Introduction: Most of the time clinicians overlook the diagnosis of cerebrovascular accidents in elderly people. cerebrovascular accident is the most common health problem in India. Three main vessels supply blood to the brain. These vessels are the an terior cerebral artery, middle cerebral artery and posterior cerebral artery Background: Worldwide, 13.7 million people will experience a hemorrhagic stroke each year. In India, 1.8 million people suffer ing from a stroke. The incidence of stroke in the general population varies from 154 per 100,000 in India. Case Presentation: A case of 66-year-old women admitted to the medical intensive care unit on date 3 January 2020 with complaints about the inability to talk and weakness over the right half of the body since 2 days after examining the right-side hemiplegia and blood pressure is high 160/100mmof Hg. She had these complaints about about 2 days. Interventions: The patient was treated patient was started on intravenous and orally mannitol,ecosprin and analgesia. She is also under the care of the neurologists as his sodium valproate medication had been adjusted. Treatment consisted of hypertension, therapeutic exercise, and neuromuscular re-education. Conclusion: In this study, we mainly focus on medical management and outstanding nursing care to help prevent further complication. Overall the patient response was good and improvement time after a cerebrovascular accident is different for all people it can take weeks, months, or even years. But few people recover fully, but others have long-term. She takes a long period to recover.