Evaluation Of The Stroke Management Clinical Practice Guideline

Strokes are caused by a block in the blood supply to the brain which causes a decrease in oxygen and delivery of other important supplies which facilitate proper functioning. Fifteen million cases are reported worldwide annually, although not all of these cases are mortalities, the large prevalence of strokes ranks it as the fourth leading cause of death in the United States. (Figueroa) Because of the time sensitivity associated with the lack of resources to the brain, strokes are considered a medical emergency and early recognition of symptoms can help decrease the amount of damage caused . Although strokes do not always cause death, strokes most often leave the individual with some physical and cognitive impairment.

The health issue that this artifact discusses is the significance of knowing and recognizing the warning signs of a stroke. The American Heart Association has made it their mission to provide unlimited health information and research in the hopes of eliminating cardiovascular diseases as well as helping society in maintaining a healthy lifestyle. “Stroke is the number 5 cause of death and a leading cause of

Mrs. Alice Palmer is a 54-year old married woman who has been admitted and is being treated with an ischemic stroke which she had 18 hours ago. This paper explores the nursing care of Mrs. Alice Palmer based on the clinical reasoning cycle by considering her situation first, collecting cues and information about her, processing the information gathered, then identifying problems or issues she is experiencing, and finally carrying out a detailed assessment. Also, the paper focuses on setting goals and establishing a nursing care plan in the community, and target ethnically safe practice. Ischemic stroke occurs when the brain tissue does not receive sufficient oxygenated blood due to an obstruction of the carotid artery (Brunner, Suddarth, & Smeltzer, 2008). When the brain does not receive enough oxygenated blood, some or all of its tissues may get damaged

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.

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

Treatment of stroke, in general and ischemic stroke specifically, in particular, is aone of the most pressing issues in both nursing and medical science today. This is due to the fact that there are very few available treatment options for the various kinds of stroke. Acute ischemic stroke carriesis a prominent medical issue with a high risk of death or morbidity (Kakma, Stofko, Binning, Liebman & Veznedaroglu, 2014). Stroke, including ischemic and other types, is recognized, further, as a one of the most prominent leading causes of disabilities (Saver et al., 2015). While cerebral infarction resulting from thrombotic occlusion of brain arteries is the most common stroke type, ischemic stroke is also quite common. Each year ischemic stroke affects over a half-million victims in the United States alone;. o Of this group, about 150,000 deaths occur, along with 300,000 victims suffering from any number of disabilities following a stroke (CITE)after the fact.

Stroke is the fourth leading cause of death in the United States. Each year more than 795,000 Americans suffer from a stroke, which means that every forty seconds someone has stroke (Liebman, 2012). Although a stroke can occur at any age, strokes are frequently seen in the older adult demographics. An increase with age doubles the risk for a stroke each decade after 55 (Grysiewicz, 2008). The percentage of stroke survivors to almost fully recover from a stroke is only 10 percent; in contrast, 40 percent of stroke survivors will face moderate to severe impairment which will entail distinctive care (Perlmutter and Colman, 2005). When all strokes are analyzed according to demography of class system, approximately 60% of strokes occur in low or middle income countries (Silverman and Rymer, 2009).

Evidence-based practice benefits all participants of health and implements high quality care. Patients should find comfort in knowing the care they are receiving is the best available. Health facilities provide cost-appropriate care, using resources for effective interventions. Nurses implement practices in-line with the best evidence available. This quality of care involves critically evaluating whether practices are appropriate and applicable to care, and consistently seeking to improve and build upon care methods. Research plays a crucial role in implementing evidence-based practice. Nurses are responsible for knowing how to access research, judge its validity, incorporate it into clinical decision-making, and refine their own practice methods. This paper further explains how nurses utilize evidence-based practice to improve stroke care. With continuous research, evidence-based practice will evolve quality health care around the world.

Stroke is one of the leading causes of death and long-term disability in the world. Every year, more than 795,000 people in the United States suffer a stroke. About 87% of all strokes are ischemic strokes, where blood flow to the brain is blocked and 13% are hemorrhagic strokes, where a weakened blood vessel in the brain ruptures. Stroke costs the United States an estimated $34 billion each year. Strokes are diagnosed and confirmed using physical examination, blood tests and brain imaging techniques. Clinical treatments and preventative measures for stroke have improved in the acute setting, but long-term rehabilitation techniques remain limited. Stroke is a major health problem that greatly affects people of all ages and causes long-term disability

Responsibilities involved detailed neurological patient assessment including history taking and examination in the Neurology clinic. Making an initial management plan and discussing treatment strategies with the supervisor. Discussing imaging studies of the various type of stroke patients with the clinical team and supervisor. These clinics exposed me to various types of stroke and learning their diagnosis and management, the lecture sessions by the supervisor after clinics helped me learn IV TPA administering protocol and rare neurological cases of

CRMC hospital continuously works on improving the stroke process and patient teaching remains an important aspect of this stroke process. Thus, the literature research for the best-evidence practice will allow to improve the quality of care and patient outcomes (Melnyk, Gallaqher-Ford, Long, & Fineout-Overholt, 2014). Therefore,

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)

Chronic diseases are regarded as lifelong conditions that can only be controlled, not cured. One such disease is stroke, caused by interrupted blood supply to the brain. Healthcare professionals (HCPs) provide education and assist patients in developing self-management strategies. This allows individuals to better control modifiable risk factors for stroke (thereby lowering readmission rates), become effective managers of their own health, and improve quality of life (QoL). This is referred to as self-management.3,4