Review of Related Literature

Stroke; Studies from University of Ulm Reveal New Findings on Stroke (Risk of
osteoporotic fractures following stroke in older persons). (2015). Retrieved 09/11/2020,
from https://www.proquest.com/docview/1673198344/D571946956C74D72PQ/2?
accountid=171161.

Stroke survivors have a high risk for having osteoporotic fractures due to
frequent falls and an increased risk to develop osteoporosis. But, according to the data
gathered by the journal, the ones who always suffered or most high risk for that is the
stroke survivors without any functional impairment. Compared to those who have
functional impairment, they have no significantly increased risk for any fractures site.

Therefore, stroke survivors who does not have functional impairment suffers from
osteoporotic fractures due to frequent falls more than those who have functional
impairment. Because those who have functional impairment may not carry out certain
functions of daily lives in short, they have limited mobility more likely less activity in their
respective homes which can be a result for lower risk to accidents and injuries.
Meanwhile those who do not have impairment tends to move or go around their house
doing things they want then accidentally falls because of a certain reason like possibly
dizziness, weakness in arm or leg and chest pain.
 Lipid-lowering drugs may be effective in the prevention of stroke in older people.
(2015). Retrieved 09/11/2020, from
https://www.proquest.com/docview/1784938724/abstract/D571946956C74D72PQ/20?
accountid=171161

Use of cholesterol-lowering drug is associated with a one third reduced risk of

stroke in older adults who do not have a known history of vascular events. The
researchers investigated statins or fibrates which are known as the cholesterol-lowering
drug. After an average follow-up time of nine years, these so-called drugs were
associated with a 30% decrease in the incidence of stroke.

Therefore, the residents must be reminded by us nursing students to take the

prescribed medicines religiously especially if the physician prescribed statins or fibrates.
This will help reduce the risk for those who do not suffer from stroke yet and also for
those who already experienced stroke. Lower cholesterol in the body, lower risk to
stroke.
Colin F. (2018). Aspirin a day is not OK. Retrieved 09/11/2020, from
https://www.proquest.com/docview/2104958828/325D9BF95FD24691PQ/5?
accountid=171161

The author of the journal said that those healthy older people who take aspirin to
prevent disease are just wasting their time. The research focused on aspirin’s effects on
healthy people or those who are free from heart diseases or free from stroke. It shows
that it does not have any effect to those who are healthy older people. A total of 19,114
people, mostly over the age of 70. Around half were told to take a low; 100mg dose of
aspirin every day and the other group given a placebo. The results were followed up
around five years later.

Treatment with aspirin did not help keep people free of dementia or disability, the
study found. Rates of cardiovascular problems, such as coronary heart disease, non-
fatal heart attacks and stroke, were also similar in both groups. Among the aspirin-
takers, 3.8% experienced serious bleeding compared with 2.8% in the placebo group.
The aspirin group was also at a slightly increased risk of dying within the five-year
period.

The study found that 5.9% died during the study, compared with 5.2% in the
placebo group.

It means millions of healthy older people around the world who are taking low-
dose aspirin without a medical reason may be doing so unnecessarily. The study
showed no overall benefit to offset the risk of bleeding