troke (cerebrovascular accident) is the third leading cause of death and the leading cause of significant, long term disability in the United States. Although stroke is commonly thought of as a disease affecting older adults, 28% of individuals who experience strokes are younger than age 65 (American Heart Association, 2000). This means a significant number of stroke survivors are of working age. In addition, as the country's population ages, more working Americans will be at risk for stroke. Occupational health nurses can be actively involved in helping workers modify their risks for stroke, developing and implementing an action plan if an individual is experiencing a stroke, and facilitating the individual's reentry into the worksite after rehabilitation is completed. Every year 500,000 Americans experience their first stroke, and an additional 100,000 experience a recurrent stroke. Currently, 4,500,000 stroke survivors are alive. The recovery time depends on the severity of the damage. Fifty percent to 70% of stroke survivors are able to function independently following their stroke. However, 15% to 30% are permanently disabled. Twenty percent continue to require institutional care 3 months after the event (American Heart Association, 2000). Men are at greater risk for stroke than women. However, because women live longer than men, more women than men actually die from a stroke. African