1. Assessment and Monitoring

   • Regular neurological and cognitive assessments are crucial to track cerebral atrophy and post-stroke recovery.
   • Control blood pressure to manage hypertension and prevent further vascular damage.

2. Medication Review and Management

   • Review current medications to avoid interactions and optimize therapy.
   • Consider cognitive support medications or those reducing stroke recurrence, like antiplatelets or statins, under specialist guidance.

3. Rehabilitation Therapies

   • Engage in physical therapy to enhance balance and mobility.
   • Utilize occupational therapy for daily activities and cognitive rehabilitation.
   • Implement speech therapy if communication is impaired.

4. Lifestyle and Supportive Measures

   • Maintain a healthy diet, exercise regularly as tolerated, and cease smoking if applicable.
   • Support mental health and involve caregivers in the care plan.

5. Specialist Involvement

   • Consult with neurologists, physiatrists, and possibly geriatricians or stroke specialists for comprehensive care.

6. Safety Measures

   • Implement fall prevention strategies at home due to imbalance and confusion.

This structured approach provides a comprehensive, multidisciplinary treatment plan tailored to the patient's complex condition.