Evaluation Of The Clinical Practice Guidelines

Aneesh Singhal, MD, author of Recognition and management of stroke in young adults and adolescents, from the Clinical Journal of the American Academy of Neurology states

It is important that the type of stroke is diagnosed quickly to reduce the damage done to the brain and also to determine the right type of treatment because one treatment for one kind of stroke can be harmful to someone who has had a different kind. A number of different medications may be given at the hospital to help break up the clot and prevent the formation of new clots. For Ischemic stroke the treatment can begin with drugs to break down clots and prevent further ones from forming. Aspirin can be given, along with an injection of a tissue plasminogen activator (TPA). TPA works by dissolving clots but it needs to be injected within 4.5 hours of stroke symptoms once they have presented themselves. Hemorrhagic stroke treatment can begin with drugs being given to reduce the pressure in the brain, overall blood pressure, prevent seizures and prevent sudden constrictions of blood vessels.(http://www.mayoclinic.org/diseases-conditions/stroke/diagnosis-treatment/treatment/txc-20117296) Because strokes are life-changing events that can affect a person both physically and emotionally, temporarily or permanently. After a stroke,

The purpose of the research study was to determine if registered nurses are using evidence-based practice standards for assessing pain in special populations such as different cultural backgrounds and those with chronic pain syndromes. The research hypothesis states that registered nurses utilized evidence-based practice standards when assessing pain in special populations such as those with different cultural backgrounds and those with chronic pain syndromes. The null hypothesis states that registered nurses do not use evidence-based practice standards when assessing pain in special populations such as those with different cultural backgrounds and those with chronic pain syndromes. A survey study was completed to determine if registered nurses

Strokes are the fifth leading cause of deaths in America. They are also one of the leading causes of disabilities in adults. There are many factors, such as atrial fibrillation and lifestyle factors, which could lead to a potential stroke. There is the atrial fibrillation (shortened to “AFib”) and stroke connection. AFib is the constant and irregular beating of the two atria valves of the heart. The irregular heartbeats can cause blood to form clots in the heart and travel towards the brain. There are other types of risk factors that can lead to strokes, which are medical risk factors, lifestyle risk factors, and uncontrollable risk factors. Some examples of medical risk factors include high blood pressure, circulation problems, high cholesterol,

Stroke previously known as Cerebrovascular accident is well-defined as ‘an abrupt cessation of cerebral circulation in one or more of the blood vessels distributing the brain. Due to the interruption or diminish of oxygen supply causes serious damage or necrosis in the brain tissues (Jauch, Kissella & Stettler, 2005). There is a presence of one or more symptoms such as weakness or numbness or paralysis of the face, arm or leg, difficulty speaking or swallowing, dizziness, loss of balance, loss of vision, sudden blurring or decreased vision in one or both eyes and headache. Stoke is categorised into two types, Ischaemic and haemorrhagic

The usage of anticoagulant therapy is one of the most common forms of medical intervention. The CHADS2 score is the simplest and most commonly used stroke- risk assessment tool since its implementation 2001. This scale is used to determine whether or not anticoagulation therapy is required for patients with episodic atrial fib. A higher CHADS2 score is directly related to a greater risk of stroke. The level of risk from a thrombotic event is determined by a score which is tallied by including five common stroke risk factors; congestive heart failure, hypertension, age, diabetes, and history of stroke. If a patient is positive for any of these risk factors they receive one point with the history of stroke getting 2 points (Camm et al, 2010).

Clinical practice guidelines are something that we use daily and most often without a second thought. On any day I receive numerous emails from my employer and the various committees about new practice guidelines and changes in our standards. How do other facilities communicate these changes? Recently I recertified in TNCC and we are now placing oral airways in a different way due to trauma in the throat caused by the twisting insertion. Facilitators of clinical practice guidelines include the government, doctors, nurses, and management. In order to be effective the whole system must work together in order to provide the best and safest care possible. The physicians that I work with drive most of our practices, but occasionally when things

Outcome: decreased incidence of ignorance in regards to what procedure or patient case is best for the patient, plus a higher rate of efficient and beneficial treatment for patient.

Stroke is a life-threatening medical condition that occurs when the blood supply to part of brain cuts off. It is also referred to as a Cerebral Vascular Accident (CVA). There are two types of stroke ischaemic where the blood supplies stopped due to a blood clot in a blood vessel and haemorrhagic where a weakened blood vessel supplying the brain bursts. Transient Ischaemic Attack (TIA) is the condition where the blood supply of the brain is temporarily interrupted causing a “mini-stroke” often last between 30 minutes and several hours. TIAs are often a warning sign of having a full stroke in the near future (Stroke Association 2014). According to Nation Stroke Organisation UK (2015) statics stroke occurs about 152,000 times a year in the UK

This study was made with three hundred patients who had a catheter and had also had a stroke in the past, and other three hundred patients were chosen but these patients didn’t have a history of strokes. The three hundred of the stroke patients were randomly selected and the other three hundred patients

(Mozaffarian et al., 2015). Ischemic strokes are caused by a blood clot (thrombus or embolus) in

The initial post tackles a fundamental idea as to the role of imaging in the diagnosis of low back pain (LBP). As McKinnis (2014) reiterated the fact that “no imaging can be prudent” in cases of suspected disk herniation in the first six weeks preceding the advent of the symptoms (p. 344). The discussion clearly points out the significance of the clinical practice guidelines of the American College of Physicians and the American Pain Society. The collaboration between health care professionals is necessary to conserve costs while sustaining a high quality of care for the patients.

(Mayo Clinic Staff, 2016) Within the category of an ischemic stroke, the 2 sub-strokes are: thrombotic and embolic strokes. “A thrombotic stroke occurs when a blood clot forms in one of the arteries that supply blood to (the) brain…may be caused by fatty deposits that build up in arteries and cause reduced blood flow (Mayo Clinic Staff, 2016)”. On the other hand, “An embolic stroke occurs when a blood clot or other debris forms away from your brain…and is swept through (the) bloodstream to lodge in narrower brain arteries (Mayo Clinic Staff, 2016)”. The second category of stroke is the hemorrhagic stroke, which occurs, “…when a blood vessel in (the) brain ruptures (Mayo Clinic Staff, 2016)”. Within this category of stroke, again possess 2 sub-categories: intracerebral and subarachnoid hemorrhages. An intracranial hemorrhage is when a blood vessel in the brain ruptures and leaks it’s contents into the surrounding brain tissue (Mayo Clinic Staff, 2016); conditions such as, “high blood pressure,

• VTE prophylaxis – stroke patients received treatment to keep blood clots from forming anywhere in the body within two days of arriving at the

In Ireland there is a very high incidence of stroke with around 10,000 people a year having a stroke. Approximately 2,000 people die each year as a result and approximately 30,000 people within the Irish community are suffering with a disability as a result of stroke. (Irish Heart Foundation, 2011) This essay will discuss the topic of stroke, outlining the pathology of the disorder and discussing the recovery process. There are two major categories which stroke is divided into: Ischemic, which is the cause of 85% of strokes and Haemorrhagic, which causes 15%. In ischemic stroke, vascular occlusion and hypoperfusion occur, while in haemorrhagic stroke there is extravasation of blood into the brain or subarachnoid space. (Hinkle and Guanci, 2007). There are some similarities between the two, however differences exist in aetiology, pathophysiology and medical and surgical management. The causes and effects of each of the categories of stroke will be discussed and compared and the treatment and process of recovery will be described.