Background: brain haemorrhage can harm its function depending on bleeding volume, area, action time, and individual vulnerability.

Aim: highlight determinants of brain haemorrhage in vulnerable people and how to prevent such events.

Material & Method: a qualitative study conducted by the author in the community from 2000 to 2023 to investigate the onset of brain haemorrhage and disease management.

Findings: usually, vulnerable individuals aged more than 50, after much exposure to sunlight, alcohol consumption, excessive physical exercises, and inappropriate communication with their collaborators - were diagnosed with a brain haemorrhage.

Their medical history: arterial hypertension, type 2 diabetes, dyslipidaemia

Their social history: unsafe interaction with their clients, associates, or partners

Actions were taken: typically, the people diagnosed with a brain haemorrhage were treated in the hospital. Once they were discharged, they were monitored by their family doctor, who collaborated with other healthcare professionals as needed. The family physician used medications, communication skills, and behaviour change information; she advised the patient’s family about the harmful effect of improper communication and inappropriate air energy on the disease evolution. An educational program was initiated in the community.

Results: drugs, effective communication, control of environmental factors, and individualized physical and mental activities based on demographic data improved the disease evolution.

Conclusion: a healthy lifestyle, suitable environment, and communication skills are essential in maintaining and improving an individual’s health and recovering from a brain haemorrhage.

Discussion/Implication: for seniors, improper communication, intense debates, and more physical exercise combined with excessive sunlight exposure and alcohol consumption can lead to a brain haemorrhage. Cumulative risk factors exponentially increase the possibility of bleeding in fragile areas according to their magnitude, frequency, interaction, and personal vulnerability. Excessive physical exercises, inappropriate words’ energy, and offensive attitudes activate the adrenergic pathway, which increases blood pressure, resulting in bleeding in vulnerable zones, including vessels with atheroma plaques. Informative programs are required.