<div class=\"faq-item\">\n<h4><span>Q5<\/span> Is DYNSEO training suitable for healthcare professionals or only for families?<\/h4>\n<pee>The training <a href=\"https:\/\/www.dynseo.com\/en\/courses\/preventing-a-second-stroke-the-essential-role-of-loved-ones\/\" style=\"color:var(--blue)\">Preventing a second Stroke<\/a> from DYNSEO is aimed at both families and caregivers, as well as healthcare professionals (nurses, nursing assistants, home helpers, occupational therapists) who support people after a Stroke. Its content is presented in an accessible way for families but with the clinical rigor useful for professionals. It is certified Qualiopi and can be funded via the CPF for individuals or via the OPCO for professionals.<\/pee><\/div>\n<\/p><\/div>\n<\/section>\n<footer class=\"article-footer\">\n  <pee>DYNSEO \u2014 Training and resources for post-Stroke support and prevention of recurrences<\/pee>\n<div class=\"footer-links\">\n    <a href=\"https:\/\/www.dynseo.com\/en\/courses\/preventing-a-second-stroke-the-essential-role-of-loved-ones\/\">Stroke Training<\/a><br \/>\n    <a href=\"https:\/\/www.dynseo.com\/en\/our-training-courses\/\">All Trainings<\/a><br \/>\n    <a href=\"https:\/\/www.dynseo.com\/en\/our-tools\/\">Free Tools<\/a><br \/>\n    <a href=\"https:\/\/www.dynseo.com\/en\/our-tests\/\">Cognitive Tests<\/a><br \/>\n    <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/clint-brain-games-for-adults\/\">CLINT<\/a><br \/>\n    <a href=\"https:\/\/www.dynseo.com\/mon-dico-une-application-pour-favoriser-la-communication\/\">MY DICTIONARY<\/a>\n  <\/div>\n<\/footer>\n<\/div>\n<p>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":100456,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"[et_pb_section fb_built=\"1\" admin_label=\"Article HTML\" _builder_version=\"4.16\" custom_padding=\"0px||0px||false|false\" global_colors_info=\"{}\"][et_pb_row admin_label=\"Contenu\" _builder_version=\"4.16\" width=\"100%\" max_width=\"100%\" custom_padding=\"0px||0px||false|false\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.16\" global_colors_info=\"{}\"][et_pb_code admin_label=\"HTML import\u00e9\" _builder_version=\"4.16\" global_colors_info=\"{}\"]<style 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{background:#fff;border-radius:var(--br);padding:24px 28px;margin-bottom:14px;box-shadow:var(--shc)}\n.dbi-art-32de5d .faq-item h4 {font-size:16px;font-weight:700;color:var(--blue);margin-bottom:12px;display:flex;gap:12px}\n.dbi-art-32de5d .faq-item h4 span {color:var(--teal);flex-shrink:0}\n.dbi-art-32de5d .faq-item p {font-size:15px;margin:0}\n.dbi-art-32de5d .conclusion {background:linear-gradient(135deg,rgba(94,94,215,.08) 0%,rgba(169,226,228,.15) 100%);border-radius:var(--br);padding:40px 36px;margin:40px 0;text-align:center}\n.dbi-art-32de5d .conclusion h2 {border:none;margin-top:0}\n.dbi-art-32de5d .conclusion p {font-size:16px;max-width:640px;margin:0 auto 24px}\n.dbi-art-32de5d .btn-cta {display:inline-block;background:linear-gradient(135deg,var(--blue),var(--blue-dark));color:#fff;font-family:'Montserrat',sans-serif;font-weight:700;font-size:15px;padding:14px 32px;border-radius:50px;text-decoration:none;box-shadow:0 6px 20px rgba(94,94,215,.3);transition:transform .2s}\n.dbi-art-32de5d .btn-cta:hover {transform:translateY(-3px)}\n.dbi-art-32de5d .article-footer {background:linear-gradient(135deg,var(--blue),var(--blue-dark));color:#fff;padding:40px 24px;text-align:center}\n.dbi-art-32de5d .article-footer p {color:rgba(255,255,255,.8);font-size:14px;margin-bottom:16px}\n.dbi-art-32de5d .footer-links {display:flex;justify-content:center;gap:16px;flex-wrap:wrap}\n.dbi-art-32de5d .footer-links a {color:#fff;text-decoration:none;font-size:13px;font-weight:600;padding:8px 18px;border:1px solid rgba(255,255,255,.3);border-radius:50px;transition:background .2s}\n.dbi-art-32de5d .footer-links a:hover {background:rgba(255,255,255,.15)}\n@media(max-width:640px) {\n.dbi-art-32de5d .cta-formation, .dbi-art-32de5d .cta-outil {flex-direction:column}\n.dbi-art-32de5d .cards-grid {grid-template-columns:1fr}\n.dbi-art-32de5d .cta-formation-main .cta-body {padding:24px}\n}\n\n<\/style>\n<div class=\"dbi-art-32de5d\">\n<header class=\"hero\">\n  <div class=\"hero-tag\">\ud83e\udde0 Stroke \u00b7 Prevention \u00b7 Rehabilitation \u00b7 Support<\/div>\n  <h1>Preventing a second Stroke:<br>practical guide for families and caregivers<\/h1>\n  <p class=\"hero-sub\">Understanding risk factors, monitoring warning signs, supporting rehabilitation, and actively engaging in prevention of recurrence \u2014 everything that the support network can do concretely<\/p>\n  <div class=\"hero-meta\">\n    <span>\ud83d\udcd6 Reading: ~22 min<\/span><span>\u2705 Updated 2026<\/span><span>\ud83c\udfe5 Families &amp; caregivers Stroke<\/span>\n  <\/div>\n<\/header>\n\n<div class=\"stats-bar\">\n  <div class=\"stats-grid\">\n    <div class=\"stat-item\"><span class=\"stat-num\">25 %<\/span><span class=\"stat-label\">of people who have had a Stroke have a second one within 5 years<\/span><\/div>\n    <div class=\"stat-item\"><span class=\"stat-num\">80 %<\/span><span class=\"stat-label\">of second Strokes are preventable through active prevention<\/span><\/div>\n    <div class=\"stat-item\"><span class=\"stat-num\">3\u00d7<\/span><span class=\"stat-label\">the second Stroke is often more severe than the first<\/span><\/div>\n    <div class=\"stat-item\"><span class=\"stat-num\">150,000<\/span><span class=\"stat-label\">Strokes occur each year in France, including 20 % recurrences<\/span><\/div>\n  <\/div>\n<\/div>\n\n<main class=\"container\">\n\n  <div class=\"intro-block\">\n    <p>When a loved one returns home after a Stroke, the anxiety of recurrence often settles in silently. Families wonder: what should I monitor? what can I do to prevent a second Stroke? how can I balance helping with rehabilitation while respecting my loved one's autonomy? These questions are legitimate and urgent \u2014 because the data clearly shows: <strong>80 % of Stroke recurrences are preventable<\/strong>. And the support network plays an absolutely central role in this prevention. This comprehensive guide gives you the concrete keys to act effectively, without replacing health professionals but working in complementarity with them.<\/p>\n  <\/div>\n\n  <!-- CTA MAIN TRAINING -->\n  <a href=\"https:\/\/www.dynseo.com\/courses\/prevenir-un-second-avc-le-role-essentiel-de-lentourage\/\" class=\"cta-formation-main\">\n    <img src=\"https:\/\/www.dynseo.com\/wp-content\/uploads\/2026\/03\/prevenir-un-second-avc.png\" alt=\"Training Preventing a second Stroke - DYNSEO\" class=\"cta-img\">\n    <div class=\"cta-body\">\n      <div class=\"cta-tag\">\ud83c\udf93 CERTIFIED QUALIOPI TRAINING<\/div>\n      <h4>Preventing a second Stroke: the essential role of the support network<\/h4>\n      <p>The complete training for families and caregivers who support a person after a Stroke. Understand the mechanisms of recurrence, identify modifiable risk factors, support cognitive-motor rehabilitation, and know how to react to warning signs. Online, at your own pace, certified.<\/p>\n      <div class=\"cta-features\">\n        <span class=\"cta-feat\">\u2705 Qualiopi Certified<\/span>\n        <span class=\"cta-feat\">\ud83d\udcbb 100 % online<\/span>\n        <span class=\"cta-feat\">\u23f1\ufe0f At your own pace<\/span>\n        <span class=\"cta-feat\">\ud83d\udc68\u200d\ud83d\udc69\u200d\ud83d\udc67 Families &amp; caregivers<\/span>\n        <span class=\"cta-feat\">\ud83d\udcb0 Fundable OPCO\/CPF<\/span>\n      <\/div>\n      <span class=\"btn-white-lg\">Access the training \u2192<\/span>\n    <\/div>\n  <\/a>\n\n  <h2>1. Understanding Stroke recurrence: why it happens and how to avoid it<\/h2>\n\n  <p>A stroke (Stroke) is the result of a sudden interruption of blood supply to a part of the brain \u2014 either by blockage of an artery (ischemic Stroke, 80 % of cases), or by rupture of a vessel (hemorrhagic Stroke, 20 % of cases). In both cases, neurons deprived of oxygen die quickly \u2014 hence the absolute urgency in each episode.<\/p>\n\n  <p>Stroke recurrence occurs because the factors that caused the first Stroke are often still present after hospital discharge \u2014 and can even be aggravated by functional sequelae (increased sedentariness, post-Stroke depression, difficulty managing medications). Secondary prevention \u2014 that is, prevention of the second Stroke \u2014 is a race against time that begins as soon as the patient leaves the hospital.<\/p>\n<\/main>\n<div class=\"highlight-box\">\n    <h4>\u23f1\ufe0f The maximum risk window: the first 90 days<\/h4>\n    <p>The risk of recurrence is highest in the 90 days following the first Stroke \u2014 with a peak in the first 48 hours. It is during this period that the vigilance of those around is most valuable. After 90 days, the risk decreases but remains significantly higher than in the general population for several years. Secondary prevention is therefore a long-term commitment, not a one-time urgency.<\/p>\n  <\/div>\n\n  <h2>2. Warning signs: knowing how to recognize a Stroke or TIA<\/h2>\n\n  <p>The acronym <strong>FAST<\/strong> summarizes the warning signs of a Stroke that everyone around should know and be able to identify quickly.<\/p>\n\n  <div class=\"alerte-box\">\n    <h4>\ud83d\udea8 F.A.S.T \u2014 The 4 warning signs of a Stroke<\/h4>\n    <div class=\"alerte-grid\">\n      <div class=\"a-item\"><span>\ud83d\udc41\ufe0f<\/span><strong>F \u2014 Face:<\/strong> facial distortion, asymmetry, drooping mouth on one side<\/div>\n      <div class=\"a-item\"><span>\ud83d\udcaa<\/span><strong>A \u2014 Arm weakness:<\/strong> sudden weakness in one arm, inability to raise both arms to the same height<\/div>\n      <div class=\"a-item\"><span>\ud83d\udde3\ufe0f<\/span><strong>S \u2014 Speech difficulties:<\/strong> difficulty speaking, incomprehensible words, incoherent speech<\/div>\n      <div class=\"a-item\"><span>\ud83d\udcde<\/span><strong>T \u2014 In an emergency, call 15:<\/strong> every minute counts \u2014 do not wait for it to pass<\/div>\n    <\/div>\n  <\/div>\n\n  <div class=\"tip-box\">\n    <div class=\"icon\">\u26a0\ufe0f<\/div>\n    <p><strong>TIA: a warning sign that should never be ignored<\/strong>. A transient ischemic attack (TIA) presents the same symptoms as a Stroke but resolves spontaneously in less than an hour. Its brief duration often leads to it being underestimated \u2014 \"it's over, I won't go to the emergency room.\" However, a TIA is an absolute medical emergency: 10% of people with a TIA will have a Stroke within 48 hours. Any suspicion of a TIA should trigger an immediate call to 15.<\/p>\n  <\/div>\n\n  <h2>3. Modifiable risk factors: the possible action of those around<\/h2>\n\n  <p>Preventing a second Stroke largely relies on controlling risk factors. Some are modifiable \u2014 and those around can play a decisive role in their daily management.<\/p>\n\n  <div class=\"risque-grid\">\n    <div class=\"risque-card modifiable\"><span class=\"r-emoji\">\ud83d\udc8a<\/span><h4>High blood pressure<\/h4><p>1st risk factor for Stroke. Daily monitoring of blood pressure. Those around can help take blood pressure and monitor treatment adherence.<\/p><\/div>\n    <div class=\"risque-card modifiable\"><span class=\"r-emoji\">\ud83e\ude78<\/span><h4>Atrial fibrillation<\/h4><p>An irregular heartbeat increases the risk of Stroke by 5 times. Anticoagulants are essential \u2014 those around help ensure regular intake.<\/p><\/div>\n    <div class=\"risque-card modifiable\"><span class=\"r-emoji\">\ud83c\udf6c<\/span><h4>Diabetes<\/h4><p>Unbalanced blood sugar = increased vascular risk. Proper diet, blood sugar monitoring, physical activity \u2014 all accessible with the support of those around.<\/p><\/div>\n    <div class=\"risque-card modifiable\"><span class=\"r-emoji\">\ud83d\udeac<\/span><h4>Smoking<\/h4><p>Increases the risk by 2 to 4 times. Quitting smoking halves this risk within a year. Those around can support cessation without guilt.<\/p><\/div>\n    <div class=\"risque-card modifiable\"><span class=\"r-emoji\">\ud83c\udf77<\/span><h4>Excessive alcohol<\/h4><p>More than 2 glasses\/day increases vascular risk and can interact with anticoagulant treatments. Gradual reduction rather than abrupt cessation.<\/p><\/div>\n    <div class=\"risque-card modifiable\"><span class=\"r-emoji\">\ud83c\udfc3<\/span><h4>Sedentary lifestyle<\/h4><p>Lack of physical activity promotes high blood pressure, diabetes, and obesity. 30 minutes of daily walking significantly reduces the risk of recurrence.<\/p><\/div>\n    <div class=\"risque-card modifiable\"><span class=\"r-emoji\">\ud83d\ude14<\/span><h4>Post-Stroke depression<\/h4><p>Affects 30 to 40% of Stroke survivors. If untreated, it exacerbates all other risk factors and reduces treatment adherence.<\/p><\/div>\n<div class=\"risque-card non-modifiable\"><span class=\"r-emoji\">\ud83d\udc74<\/span><h4>Age and history<\/h4><p>Non-modifiable. But knowing these factors allows for increased vigilance in daily monitoring.<\/p><\/div>\n  <\/div>\n\n  <h2>4. Therapeutic adherence: the central role of the entourage<\/h2>\n\n  <p>Therapeutic adherence \u2014 the regular and correct intake of prescribed medications \u2014 is one of the most important factors in secondary prevention. And it is one of the most fragile points in daily life after a Stroke.<\/p>\n\n  <h3>4.1 Why is adherence so difficult after a Stroke?<\/h3>\n  <p>Frequent cognitive disorders after a Stroke (memory, attention, planning) make managing a treatment particularly difficult. A patient may have forgotten if they took their medication an hour after taking it. They may confuse medications. They may stop a treatment because they \"do not feel immediate benefit.\" These situations are not due to bad will \u2014 they are a direct consequence of neurological sequelae.<\/p>\n\n  <div class=\"numbered-card\">\n    <div class=\"num-badge\">1<\/div>\n    <div class=\"num-content\">\n      <h4>Set up a weekly pill organizer<\/h4>\n      <p>A weekly pill organizer with daily compartments filled by the caregiver or nurse allows for a quick check to see if medications have been taken. It reduces the risk of double dosing or forgetting, and significantly simplifies daily management for the patient and family.<\/p>\n    <\/div>\n  <\/div>\n  <div class=\"numbered-card\">\n    <div class=\"num-badge\">2<\/div>\n    <div class=\"num-content\">\n      <h4>Synchronize intake with daily rituals<\/h4>\n      <p>Linking medication intake to an immutable ritual (breakfast, bedtime) reduces the risk of forgetting. Alarms on the phone or a watch can serve as reminders without requiring the constant intervention of a loved one.<\/p>\n    <\/div>\n  <\/div>\n  <div class=\"numbered-card\">\n    <div class=\"num-badge\">3<\/div>\n    <div class=\"num-content\">\n      <h4>Understand the treatment to better support<\/h4>\n      <p>The entourage that understands the usefulness of each medication can explain to the patient why they need to take them even when they \"feel fine.\" This shared understanding reduces resistance and spontaneous treatment discontinuation \u2014 particularly for anticoagulants whose protective effect is invisible in daily life.<\/p>\n    <\/div>\n  <\/div>\n\n  <h2>5. Monitoring blood pressure: a vital daily gesture<\/h2>\n\n  <p>High blood pressure is the primary risk factor for Stroke and recurrence. Daily monitoring is one of the most effective preventive measures that the entourage can implement at home. An automatic arm blood pressure monitor (more accurate than wrist models) is an investment that can literally save lives.<\/p>\n\n  <div class=\"table-wrap\">\n    <table>\n      <thead><tr><th>Blood pressure values<\/th><th>Interpretation<\/th><th>Recommended action<\/th><\/tr><\/thead>\n      <tbody>\n        <tr><td><strong>Less than 130\/80 mmHg<\/strong><\/td><td><span class=\"badge badge-green\">Optimal post-Stroke goal<\/span><\/td><td>Maintain \u2014 report to the doctor if stable<\/td><\/tr>\n        <tr><td><strong>130-139 \/ 80-89 mmHg<\/strong><\/td><td><span class=\"badge badge-yellow\">Slightly elevated<\/span><\/td><td>Increased monitoring \u2014 report at the next consultation<\/td><\/tr>\n        <tr><td><strong>140-179 \/ 90-109 mmHg<\/strong><\/td><td><span class=\"badge badge-pink\">Proven hypertension<\/span><\/td><td>Contact the treating physician within 24-48h<\/td><\/tr>\n        <tr><td><strong>180+ \/ 110+ mmHg<\/strong><\/td><td><span class=\"badge badge-pink\">Hypertensive emergency<\/span><\/td><td><strong>Call 15 immediately<\/strong><\/td><\/tr>\n      <\/tbody>\n    <\/table>\n  <\/div>\n\n  <div class=\"tip-box\">\n<div class=\"icon\">\ud83d\udcca<\/div>\n    <p><strong>The rule of 3 measurements:<\/strong> Take the blood pressure 3 times at 1-2 minute intervals, while sitting, after 5 minutes of rest. Note the 3 values and communicate them to your doctor. The first measurement is often higher \u2014 it's the average of the 3 that counts. Keeping a blood pressure diary (date, time, values) allows the doctor to assess the effectiveness of the treatment.<\/p>\n  <\/div>\n\n  <h2>6. Diet and physical activity: the fundamental levers<\/h2>\n\n  <h3>6.1 The protective diet<\/h3>\n  <p>The Mediterranean diet is the only diet whose preventive effectiveness on cardiovascular and cerebrovascular risk is solidly demonstrated. It is based on simple principles: abundant vegetables and fruits (at least 5 servings per day), fatty fish 2 to 3 times a week, olive oil as the main fat, whole grains, legumes regularly, red meat limited to once a week, reduced salt.<\/p>\n\n  <h3>6.2 Adapted physical activity<\/h3>\n  <p>Regular physical activity reduces blood pressure, improves glycemic and lipid profiles, promotes maintaining a healthy weight, and combats post-Stroke depression. After a Stroke, the goal is to gradually resume physical activity adapted to the sequelae \u2014 in coordination with the physiotherapist and rehabilitation doctor.<\/p>\n\n  <div class=\"cards-grid\">\n    <div class=\"card\"><div class=\"card-icon blue\">\ud83d\udeb6<\/div><h4>Daily walking<\/h4><p>30 minutes of walking at a moderate pace, 5 days a week. Realistic goal, no equipment needed, adaptable to motor limitations. Family members can walk with the person \u2014 a powerful social lever for regularity.<\/p><\/div>\n    <div class=\"card\"><div class=\"card-icon teal\">\ud83c\udfca<\/div><h4>Swimming and aquagym<\/h4><p>Ideal for people with motor sequelae \u2014 the support of water reduces joint stress. Improves cardiovascular health, balance, and psychological well-being.<\/p><\/div>\n    <div class=\"card\"><div class=\"card-icon yellow\">\ud83e\uddd8<\/div><h4>Yoga and tai chi<\/h4><p>Work on balance, flexibility, and breathing \u2014 three areas often affected after a Stroke. Also reduce anxiety and improve sleep quality.<\/p><\/div>\n    <div class=\"card\"><div class=\"card-icon pink\">\ud83d\udeb4<\/div><h4>Cycling or recumbent bike<\/h4><p>Stationary or recumbent cycling is suitable for people with motor limitations of the lower limbs. Maintains regular aerobic activity without the risk of falling.<\/p><\/div>\n  <\/div>\n\n  <h2>7. Cognitive rehabilitation after Stroke: a often neglected issue<\/h2>\n\n  <p>The cognitive sequelae of Stroke \u2014 memory, attention, language, executive function disorders \u2014 are often the least visible but the most impactful on quality of life and daily autonomy. They also increase the risk of recurrence by compromising treatment adherence and management of risk factors.<\/p>\n\n  <div class=\"reeduc-band\">\n    <h3>\ud83e\udde0 Post-Stroke rehabilitation professionals<\/h3>\n    <div class=\"reeduc-grid\">\n      <div class=\"reeduc-item\"><span class=\"ri-emoji\">\ud83d\udde3\ufe0f<\/span><h4>Speech therapist<\/h4><p>Aphasia, dysarthria, swallowing disorders, language memory<\/p><\/div>\n      <div class=\"reeduc-item\"><span class=\"ri-emoji\">\ud83c\udfc3<\/span><h4>Physiotherapist<\/h4><p>Motor recovery, balance, walking, prevention of complications<\/p><\/div>\n      <div class=\"reeduc-item\"><span class=\"ri-emoji\">\ud83d\udd27<\/span><h4>Occupational therapist<\/h4><p>Autonomy in daily activities, technical aids, home adaptation<\/p><\/div>\n      <div class=\"reeduc-item\"><span class=\"ri-emoji\">\ud83e\udde0<\/span><h4>Neuropsychologist<\/h4><p>Assessment of cognitive functions, cognitive rehabilitation program, psychological support<\/p><\/div>\n      <div class=\"reeduc-item\"><span class=\"ri-emoji\">\ud83d\udc8a<\/span><h4>Rehabilitation doctor<\/h4><p>Coordination of rehabilitation, spasticity, pain, medication follow-up<\/p><\/div>\n<div class=\"reeduc-item\"><span class=\"ri-emoji\">\ud83d\udc99<\/span><h4>Psychologist<\/h4><p>Post-Stroke depression, anxiety, identity reconstruction, support for caregivers<\/p><\/div>\n    <\/div>\n  <\/div>\n\n  <p>Regular cognitive stimulation, complementary to professional rehabilitation, can be practiced at home with the help of family. The application <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/clint-brain-games-for-adults\/\" style=\"color:var(--blue)\"><strong>CLINT<\/strong><\/a> from DYNSEO is specifically designed for adults with cognitive disorders post-Stroke. It offers progressive activities working on memory, attention, executive functions, and language \u2014 in a playful and supportive format, accessible from a tablet or computer. The <a href=\"https:\/\/www.dynseo.com\/nos-tests\/\" style=\"color:var(--blue)\">DYNSEO cognitive tests<\/a> allow for regular assessment of cognitive functions and inform the medical team about progress.<\/p>\n\n  <div class=\"cta-outil\">\n    <div class=\"cta-icon\">\ud83d\udde3\ufe0f<\/div>\n    <div>\n      <h4>DYNSEO Articulation Tracking Chart<\/h4>\n      <p>For individuals with aphasia or dysarthria after a Stroke, the articulation tracking chart allows for tracking progress in producing difficult sounds and words \u2014 in line with the work of the speech therapist. A coordination tool between family and language rehabilitation professionals.<\/p>\n      <a href=\"https:\/\/www.dynseo.com\/nos-outils\/tableau-de-suivi-articulatoire\/\" class=\"btn-blue\">Access the chart<\/a>\n    <\/div>\n  <\/div>\n\n  <div class=\"cta-outil\">\n    <div class=\"cta-icon\">\ud83d\uddfa\ufe0f<\/div>\n    <div>\n      <h4>DYNSEO Complex Sounds Picture Book<\/h4>\n      <p>The complex sounds picture book is a valuable visual support for language rehabilitation after Stroke. It helps individuals with aphasia to regain the association between a sound and its graphic representation \u2014 a complementary tool to the speech therapist's work, usable by family members between sessions.<\/p>\n      <a href=\"https:\/\/www.dynseo.com\/nos-outils\/imagier-des-sons-complexes\/\" class=\"btn-blue\">Access the picture book<\/a>\n    <\/div>\n  <\/div>\n\n  <!-- CTA SECONDARY TRAINING -->\n  <div class=\"cta-formation\">\n    <div class=\"cta-icon\">\ud83c\udf93<\/div>\n    <div>\n      <h4>Training \u2014 Preventing a second Stroke: the essential role of family<\/h4>\n      <p>The complete training for families and caregivers who support a post-Stroke individual. Risk factors, home monitoring, support for rehabilitation, management of cognitive and emotional consequences \u2014 online, certified Qualiopi, fundable by OPCO or CPF.<\/p>\n      <a href=\"https:\/\/www.dynseo.com\/courses\/prevenir-un-second-avc-le-role-essentiel-de-lentourage\/\" class=\"btn-white\">Access the training \u2192<\/a>\n    <\/div>\n  <\/div>\n\n  <h2>8. Post-Stroke depression: the invisible risk factor<\/h2>\n\n  <p>Post-Stroke depression affects 30 to 40% of survivors \u2014 and it is profoundly underdiagnosed and undertreated. It is not \"a normal reaction to a difficult situation\" that should be accepted \u2014 it is a neurological and psychological complication that worsens all other risk factors, reduces treatment adherence, compromises rehabilitation, and multiplies the risk of recurrence.<\/p>\n\n  <div class=\"cards-grid\">\n    <div class=\"card\"><div class=\"card-icon pink\">\ud83d\ude14<\/div><h4>Signs to watch for<\/h4><p>Persistent sadness, loss of interest in usual activities, extreme fatigue, social withdrawal, pessimism about recovery, irritability, sleep and appetite disturbances.<\/p><\/div>\n    <div class=\"card\"><div class=\"card-icon blue\">\ud83e\udd1d<\/div><h4>The role of family<\/h4><p>Do not minimize depression. Do not encourage \"making an effort\" or \"being positive.\" Report to the attending physician. Maintain an active social connection. Encourage participation in rehabilitation activities.<\/p><\/div>\n    <div class=\"card\"><div class=\"card-icon teal\">\ud83d\udc8a<\/div><h4>Available treatments<\/h4><p>Antidepressants are effective in post-Stroke depression \u2014 but their prescription requires a medical evaluation. Psychotherapy and support groups for Stroke survivors are also beneficial.<\/p><\/div>\n    <div class=\"card\"><div class=\"card-icon yellow\">\ud83c\udf1f<\/div><h4>Taking care of the caregiver<\/h4><p>Primary caregivers themselves have a high risk of depression and burnout. Their health is inseparable from the quality of support they can provide.<\/p><\/div>\n  <\/div>\n\n  <div class=\"cta-outil\">\n<div class=\"cta-icon\">\ud83c\udf21\ufe0f<\/div>\n    <div>\n      <h4>DYNSEO Emotion Thermometer<\/h4>\n      <p>The emotion thermometer is a simple tool to help the person after a Stroke identify and communicate their daily emotional state \u2014 valuable for early detection of signs of depression or anxiety, and to facilitate communication with the doctor during follow-up consultations.<\/p>\n      <a href=\"https:\/\/www.dynseo.com\/nos-outils\/thermometre-des-emotions\/\" class=\"btn-blue\">Access the thermometer<\/a>\n    <\/div>\n  <\/div>\n\n  <div class=\"cta-outil\">\n    <div class=\"cta-icon\">\ud83c\udfad<\/div>\n    <div>\n      <h4>DYNSEO Facial Expression Decoder<\/h4>\n      <p>After a Stroke, some people have difficulty reading others' facial expressions \u2014 a neurological consequence that complicates social interactions and can lead to misunderstood conflicts. The DYNSEO facial expression decoder is a rehabilitation tool for this fundamental social skill.<\/p>\n      <a href=\"https:\/\/www.dynseo.com\/nos-outils\/decodeur-dexpressions-faciales\/\" class=\"btn-blue\">Access the decoder<\/a>\n    <\/div>\n  <\/div>\n\n  <h2>9. Organizing medical follow-up: the checklist for caregivers<\/h2>\n\n  <p>Caregivers can play a crucial role in organizing and following up on medical appointments \u2014 particularly for people with cognitive sequelae who struggle to manage their health calendar alone.<\/p>\n\n  <ul class=\"checklist\">\n    <li><strong>Cardiology<\/strong> \u2014 Regular follow-up if AF or heart disease. Annual ECG at minimum. Monitoring of anticoagulation (INR if on vitamin K antagonists)<\/li>\n    <li><strong>Neurology<\/strong> \u2014 Post-Stroke neurological follow-up recommended at 3 months, 6 months, then annually<\/li>\n    <li><strong>General Practitioner<\/strong> \u2014 Blood pressure at each consultation. Annual lipid and glycemic assessment. Review of treatment<\/li>\n    <li><strong>Speech Therapy<\/strong> \u2014 If language sequelae \u2014 regular and maintained over the long term<\/li>\n    <li><strong>Physiotherapy<\/strong> \u2014 If motor sequelae \u2014 maintain the program even when progress seems stagnant<\/li>\n    <li><strong>Ophthalmology<\/strong> \u2014 If visual disorders post-Stroke (hemianopsia, diplopia) \u2014 annual<\/li>\n    <li><strong>Cognitive Assessment<\/strong> \u2014 MMS or annual neuropsychological evaluation to monitor the evolution of cognitive functions<\/li>\n  <\/ul>\n\n  <h2>10. Communication after Stroke: adapting to maintain the connection<\/h2>\n\n  <p>Language disorders (aphasia, dysarthria) after a Stroke are often one of the most painful challenges for the person and their caregivers. The person has things to say, emotions to express, decisions to make \u2014 but the words do not come as before.<\/p>\n\n  <p>The <a href=\"https:\/\/www.dynseo.com\/mon-dico-une-application-pour-favoriser-la-communication\/\" style=\"color:var(--blue)\"><strong>MY DICTIONARY<\/strong><\/a> app from DYNSEO is an Augmentative and Alternative Communication (AAC) application that helps people with aphasia communicate their needs, emotions, and choices through pictograms, photos, and thematic categories. For global cognitive rehabilitation, the <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/scarlett-brain-games-for-seniors\/\" style=\"color:var(--blue)\"><strong>SCARLETT<\/strong><\/a> app offers activities tailored for seniors, with an interface accessible even for people with significant motor limitations.<\/p>\n\n  <div class=\"two-cols\">\n    <div class=\"col-block\">\n      <h4>\ud83d\udcac Communication tips with a person with aphasia<\/h4>\n      <ul>\n        <li>Speak slowly and clearly, face to face<\/li>\n        <li>Use short and simple sentences<\/li>\n        <li>Ask closed questions (yes\/no) if necessary<\/li>\n        <li>Give time to respond \u2014 do not complete sentences<\/li>\n        <li>Use visual supports (images, photos, gestures)<\/li>\n        <li>Confirm understanding without condescension<\/li>\n      <\/ul>\n    <\/div>\n<div class=\"col-block\">\n      <h4>\u274c What to avoid<\/h4>\n      <ul>\n        <li>Talking about the person in the third person in their presence<\/li>\n        <li>Speaking louder (aphasia is not deafness)<\/li>\n        <li>Finishing sentences for them<\/li>\n        <li>Systematically correcting language errors<\/li>\n        <li>Excluding the person from decisions that concern them<\/li>\n        <li>Confusing difficulty speaking with difficulty understanding<\/li>\n      <\/ul>\n    <\/div>\n  <\/div>\n\n  <div class=\"cta-outil\">\n    <div class=\"cta-icon\">\ud83c\udfaf<\/div>\n    <div>\n      <h4>DYNSEO Choice Wheel<\/h4>\n      <p>The choice wheel is a visual tool that allows the person after a Stroke to make concrete choices (activity, meal, outing) independently, even when language is limited. Preserving the sense of autonomy and control is fundamental for well-being and motivation in rehabilitation.<\/p>\n      <a href=\"https:\/\/www.dynseo.com\/nos-outils\/roue-des-choix\/\" class=\"btn-blue\">Access the choice wheel<\/a>\n    <\/div>\n  <\/div>\n\n  <div class=\"quote-box\">\n    <p>\u201cAfter my husband's Stroke, I felt completely lost. We were given a list of medications and went home. The DYNSEO training taught me what I could do concretely \u2014 monitor blood pressure, how to talk to him, how to encourage him to walk. For the first time, I felt useful and not just anxious.\u201d<\/p>\n    <cite>\u2014 Testimony from a caregiver who took the DYNSEO training on preventing a second Stroke<\/cite>\n  <\/div>\n\n  <div class=\"conclusion\">\n    <h2>The support network: the first line of defense against recurrence<\/h2>\n    <p>80% of second Strokes are preventable. And in this prevention, the support network plays a role that no healthcare professional can take on \u2014 daily presence, attentive vigilance, support for adherence and rehabilitation. Training to better support is the most useful gesture you can make for your loved one.<\/p>\n    <a href=\"https:\/\/www.dynseo.com\/courses\/prevenir-un-second-avc-le-role-essentiel-de-lentourage\/\" class=\"btn-cta\">Access the Stroke training \u2192<\/a>\n  <\/div>\n\n<\/main>\n<section class=\"faq-section\">\n  <div class=\"container\">\n    <h2>FAQ \u2014 Preventing a second Stroke<\/h2>\n    <div class=\"faq-item\"><h4><span>Q1<\/span> How long does the high risk of recurrence last after a first Stroke?<\/h4><p>The risk of recurrence is highest in the 90 days following the first Stroke, peaking in the first 48 hours. It remains significantly higher than in the general population for 5 to 10 years. At 5 years, about 25% of people who have had a Stroke will have a second one. This risk decreases significantly with good control of risk factors (blood pressure, anticoagulants if AF, tobacco, alcohol, diet, physical activity).<\/p><\/div>\n    <div class=\"faq-item\"><h4><span>Q2<\/span> Can cognitive recovery after a Stroke continue for years after the event?<\/h4><p>Yes \u2014 neuroplasticity (the brain's ability to reorganize its connections) remains active well beyond the first 6 months, which constitute the maximum recovery period. Progress can occur several years after a Stroke, particularly with active rehabilitation and regular cognitive stimulation. This is why one should never give up on rehabilitation and cognitive stimulation, even when progress seems slow.<\/p><\/div>\n    <div class=\"faq-item\"><h4><span>Q3<\/span> How to support rehabilitation without creating excessive dependence?<\/h4><p>The key is to support the effort without doing it for them. Encourage the person to try themselves before intervening, value every attempt even if imperfect, and adjust the level of support to the evolution of abilities \u2014 always aiming for a bit more autonomy than the previous week. Work with the rehabilitation team to understand exactly what level of help is recommended for each type of task. The ultimate goal is autonomy \u2014 not permanent assistance.<\/p><\/div>\n    <div class=\"faq-item\"><h4><span>Q4<\/span> What to do if the person refuses to take their medication or see a doctor?<\/h4><p>Refusal of treatment after a Stroke is common and can have several causes: unexpressed real side effects, denial of illness, depression, or cognitive disorders that impair judgment. In the face of this refusal, do not force but understand the reason. Involve the treating physician quickly \u2014 a medical interview can overcome resistances that the family cannot overcome alone. In cases of severe cognitive disorders compromising judgment and endangering life, a legal protection procedure (guardianship, curatorship) may be considered.<\/p><\/div>\n    <div class=\"faq-item\"><h4><span>Q5<\/span> Is DYNSEO training suitable for healthcare professionals or only for families?<\/h4><p>The training <a href=\"https:\/\/www.dynseo.com\/courses\/prevenir-un-second-avc-le-role-essentiel-de-lentourage\/\" style=\"color:var(--blue)\">Preventing a second Stroke<\/a> from DYNSEO is aimed at both families and caregivers, as well as healthcare professionals (nurses, nursing assistants, home helpers, occupational therapists) who support people after a Stroke. Its content is presented in an accessible way for families but with the clinical rigor useful for professionals. It is certified Qualiopi and can be funded via the CPF for individuals or via the OPCO for professionals.<\/p><\/div>\n  <\/div>\n<\/section>\n\n<footer class=\"article-footer\">\n  <p>DYNSEO \u2014 Training and resources for post-Stroke support and prevention of recurrences<\/p>\n  <div class=\"footer-links\">\n    <a href=\"https:\/\/www.dynseo.com\/courses\/prevenir-un-second-avc-le-role-essentiel-de-lentourage\/\">Stroke Training<\/a>\n    <a href=\"https:\/\/www.dynseo.com\/nos-formations\/\">All Trainings<\/a>\n    <a href=\"https:\/\/www.dynseo.com\/nos-outils\/\">Free Tools<\/a>\n    <a href=\"https:\/\/www.dynseo.com\/nos-tests\/\">Cognitive Tests<\/a>\n    <a href=\"https:\/\/www.dynseo.com\/en\/brain-games-apps\/clint-brain-games-for-adults\/\">CLINT<\/a>\n    <a href=\"https:\/\/www.dynseo.com\/mon-dico-une-application-pour-favoriser-la-communication\/\">MY DICTIONARY<\/a>\n  <\/div>\n<\/footer>\n<\/div>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]","_et_gb_content_width":"","footnotes":""},"categories":[2915],"tags":[],"class_list":["post-683392","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-les-conseils-des-coachs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Preventing a Second Stroke: Practical Guide for Families and Caregivers - DYNSEO - Educational apps &amp; 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