Improving Patient Compliance And Stroke Rehabilitation

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 research article is intended for improvement of clinical outcomes via administrators, physicians, emergency care providers, and allied health works such as patient care assistance, physical therapist, and occupational therapist who are actively at the point of care of patients diagnosed with strokes and showing symptoms of depression. The overall goal of the writing is to provide the healthcare professionals management

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.

The purpose of this essay is to discuss the care given to a stroke patient with complex care needs in a community setting. A critical analysis of the nurse’s role in care delivery will be explored. This essay will focus on three key aspects of care, which are mobility, nutrition, and cognitive impairment and a rationale for the chosen needs will be given. The author will evaluate and analyse the chosen nursing care approach utilised and its effectiveness in facilitating the care given. A discussion of the psychological, physiological, and social factors influencing the patients’ needs will follow. Furthermore, the author will identify and explore on health promotion needs relating to the patient. Issues related to Inter-professional working

Cerebral vascular accidents are also known as strokes. Strokes can cause minimal to severe brain damage which can affect a person’s quality of life. This paper covers the definition, signs and symptoms, treatments, causes, prevention and what a nursing assistant can do to help someone recovering from a stroke.

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.

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.

The neurology floor where I work has twenty-five beds. As the Certified Stroke Center, the majority of our patients are stroke patients, but not only limited to this one. Other neurological disorders include altered mental status, spinal surgeries, brain surgeries, Guillain-Barré syndrome, myasthenia Gravis, multiple sclerosis; and brain and spinal cord

Stroke is the third leading cause of death, and the leading cause of adult neurologic disability in Canada. After the age of 55, the risk of stroke is doubled every 10 years (Brunner & Day, 2010). Despite advances in stroke management post stroke complications occur. Nurses must focus on developing successful strategies to promote home and community based care for victims of completed stroke in order for them to resume their daily life as safely and independently as possible. Strategies must target prevention of future strokes, since a stroke survivor has a 20% chance of having another stroke within 2 years, and care management after the cerebrovascular accident. Effective strategies must be aimed at restoring patient’s independence by improving physical, mental and emotional functions. Three nursing strategies to promote this include: continuous patient education, patient and/or family goal setting, as well as providing psychosocial support to the patient’s family or primary caregiver(s). This paper will analyze why these three proposed strategies are crucial to promote home and community based care, as well as ways these strategies can be implemented in such settings in order to improve the outcome for post-stroke patients.

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

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)

Likewise, NICE (2013a) recommended at least 45 minutes of each relevant stroke rehabilitation therapy for a minimum of 5 days per week to people who have the ability to participate to get best result. In the case of Mr. Devi, being a full-time worker, there is a possibility of relapse. So it is necessary to make a proper plan and set the time-table that is convenient to him, which helps him to continue with exercise session. Since, he has recovered from a stroke I recommend him to discuss possible exercise plans with members of his rehabilitation team.

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