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Stroke case studies
Stroke case studies
Rehabilitation of stroke patients
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LITERATURE REVIEW
Stroke units, introduced in the 1950's, have become an established essential component of an effective functioning stroke service, in the modern stroke services provided today. A stroke unit refers to organized inpatient care for stroke patients, provided by a multidisciplinary team that specialise in stroke management. The Stroke Unit Trialists Collaboration (SUTC) has carried out Cochrane reviews on stroke unit trials since 1997. Findings, from random trials and systematic reviews, have shown that the provision of care in a stroke unit can increase a patient’s chances of survival, which enables them to return home and regain independence in activities of daily life (Langhorne et al., 2012). Stroke units seem to benefit
Responding is the third phase of the Tanner’s (2006) model based on the nurse’s initial grasp, interpretation and applying clinical reasoning to respond with evidence based practice. Based on the assessment it recognised that in Mr. Devi several nursing interventions need to consider, these are reported to the appropriate medical practitioner about deterioration in his condition. Mr. Devi condition was reported to medical practitioner using an interdisciplinary communication SBAR tool (Situation, Background, Assessment and Recommendation). SBAR is a communication tool designed for the clinical team to transfer clear and concise information about a patient’s condition (Cadman 2016). Recovering after stroke he will be referred to a specialist
Men are typically more at risk of having a stroke than women (The Heart and Stroke Foundation of South Africa, 2007)
Solis, P. (n.d.). Stroke as a core measure: American heart association: What’s coming down the
In my practice learning environment (PLE), I encountered Ruby, a ninety year old lady who had suffered a stroke. The rationale for choosing Ruby for this reflection is that she had a Waterlow score of eighteen on admission. The intrinsic factors contributing to the high Waterlow score included her age, skin integrity, nutritional status, mobility, faecal continence and special risk due to her left cerebellar stroke (Waterlow, 2005). Ruby’s post stroke symptoms included; weakness in her right limbs, frustration over losing independence and a right visual field deficit. Since, these symptoms can contribute to the development of PUs (Suttipong and Sindhu, 2012); I knew the nursing staff and I must make PU prevention a priority in Ruby’s care planning. Through showing compassion and taking a person-centred approach by involving Ruby and her family in decisions, as a team, we successfully put evidence based PU...
Mayo clinic staff. “Diseases and Conditions- Stroke” Mayo Clinic. Feb 14, 2014 , 1-5 +
In summary, Hospital A will implement a new process for responding to in-hospital stroke calls. This new process will improve quality outcomes of patients experiencing in-hospital strokes. There are no additional costs involved in implementing this process. Data will be collected and reported for stroke measures previously outlined. Through researching this project, additional educational opportunities were identified. Hospital A will further explore these opportunities in the future.
This module has enabled the author to understand the concept of vulnerability, risk and resilience in relation to stroke. Therefore, it will contribute to her professional development and lifelong learning (NES, 2012). Additionally, the author has gained evidence based knowledge of person-centred care, compassion and self-awareness; all of which can be used to inform future practice (Miller, 2008). Consequently, she will be able to provide the appropriate level of care that can make a difference to a person’s recovery.
Stroke survivors or anyone with chronic illness and health providers remain hopeful and “realistic” by counting on each other. The patients while being realistic about the outcome of their disease, stay hopeful that each of their health care providers will give them the appropriate care and will make sure that they can live with their disease in the best way possible.
After a stroke, patients are usually referred to physical therapy to begin the recovery process. There are many types of physiotherapy treatments for different types of strokes and injuries. The two kinds of strokes are ischemic stroke which occurs when the blood supply to the brain is interrupted by blood clots. The blood clots are caused when the arteries harden and a cluster forms which then limits blood and oxygen supply to the brain. The second kind of stroke is a hemorrhagic stroke, which occurs when there is bleeding into or around the brain. If one of the two strokes were ever to occur, getting oxygen and blood to your brain immediately is very important because permanent tissue damage and death could even occur. Physical therapists help not only stroke patients but a large variety of people who have physical limitations. A new treatment approach that is being studied involves “treadmill training” with partial body weight support. In this approach a physical therapist patterns the movement of the involved or weak leg while the patient is supported in a sling type apparel while walking on a treadmill. This is a new technique that is showing good results. However, there are no long term studies as of yet. I believe that treadmill training is very beneficial to stroke patients because it helps them regain speed and strength in a short amount of time. Treadmill training is very costly, but increases your chances in walking by about three to four weeks faster than regular physical therapy.
“Time is brain” is the repeated catch phrase when addressing the treatment and management of stroke (Saver, 2006). Access to prompt and appropriate medical care during the first few hours of stroke onset is critical to patient survival and outcomes. Recent changes in the guidelines for acute stroke care released by the American Heart Association (AHA) and the American Stroke Association (ASA) have improved patient access to treatment. Stroke treatment now follows the model of myocardial infarction treatment. Hospitals are categorized into four levels based on stroke treatment capability. The most specialized treatment is available in comprehensive stroke centers followed by primary stroke centers, acute stroke-ready hospitals, and community hospitals. The use of telemedicine now enables even community hospitals, with limited specialized capabilities, to care for stroke patients. Telemedicine puts emergency hospital personnel in contact with neurologists providing expertise in the evaluation of a stroke patient and determination of their eligibility for treatment with thrombolytic medication (Jefferey, 2013).
This story was about stroke patients who agreed to be interviewed. There were four examples of the interview to compare two different types of interviews. There are two examples of obvious narrative and there are two examples with less easily definable as narratives.
The main issue here will be the extent of mobility after your stroke. Once released from the hospital, there may still be the need for 24 hour care in a rehabilitation facility. If you are able to get to
1. What is the difference between a. and a. Introduction The main aim of this report is to present and analyse the disease called Cerebrovascular Accident, popularly known as stroke. This disease affects the cerebrovascular system, which is a part of the cardiovascular system.
The topic I will be covering in the paper is a condition called a stroke. I know many people know the brief information about a stroke but I am here to go into full detail of what a stroke really is, how a person can suffer a stroke, history, and treatments for stroke patients, also if you have suffered from or has a family member suffering from a stroke hopefully I can find a good support site to go to for information and help on the topic at hand. A stroke is when either a blood clot blocks the blood flow to the brain which is called a Ischemic stroke which makes ups about 85% of all strokes which would be a lot, or a blood vessel could burst in your brain causing a hemorrhage which starts to accumulate blood and compresses the brain tissue which can cause brain damage. There are 2 different types of strokes the first one is called a intracerebral hemorrhage stroke which is the most common of the two and is when an artery in the brain burst can compresses surrounding tissue in the brain. (CDC, 2010). The second form of a hemorrhage stroke is called subarachnoid hemorrhage which is bleeding in the area that is located between the brain and the thin tissue that covers it. (CDC, 2010). When it comes to races there is a difference in who is more at risk. African Americans and Native Americans are the most likely victims of a stroke in between them Hispanics and at the bottom are white people. The chance of and African American getting a stroke is twice that of a white person, not only are they at a much higher risk African Americans are also more likely to die after having the stroke than whites. Age of onset varies because anybody can have a stroke it is true that the older you get the higher your chances are of getting a stroke b...
Educating a stroke patient comes with many challenges. Patients who have had a stroke may suffer from barriers that may negatively affect the learning process. When educating patients in general, it has been reported that 40-80% of the information provided by the healthcare professionals is forgotten (Kessels, 2003). The more information that is presented, the least amount of information is recalled (Kessels, 2003). Many studies have provided information regarding which teaching modality works best with stroke patients. Written materials paired with oral education, hands on approach, demonstration, telephone follow up calls, as well as repetition has been proven effective with stroke patients. In addition, it has been reported that one must individualize the education to each patient keeping in mind the patients post stroke reading level.