Improved Stroke Care

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.

Stroke is a leading health care problem worldwide; ‘living with stroke’ is a real challenge both stroke survivors and their caregivers face.

The authors provide clear definitions of CSU and traditional stroke units (TSU), including acute (SU-A) versus rehabilitation-based care (SU-R). Importantly, the authors use the SUTC definition of CSU in this paper, as there is also emerging literature about comprehensive stroke centres which instead refer to a hyper-acute model of care involving facilities for acute intravenous or intra-arterial treatments, intensive monitoring, advanced imaging and neurosurgery.11

3000 word essay on patient with left sided stroke with one identified health need/problem: Dysphagia

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.

Evidence-Base practice (EBP) is defined as based on problems identified from nursing practice; using best evidence and professional expertise and merging them into current practice to ensure patients receive quality care (French, 1999). Evidence-based practice is a part of quality improvement process; it is made of evidence, clinical expertise, patient preference and the context of care (Barker, 2013). In brief, evidence-based practice is the guideline in the nursing practice that requires nurses gather and use clinical evidence to help diagnose or assess patients correctly by using their knowledge and experience in order they can deliver the quality of care to the patients (Ellis, 2013). In the other words, in the nursing practice the clinical evidence supports all the nursing procedures performed.

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).

In-depth, in-home interviews of forty-five minutes to sixty minutes were conducted with five community-dwelling individuals (three men, two women) aged 68-74 years who had experienced a stroke in the past year, followed by in-patient rehabilitation for a minimum of two weeks. Data analyzed using thematic analysis. Peer-review and peer debriefing with a co-researcher established

Many people don’t know that stroke is one of the most common life threatening diseases in the U.S alone. It has been estimated that about 25% of people who have had a stroke will have another in the years to come. What people don’t tend to realize is how much money strokes cost the U.S a year. In 2003, strokes cost about $52 billion dollars.

Stroke is a public health burden that affects 15 million people worldwide (World Health Report, 2002), approximately 795,000 people per year in the United States (Centers for Disease Control and Prevention, America’s Burden on Stroke, 2012) and specifically in Mississippi, stroke is the fifth leading cause of death (Mississippi Vital Statistics, 2014). Approximately 610,000 are first or new strokes and approximately 185,000 strokes, nearly one of four,four; occur in individuals that have had a previous stroke (Mozaffarian, Benjamin, Go, et al, 2015). Currently, there are more than 6.2 million noninstitutionalized adults who have had a stroke in the United States (Faststats, CDC, National Center for Health Statistics, 2012).

Stroke is the fourth leading cause of death in American and a leading cause of adult disability. Stroke or other known as a “transient ischemic attack” occurs when a blood clot blocks an artery or a blood vessel breaks, interrupting the blood flown to an area of the brain. These characteristics cause a loss of cerebral function. (NSA, 2014) When brain cells die during a stroke, abilities controlled by that area of the brain are lost. These abilities include speech, movement and memory. How a stroke patient is affected depends on where the stroke occurs in the brain and how much the brain is damaged. (NSA, 2014) Stroke rehabilitation starts on admission to hospital and continues after discharge; the aim is to restore a level of

As stated in Acute Stroke Intervention (Prabhakaran, Ruff, & Bernstein, 2015), one of the leading causes of death and disability in the United States are strokes. Acute ischemic stroke (AIS) results when an artery that is supplying the brain becomes blocked, this occurrence leads to cell death of brain tissue. Improving brain function after an ischemic stroke is of high priority for clinical research. General consensus shows that administration of intravenous recombinant tissue plasminogen activator (IV rtPA) therapy is helpful when introduced within 4.5 hours of ischemic stroke symptom onset. The benefit of intravenous (IV rtPA) lessens when the onset of symptoms goes beyond 4.5 hours. The use of (IV rtPA) is contraindicated when there is

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)

Approximately 15 million people suffer a stroke worldwide each year, of those 5 million die and another 5 million are permanently disabled Mackay et al (2004). Stroke tends to affect people over the age of 75 (Scarborough et al 2009). Since almost 70% of people over 75 retain some teeth (Todd and Laden 1998), maintaining a healthy mouth is important for elderly stroke patients. Not only does effective oral care play a central role in the prevention of infection, a healthy mouth also makes a real difference to a person’s quality of life (McGrath and Bedi 1998) and maintenance of nutritional status (Jones 1998) .For these reasons, this dissertation will examine the benefits of good oral hygiene for elderly stroke patients and nurses role in

The over the counter medication once known only for its ability of easing aches and pains or fighting off fever and inflammation is proving itself to be quite the miracle drug. Aspirin has become part of the protocol for stroke victims as a preventative measure due to its neuro-protective benefits. Stroke can cause lesions in cerebral white matter, which may result in cognitive impairments such as deficits in learning and memory. White matter lesions (WML) have also been linked to increasing the risk of post-stroke dementia. Cerebral white matter damage has been widely overlooked. Comprised of oligodendrocytes that form the insulating myelin in the CNS, white matter is evidentially just as vulnerable to ischemia as gray matter.