INTRODUCTION This critical review of the quantitative study “Evaluation of a multiprofessional community stroke team: a randomised controlled trial. Clinical Rehabilitation; 18 pp 40-47 STUDY PURPOSE The study aims to conclusively evaluate how effective it is to employ a specialist community stroke team for the rehabilitation of stroke victims in a community based setting. This is clearly established at within the opening lines of the article. In the summary at the beginning of the article the author claims that the available evidence is inconclusive and his aim is to provide conclusive proof with regards to evidence based practise for the patient. A research article should state its’ aims clearly and should assume the audience has no …show more content…
According to Sim and Wright (2000) the accessible population is the portion of the target population that is available to the researcher and the sample is then taken from this accessible population. The groups are similar to each other with regards to gender and age distribution; this also increases the validity of the study as this similarity reduces the variables of the study. The overall population was a convenience sample which was then randomized to two groups. DATA COLLECTION Six months after randomization all the patients were sent a letter asking them to consent to being in a study to evaluate the input of a community stroke team. According to Lincoln et al (2004) the consent forms and outcome questionnaires were sent this late so as to reduce bias. It was thought that group A which was receiving routine care would have lower expectations if confronted with the realization that the alternate group may receive superior care. Some would possibly insist on being referred to the specialist community stroke team The Local Research Ethics Committee granted ethical approval for this study to go ahead. This indicates that the value of the research undertaken outweighed any harm that this consenting method may have caused as patients in Group A were still receiving routine care. However, the department of health has
Most exercise is designed for neurorehabilitation, not cardiovascular health, so there is a very different definition for stroke patient exercise, as well as a very different goal set. Because strokes affect each person differently, treatment is also specific to the individual. The literature included in this review focuses on three different methods of exercise, each with very specific goals in mind. Cabanas-Valdés and collegues study was on Core and Trunk stability, Minyoung describes use of Virtual Reality enhanced exercise for treatment, and Tutak introduces the concepts behind Rehabilitation
The researchers used purposive sample but did not give any explanation as to why this choice sampling was made. It is essential to describe the sampling process in a research where this facilitates the reader to distinguish any bias in the whole sampling process. In studies using participants, the process of how to select, access, inform and retain research participants requires considerable thought. Sampling is a key issue, because it is
J. (2015). Addressing the burden of stroke caregivers: a literature review. Journal of Clinical Nursing, 24(17-18), 2376-2382. doi:10.1111/jocn.12884
In professional experience working at a comprehensive stroke center, early intervention in crucial in decreasing the amount of deficits stroke victims acquire. As I further my education and professional status in the field of Nurse Practitioner, I will be able to participate in in-depth research related to cerebrovascular accidents and quality patient outcomes.
Dr. Mark Lasser’s book “Healing the Wounds of Sexual Addiction” gives insight to those who suffer from sexual addiction and to the families, friends and other people in their lives. Dr. Mark Lasser has chosen to write this book, to share with others his personal struggle and victory with sexual addiction. Dr. Lasser has written this book from a Christian view, to give other individuals hope in a difficult and growing disease, which is taking control and destroying our families. Lasser defines sexual addiction as “a sickness involving any type of uncontrollable sexual activity, and because the addict cannot control his
Stroke is a leading cause of adult disability and patients face multiple challenges, such as weakness/paralysis on one side of the body, social disability, inability to walk and self-care, the decline in community participation, and the decline in cognitive and emotional functioning. These challenges impede them from independently performing their daily activities related to work, school, parenting, or leisure. Evidence Based Practice shows that the best way to treat individuals with stroke is through the use of the mental practice. Mental practice is a training method during which a person cognitively rehearses a physical skill in the absence of overt, physical movements for the purpose of enhancing motor skill performance. It is a practice
The author of “Be Sure You're Right, Then Go Ahead”: The Davy Crockett Gun Craze is by Sarah Nilsen. The purpose of the article is to give detail of how Davy Crockett became the emblem that was known for guns and coon skin hats. The author does not specifically identify the purpose of the article. The purpose is well stated in the detail given about how the legend became a legend and what part Walt Disney played in it. The war, families, television shows, toy makers, and any other company that could profit from Davy Crockett and The Wild Frontier played a major role in making Davy such a legend.
According to the Centers for Disease Control and Prevention (CDC) (2015) every year there are 800,000 individuals who have strokes. There are 610,000 first time cases and 185,000 recurring stroke individuals. It is important for caregivers to note that the increased risk of another stroke is higher after the first (CDC, 2015). It is also critical for the caregiver to ask questions of the physician, such as what aspects physiologically and emotionally have been affected and treatments
Led by our chairs Samantha Sangabi and Julia Roh, our Power to End Stroke initiative has worked to break the barrier that lies between the community and the signs of stroke. With the help of the B.E.F.A.S.T method we have been able to reach out to the community and provide patients with the tools to detect and take preventative measures against stroke.
Cramm & Nieboer (2011) conducted research from stroke unit coordinators in hospitals, nursing homes, and rehabilitation centers by using a questionnaire to assess stroke team functionality (p. 2). The study was conducted to assess the professional’s opinion on stroke team functionality. In which the information gathered was based upon subjective matter, such as stroke team functionality, personal autonomy, personal development, communication and role understanding, social well-being, and interprofessional education (Cramm & Nieboer, 2011). The compilation of data was organized so that the information could be formulated into tables to identify trends and analyses in order to identify areas of team cohesiveness and areas that may need improvement. The analysis indicated that social well-being, communication and role understanding were strong contributors to
Stroke, or brain attack, is the number four killer of adults in the world. In the United States, 160,000 deaths occur each year. From 1999 to 2009, the death rate from stroke gradually lowered as improvements to medicine and testing developed. Yet, 800,000 Americans continue to have strokes and survive the event. Worldwide, about 15 million experience stroke with 6 million who die and 5 million who become permanently disabled. (Robinson, Richard & Odle, Teresa G. & Frey, Rebecca J. & Odle, Teresa G. , 2011) The statistics in America are better for surviving a stroke because of rapid response and better interpretation of symptoms. Nevertheless, surviving a stroke often brings on dilapidating effects; which means a change in lifestyle and lifelong rehabilitation through physical therapy.
Of particular interest to me was the complicated nature of categorizing and defining self-forgiveness. What seemed to be a simple concept is, in fact, layered with multiple levels of complex considerations that must be addressed in order to properly define and diagram self-forgiveness.
Stroke is seen as a major health concern and this is due to the fact that every year, as many as 110,000 individuals suffers from strokes making it a key issue. (NHS 2014)
Dr. Mark Lasser’s book “Healing the Wounds of Sexual Addiction” gives insight to those who suffer from sexual addiction and to the families, friends and other people in their lives. Dr. Mark Lasser has chosen to write this book, to share with others his personal struggle and victory with sexual addiction. Dr. Lasser has written this book from a Christian view, to give other individuals hope in a difficult and growing disease, which is taking control and destroying our families. Lasser defines sexual addiction as “a sickness involving any type of uncontrollable sexual activity, and because the addict cannot
Insofar as informed consent has been expounded, two main principles of bioethics have emerged as paramount; autonomy and non-maleficence. Although seemingly clear, the boundary of both respecting a person’s autonomy and doing no harm becomes blurred when the patients have disabilities that remove their ability to reason and justify soundly (e.g. total brain injuries or severe stroke patients). Although the participants in the proposed study will be fully-abled as per the exclusion criteria, understanding why cognitively impaired participants cannot give ‘informed’ consent further elaborates on higher-order-thinking required in the informed consent process. Without such a process, patients whom elect to become participants may not understand that this research is a separate entity to their regular treatment regime, and essentially will have become coerced into consenting due to a lack of clarification (Kerridge, Lowe, & Stewart, 2009; Rigg, 2012a; Rigg, 2012b).