The role of nursing in the rehabilitation of acute stroke patients: Toward a unified theoretical perspective

Pflege ◽  
1999 ◽  
Vol 12 (1) ◽  
pp. 21-27
Author(s):  
Marit Kirkevold
Keyword(s):  
Acute Stroke ◽  
Theoretical Perspective ◽  
Stroke Patients ◽  
Role Of Nursing ◽  
Rolle Der Pflegenden

Eine Übersicht der bestehenden Literatur weist auf Unsicherheiten bezüglich der spezifischen Rolle der Pflegenden in der Rehabilitation von Hirnschlagpatientinnen und -patienten hin. Es existieren zwei unterschiedliche Begrifflichkeiten für die Rolle der Pflegenden, keine davon bezieht sich auf spezifische Rehabilitationsziele oder Patientenergebnisse. Ein anfänglicher theoretischer Beitrag der Rolle der Pflege in der Genesung vom Hirnschlag wird als Struktur unterbreitet, um die therapeutischen Aspekte der Pflege im Koordinieren, Erhalten und Üben zu vereinen. Bestehende Literatur untermauert diesen Beitrag. Weitere Forschung ist jedoch notwendig, um den spezifischen Inhalt und Fokus der Pflege in der Genesung bei Hirnschlag zu entwickeln.

scholarly journals Role of Renal Dysfunction as a Prognostic Factor in Acute Stroke Patients at a Tertiary Hospital in Northeastern Nigeria

2021 ◽  
Vol 32 (1) ◽  
pp. 199
Author(s):  
MohammadMaina Sulaiman ◽  
MusaMamman Watila ◽  
Jummai Shettima ◽  
Ibrahim Ummate ◽  
YakubuWilberforce Nyandaiti
Keyword(s):  
Prognostic Factor ◽  
Acute Stroke ◽  
Renal Dysfunction ◽  
Tertiary Hospital ◽  
Stroke Patients

scholarly journals Evaluating the Role of Oxidative Stress in Acute Ischemic Stroke

2020 ◽  
Vol 11 (01) ◽  
pp. 156-159
Author(s):  
Bindu Menon ◽  
Krishnan Ramalingam ◽  
Rajeev Kumar
Keyword(s):  
Oxidative Stress ◽  
Ischemic Stroke ◽  
Acute Stroke ◽  
Acute Ischemic Stroke ◽  
Lipid Membranes ◽  
Demographic Data ◽  
Stroke Severity ◽  
Stroke Patients ◽  
Antioxidant Power

Abstract Background The role of oxidative stress in neuronal injury due to ischemic stroke has been an interesting topic in stroke research. Malondialdehyde (MDA) has emerged as a sensitive oxidative stress biomarker owing to its ability to react with the lipid membranes. Total antioxidant power (TAP) is another biomarker to estimate the total oxidative stress in stroke patients. We aimed to determine the oxidative stress in acute stroke patients by measuring MDA and TAP. Materials and Methods MDA and TAP were determined in 100 patients with ischemic stroke and compared with that in 100 age- and sex-matched healthy adults. Demographic data, stroke severity measured by the National Institutes of Health Stroke Scale (NIHSS), and disability measured by the Barthel index (BI) were recorded. The association of MDA and TAP with other variables was analyzed by paired t-test. Results Of the whole sample, 74% represented males. The mean NIHSS score was 13.11 and BI was 38.87. MDA was significantly higher in stroke patients (7.11 ± 1.67) than in controls (1.64 ± 0.82; p = 0.00). TAP was significantly lower in stroke patients (5.72 ± 1.41) than in controls (8.53 ± 2.4; p = 0.00). The lipid profile and blood sugar levels were also significantly higher in stroke patients. There was no association of MDA and TAP with other variables. Conclusion We found that oxidative stress was associated with acute ischemic stroke. However, we could not establish an association between oxidative stress and the severity of acute stroke.

scholarly journals The role of neuroplasticity in stroke nursing

2021 ◽  
Vol 17 (2) ◽  
pp. S20-S25
Author(s):  
Niamh C Kennedy
Keyword(s):  
Brain Damage ◽  
Multidisciplinary Team ◽  
Recovery Process ◽  
Stroke Recovery ◽  
Pivotal Role ◽  
Review Of The Literature ◽  
Optimum Conditions ◽  
Stroke Patients ◽  
Role Of Nursing

Background: Neuroplasticity refers to the brain's ability to reorganise and change in response to experience or after brain damage. Neuroplasticity is an imperative component of recovery from stroke, and rehabilitation aims to capitalise on this during a patient's recovery. Aims: To highlight the role of neuroplasticity in stroke recovery and to explore how stroke nursing can use it. Methods: The paper is a narrative review of the literature on neuroplasticity and role of nursing in stroke recovery. Findings: Nurses can play a pivotal role in ensuring optimum conditions for neuroplasticity through a variety of means. These include the encouragement of repetition, integration of repetition into everyday tasks, creating a stimulating environment, educating stroke patients as well as their carers about the recovery process and working as part of multidisciplinary team. Conclusions: This paper highlights the important role stroke nursing can play in enhancing neuroplasticity during stroke recovery.

scholarly journals Role of Diffusion Weighted Imaging in Enhancing MR Imaging in Recent Is-chemic Stroke Patients

2020 ◽  
Vol 35 (2) ◽  
pp. 104-115
Author(s):  
Hajer A. Alfadeel
Keyword(s):  
Acute Stroke ◽  
Spin Echo ◽  
Haemorrhagic Stroke ◽  
P Value ◽  
Consecutive Series ◽  
Stroke Patients ◽  
First Line ◽  
Diffusion Weighted ◽  
Significant Difference

Stroke is a common cause of admission to hospitals, and imaging in acute stroke is necessary to differentiate ischemic from haemorrhagic stroke and to exclude other diagnoses. This study aimed to evaluate the role of diffusion-weighted magnetic resonance imaging (DW MRI) in the diagnosis of recent cerebral ischemic infarction in a consecutive series of patients with symptoms of acute stroke and its feasibility as first-line imaging for those patients. We report our results with DWI and apparent diffusion coefficient (ADC) mapping comparing the sensitivity of DWI with that of conventional T2 weighted and fluid-attenuated inversion recovery (FLAIR) MRI. A Prospective audit of 87 patients with clinically suspected recent stroke referred for imaging over a consecutive 20-week period was done. The data collected included patient age, time from onset of symptoms, and clinical presentation. DWI echo planar, FLAIR, and turbo spin-echo T2-weighted MRI were performed, and ADC maps were generated. Conventional MR images were assessed before DW images. DWI was considered positive for the diagnosis of new arterial stroke whenever hyperintensities with reduced ADC values were observed, and the site of infarct detected on the images was included in patients’ data. The results were 47 patients had a final diagnosis of recent ischemic cerebral infarct. With DWI, 98% of the ischemic lesions were detected, whereas with FLAIR, only 70% were detected, and with T2-weighted images, 66% of lesions were found. There was a significant difference between the results of ischemic infarcts’ detection on DWI and T2-w/FLAIR in relation to time from onset (P value = .012). In this study, I was able to image 68% (60 of 87) of the referred suspected stroke patients with DW MRI within 48 hours and 39 patients (45%) within 24 hours of the onset of symptoms. DW MRI showed high sensitivity and superiority over conventional T2 and FLAIR imaging for the detection of acute ischemic lesions in stroke patients; it also proved quite feasible as a first-line of neuroimaging.  

Abstract TMP78: Tick Tock we Don't Stop - 24/7 Stroke Nurse Clinician Response Improves Care in the Stroke Patient

Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Mary Zimmermann
Keyword(s):  
Acute Stroke ◽  
Patient Outcomes ◽  
Stroke Patients ◽  
Stroke Treatment ◽  
Core Measure ◽  
Nurse Clinician ◽  
Multiple Challenges ◽  
Core Measures ◽  
Iv Tpa

Background: Large community hospitals often face multiple challenges in the emergent care of acute stroke patients. Some of these challenges include decreasing door to IV tPA (activase) time and consistently meeting core measures. The 24/7 utilization of specialized nurses (Stroke Clinicians) trained to respond to acute stroke patients in the ED and inpatient areas improves the outcomes for stroke patients. Utilizing the Stroke Clinician role for 24/7 response to all acute strokes improves each patient’s ability to access complex stroke treatment. Purpose: The purpose of implementing 24/7 Stroke Clinician coverage for the ED and all inpatient units was to reduce door to needle times for patients receiving tpa, to increase stroke core measure compliance, and to improve patient outcomes. In addition to responding to acute strokes, the Stroke Clinicians also provide concurrent chart review and patient education. Methods The role of the Stroke Clinician was expanded to provide acute stroke response coverage on a continual, 24/7 basis in the first quarter of 2015. Stroke Program administration discussed options for the expanded coverage and subsequently trained the Cardiovascular Clinicians to cover stroke call from 11pm to 7am. These clinicians were already in-house, thus no additional cost was associated with the coverage. Results: The door to needle times have consistently decreased from an average of 70 minutes to an average of 50 minutes. There has been a steady improvement in patient outcomes evidenced by doubling the number of stroke patients who have received endovascular therapy since the prior year. Conclusion: The implementation of 24 hours per day/7 days per week stroke clinician coverage improved IV tPA door to needle times, improved the utilization of endovascular stroke treatment, and improved compliance with the stroke core measures.

scholarly journals Newly Detected Atrial Fibrillation after Acute Stroke: A Narrative Review of Causes and Implications

Cardiology ◽  
2019 ◽  
Vol 144 (3-4) ◽  
pp. 112-121 ◽  
Author(s):  
Youcheng Wang ◽  
Yongsheng Qian ◽  
Daniel Smerin ◽  
Shujuan Zhang ◽  
Qingyan Zhao ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Ischemic Stroke ◽  
Acute Stroke ◽  
Adverse Outcomes ◽  
Stroke Recurrence ◽  
Stroke Patients ◽  
Increased Risk ◽  
Definition Of ◽  
Humoral Regulation

Cardiac arrhythmias occur frequently in patients with acute stroke, with atrial fibrillation (AF) being the most common. Newly detected AF may lead to increased risk of ischemic stroke, which in turn generates stroke recurrence and adverse outcomes. Currently, most studies are focusing on the role of AF in ischemic stroke and attributing cryptogenic ischemic stroke to previously undetected AF. However, in these studies, subjects used to have neither symptoms of palpitation nor evidence of AF. A better understanding of this association will contribute to the management and therapy for patients after clinical decisions regarding stroke patients. Currently, the definition of newly detected AF has not come to an agreement, and the pathophysiology remains incompletely understood, possibly involving complex alterations in both the autonomic network and humoral regulation. Therefore, this review aims to introduce the definition and epidemiology of newly detected AF after stroke with updated information and elucidate the potential pathophysi­ology, such as autonomic imbalance, catecholamine surge, poststroke systematic inflammation, and microvesicles and microRNAs.

scholarly journals Stroke unities: the role of the occupational therapist and the perception of the multidisciplinary team

2021 ◽  
Vol 4 (6) ◽  
pp. 102-105
Author(s):  
António Arsénio Duarte ◽  
Ana Paula Martin ◽  
Diana Santos ◽  
Rafael Santos ◽  
Rita Viegas
Keyword(s):  
Acute Stroke ◽  
Multidisciplinary Team ◽  
Stroke Unit ◽  
Occupational Therapist ◽  
Medical Emergency ◽  
Structured Interviews ◽  
Stroke Patients ◽  
Stroke Units ◽  
The World

Every second a person in the world suffers from a stroke, not surprising, therefore, that stroke is the leading cause of death and morbidity in Portugal. Increasingly, acute stroke is considered a medical emergency. The evidence proves that the treatment of these patients in specialized units (stroke units) is effective in acute stroke. A stroke unit is a hospital area where professionals with specific, well-defined training work, who provide care to stroke patients who are already stabilized, but are still in an acute phase(DGS, 2001). The aim of this study is to understand the role of the occupational therapist in stroke units and to identify the perspective of the multidisciplinary team on their work, clarifying what are the advantages of this professional in the team. The study falls within the qualitative paradigm, exploratory and descriptive. Semi-structured interviews were performed to 39 health professionals. The technique used was the content analysis of interviews. Based on previously established categories, other categories emerged.

Sign in / Sign up

Export Citation Format

Share Document