In my work, not once i encounter old people with deterioration and i am having hard time deciding if does symptoms may be related to CVA or not and if a neurologist should be called.
I will explain by a story from the ER: take a 70 year old women who was ok in her functioning, namely need help and diapers but communicate properly and from today there is a deterioration and she is much less communicating.
In her background - recurrent UTIs (and of course UTI may explain the deterioration) but the daughter says her UTIs are not presenting that way. also, she stopped her Xarelto because of Hematuria. Of course this is an alert that CVA is more likely.
But still - i ask for tips in identifying CVAs, not just in the usual weakness in one side of the body.