Patient discussions

Agree and document a plan for follow-up care with the patient after their aneurysmal subarachnoid haemorrhage. Give a paper copy of the plan to the person (and their family or carers if appropriate) and include details of who to contact at the specialist centre for ongoing advice and support.[37]

Advise patients to rest for 2 to 4 weeks after discharge (in particular, no lifting) and slowly return to normal life pace.

If untreated aneurysms are still present, advise the patient to:

  • Abstain from sexual activity, lifting, and straining, in order to avoid blood pressure swings, until the aneurysm(s) is treated

  • Seek urgent medical attention if they experience sudden, severe headache or weakness; numbness on one side of the body; slurred speech; double vision; vision loss; or difficulty swallowing.

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