scholarly journals Dysphagia Screening Protocol for Acute Stroke Patient: A Literature Review

2021 ◽  
Author(s):  
Enny Mulyatsih ◽  
Moses Glorino Pandin
Keyword(s):  
Literature Review ◽  
Acute Stroke ◽  
Key Words ◽  
Stroke Patient ◽  
Health Workers ◽  
High Reliability ◽  
Inclusion Criteria ◽  
Stroke Patients ◽  
Volume Viscosity ◽  
Tract Infections

Background: Nearly two-thirds of acute stroke patients have dysphagia. Dysphagia is difficulty to swallow food or liquids. Early detection of dysphagia is crucial in stroke patients as a result of increased morbidity and mortality due to malnutrition and respiratory tract infections. Aim: Our purpose was to conduct a literature review of dysphagia screening for stroke patient. Methods: We used the bolean operator to search articles of “or” and “and” with the key words were "Dysphagia" or “Screening”, AND "Stroke" or Acute Stroke” AND "Nursing". Data based used were Scopus, Proquest and Science Direct with inclusion criteria using full text in English which published from 2019 to 2021. We obtained 240 articles and then we screened by reading the main focus of articles with paying attention to the topics and the suitability of article content.Result: Twenty five publications relating to dysphagia screening met the inclusion criteria. There are five methods of dysphagia screening performed by nurses or other health workers: 1) a simple Questionnaire Test (4QT) method; 2) Water Swallow Test (WST) method; 3) Bed Side Screening Tool for Dysphagia (BSTD) method; 4) Volume Viscosity Swallow Test (V-VST) method; 5) EAT-10 method.Conclusion: screening is the first step in the identification of swallowing impairment or dysphagia of stroke patient. Dysphagia is an independent predictor of poor patient outcome and prolonged recovery time. Nurse has an important role to conduct a screening and must ensure that the selected tools has high reliability and concurrent validity. Key Words: Dysphagia, Nursing, Screening, Stroke

scholarly journals Dysphagia Screening Protocol For Acute Stroke Patient: A Literature Review

2021 ◽  
Author(s):  
Enny Mulyatsih ◽  
Moses Glorino Rumambo Pandin
Keyword(s):  
Literature Review ◽  
Acute Stroke ◽  
Stroke Patient ◽  
Health Workers ◽  
High Reliability ◽  
Test Method ◽  
Screening Methods ◽  
Early Screening ◽  
Cough Test ◽  
Volume Viscosity

ABSTRACT Background: Nearly two-thirds of acute stroke patients have dysphagia. Dysphagia defined as difficulty in swallowing of liquids or food, vary in severity with symptoms ranging from mild throat discomfort to inability to eat. It’s well known that dysphagia is associated with aspiration pneumonia, dehydration, malnutrition, prolonged length of stay, and increased mortality. Early screening reduces pneumonia rates in stroke and it is usually performed by nurses. Dysphagia screening is recommended but no protocol or tool is pointed.Aim: the aim of this study is to conduct a literature review of dysphagia screening for stroke patient Methods: Literature search three databases (Scopus, Proquest, and Science Direct), with the keywords "Dysphagia" AND "Stroke" AND "Nursing", published in English between 2019 and 2021. Result: Twenty five publications relating to dysphagia screening met the inclusion criteria. There are five methods of dysphagia screening performed by nurses or other health workers: 1) a simple Questionnaire Test (4QT) method, which is by asking the following four questions: does the patient cough or choke while eating or drinking; whether the patient takes longer than usual to eat; does the patient change the thickness of the food to be able to swallow, and whether the voice turns hoarse after eating or drinking; 2) Water Swallow Test (WST) method; 3) Bed Side Screening Tool for Dysphagia (BSTD) method; 4) Volume Viscosity Swallow Test (V-VST) method, namely modification of feeding with first pudding, nectar and finally water; 5) Simplified Cough Test Method. The five screening methods for dysphagia above have been tested for sensitivity and specificity, as well as positive and negative predictive valuesConclusion: screening is a first step in the identification of swallowing impairment or dysphagia of stroke patient. Dysphagia is an independent predictor of poor patient outcome and prolonged recovery time. Nurse has an important role to conduct a screening and must ensure that the selected tools has high reliability and concurrent validity. Key Words: Stroke, Dysphagia, Screening, Nursing

scholarly journals DYSPHAGIA TOWARDS NUTRIENT INTAKE AND MALNUTRITION CASE IN STROKE PATIENTS: LITERATURE REVIEW

2020 ◽  
Vol 9 (2) ◽  
pp. 118-126
Author(s):  
Hafika Yunisari Pradina ◽  
Ria Ambarwati
Keyword(s):  
Literature Review ◽  
Stroke Patient ◽  
Nutrient Intake ◽  
Health Workers ◽  
Clinical Manifestations ◽  
Patient Treatment ◽  
Stroke Patients ◽  
Patient Will ◽  
Nutritional Needs ◽  
Enteral Formula

Dysphagia is one of the most important clinical manifestations of stroke and can pose a greater risk of malnutrition for patients during and after hospitalization. The purpose of this research is to review the literature about dysphagia on nutrient intake and malnutrition case in stroke patients. Type of the research is literature review which consist of journals cited the incidence of stroke patients suffered Dysphagia from 2015–2020 year of national and international publication. The result of dysphagia people can only consumed 10–33% of nutrient intake during 2 weeks and 3 months at home. This condition is insufficient for the energy and nutritional needs of the patient and can effect malnutrition case due to dysphagia which is 6-78%. The enteral formula can be obtained to reach energy and nutrients by focusing to the stroke patient treatment. Dysphagia experienced by stroke patient will affect nutrient intake and the malnutrition case. The suggestion of this paper is pointed to the health workers and the family of dysphagia people to concern energy and nutrients needs of the patient regularly.

scholarly journals Range of Motion Exercise to Improve Muscle Strength among Stroke Patients: A Literature Review

2021 ◽  
Vol 4 (3) ◽  
pp. 332-343
Author(s):  
Yanti Srinayanti ◽  
Wina Widianti ◽  
Dian Andriani ◽  
Fidya Anisa Firdaus ◽  
Henri Setiawan
Keyword(s):  
Muscle Strength ◽  
Literature Review ◽  
Range Of Motion ◽  
Muscle Weakness ◽  
Health Workers ◽  
Selection Process ◽  
Inclusion Criteria ◽  
Stroke Patients ◽  
National Journal ◽  
Online Library

Stroke was a disturbance in part or all brain function caused by abnormal blood flow to the brain, disrupting bodily functions such as muscle weakness. One of the efforts that could be done to overcome muscle weakness in stroke patients was the Range Of Motion (ROM) exercise which could be done independently or assisted by health workers. The purpose of this literature review was to identify the effect of range of motion (ROM) exercise in increasing muscle strength in stroke patients. This study used a descriptive method with a literature review approach. The search strategy used six international journal databases: PubMed, JSTOR, Wiley Online Library, Sage Journal, ScienceDirect, and Taylor & Francis Online. In addition, a search was conducted on one national journal database, namely Google Scholar. The selection was conducted by assessing articles that met the inclusion criteria, such as publication range from 2005-2021, in English, Indonesian, and other languages that can be translated and opened full access text. After the selection process, nine articles that met the inclusion criteria were obtained, with 197 respondents assigned randomly and grouped into 58 control groups, 55 intervention groups, 84 combined groups. The results showed that the ROM exercise method positively affected increasing muscle strength in stroke patients. Based on these results, it could be concluded that this nurse's independent intervention needed to be carried out in stroke patients to increase muscle strength

Method of virtual reality for early comprehensive rehabilitation of patients with acute stroke

2020 ◽  
pp. 39-45
Author(s):  
N. Nozdryukhina ◽  
E. Kabayeva ◽  
E. Kirilyuk ◽  
K. Tushova ◽  
A. Karimov
Keyword(s):  
Virtual Reality ◽  
Literature Review ◽  
Acute Stroke ◽  
Functional Outcome ◽  
Recovery Process ◽  
Stroke Patients ◽  
Post Stroke ◽  
Stroke Disability ◽  
Comprehensive Rehabilitation ◽  
High Level

Despite significant advances in the treatment and rehabilitation of stroke, level of post-stroke disability remains at a fairly high level. Recent innovative developments in the rehabilitation of these patients provide good results in terms of functional outcome. One of such developments is method of virtual reality (VR), which affects not only the speed and volume of regaining movement, as well as coordination, but also normalizes the psycho-emotional background, increasing the motivation of patients to improve the recovery process. This article provides a literature review of the use of the VR method in the rehabilitation of post-stroke patients, neurophysiological aspects of recovery of lost functions using this method are considered.

Approach to and management of the acute stroke patient with atrial fibrillation: A literature review

2008 ◽  
Vol 3 (4) ◽  
pp. 326-332 ◽  
Author(s):  
Konstantinos Marmagkiolis ◽  
Ioannis G. Nikolaidis ◽  
Themos Politis ◽  
Lawrence Goldstein
Keyword(s):  
Atrial Fibrillation ◽  
Literature Review ◽  
Acute Stroke ◽  
Stroke Patient ◽  
Acute Stroke Patient

scholarly journals Pharmacists as Care Providers for Stroke Patients: A Systematic Review

2017 ◽  
Vol 45 (1) ◽  
pp. 49-55 ◽  
Author(s):  
Jade E. Basaraba ◽  
Michelle Picard ◽  
Kirsten George-Phillips ◽  
Tania Mysak
Keyword(s):  
Systematic Review ◽  
Risk Factor ◽  
Acute Stroke ◽  
Patient Care ◽  
Patient Outcomes ◽  
Stroke Patient ◽  
Full Text ◽  
Stroke Patients ◽  
Pharmacist Interventions ◽  
The Impact

AbstractBackground:Pharmacists have become an integral member of the multidisciplinary team providing clinical patient care in various healthcare settings. Although evidence supporting their role in the care of patients with other disease states is well-established, minimal literature has been published evaluating pharmacist interventions in stroke patients. The purpose of this systematic review is to summarize the evidence evaluating the impact of pharmacist interventions on stroke patient outcomes.Methods: Study abstracts and full-text articles evaluating the impact of a pharmacist intervention on outcomes in patients with an acute stroke/transient ischemic attack (TIA) or a history of an acute stroke/TIA were identified and a qualitative analysis performed.Results: A total of 20 abstracts and full-text studies were included. The included studies provided evidence supporting pharmacist interventions in multiple settings, including emergency departments, inpatient, outpatient, and community pharmacy settings. In a significant proportion of the studies, pharmacist care was collaborative with other healthcare professionals. Some of the pharmacist interventions included participation in a stroke response team, assessment for thrombolytic use, medication reconciliation, participation in patient rounds, identification and resolution of drug therapy problems, risk-factor reduction, and patient education. Pharmacist involvement was associated with increased use of evidence-based therapies, medication adherence, risk-factor target achievement, and maintenance of health-related quality of life.Conclusions: Available evidence suggests that a variety of pharmacist interventions can have a positive impact on stroke patient outcomes. Pharmacists should be considered an integral member of the stroke patient care team.

scholarly journals Effect of Early Mobilization on Hip and Lower Extremity Postoperative: A Literature Review

2021 ◽  
Author(s):  
Aprisunadi Aprisunadi ◽  
Moses Glorino Rumambo Pandin
Keyword(s):  
Literature Review ◽  
Lower Extremity ◽  
Health Workers ◽  
Lower Extremities ◽  
Early Mobilization ◽  
Bed Rest ◽  
Vein Thrombosis ◽  
Hospitalization Costs ◽  
Tract Infections ◽  
Deep Vein

Background: The incidence of fracture and surgery of the hip and lower extremities is still high. Long postoperative bed rest has the potential to increase the incidence of various complications that may increase the morbidity and mortality rate of patients after hip and lower extremities surgery. Aim: This literature review aimed to identify the effects of early mobilization in hip and lower extremity postoperative. Method: Search for articles on several databases such as ProQuest, ScienceDirect, CINAHL, Medline, Wiley Online and Scopus, using the Boolean operator by combining several keywords according to the literature review topic, with inclusion criteria are published in the last 3 years (2019-2021), used a quantitative design, written in English and full text articles. A total of 435 articles were obtained, then screened and reviewed, so that there were 16 (sixteen) eligible articles.Result: There were 11 (eleven) effects of early mobilization, i.e. reducing length of stay, reducing the risk of deep vein thrombosis (DVT), reducing pulmonary infections (pneumonia), reducing urinary tract infections, reducing the risk of wound infection, improving extremity function and ability to walk, reducing postoperative pain, reducing the risk of pressure sores, reducing postoperative delirium, reducing readmission and lowering hospitalization costs. Conclusion: This literature review showed that early mobilization is safe and effective in postoperative patients to reduce the risk of complications and adverse events. Nurses and health workers who care for patients could implement early mobilization and motivate patients to be cooperative in undergoing early mobilization.

Abstract 2395: Respiratory Muscle Weakness in Acute Stroke Patients

Stroke ◽  
2012 ◽  
Vol 43 (suppl_1) ◽  
Author(s):  
Ross Pollock ◽  
Ged Rafferty ◽  
John Moxham ◽  
Lalit Kalra
Keyword(s):  
Systematic Review ◽  
Muscle Strength ◽  
Acute Stroke ◽  
Muscle Weakness ◽  
Respiratory Muscle ◽  
Mean Difference ◽  
Respiratory Muscle Strength ◽  
Inclusion Criteria ◽  
Stroke Patients ◽  
Respiratory Muscle Weakness

Background: Increased frequency of chest infections in acute stroke patients may be the result of respiratory muscle weakness contributing to a weak cough and poor airway clearance. We undertook a systematic review of studies comparing respiratory muscle strength in acute stroke patients with age-matched controls. Method: A systematic review of literature was performed using the electronic databases Medline, EMBASE, ISI web of knowledge and the Scopus. The key words searched were stroke or cerebrovascular accident in combination with cough, inspiratory, expiratory or respiratory and strength or weakness. Studies were included if they compared stroke patients with age matched controls and measured maximum inspiratory or expiratory mouth pressure (PImax and PEmax) for inspiratory and expiratory muscle strength respectively. Results: The initial search identified 136 articles, 14 of which remained after screening for pre-defined inclusion criteria and removal of duplicates. Eleven were excluded after reviewing abstracts (5 did not assess muscle strength, 5 did not include healthy control group, 1 absolute values could not be obtained). A further study was identified from the reference lists of screened articles. The 4 studies that met inclusion criteria included 121 subjects. Mean PImax ranged from 75-99 cmH 2 O in controls and 37-74 cmH 2 O in stroke patients. (mean difference 41 cmH 2 O, 95% CI 54 to 29 cm H 2 O; P<0.0001). Mean PEmax ranged from 52-89 cm H 2 O in stroke patients and was also reduced compared with age matched controls (mean difference 55 cmH 2 O, 95% CI 61 to 48 cmH 2 O; P<0.0001). ( Fig 1 ). Conclusion: Individual studies and pooled data suggest that respiratory muscle strength is impaired in acute stroke patients. However, these studies are limited by small samples and design heterogeneity. Larger studies are needed to assess the relationship of respiratory muscle weakness with chest infections and clinical outcomes in the acute phase.

Prognostic Significance of Hyponatremia in Acute Stroke: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 49 (5) ◽  
pp. 531-539
Author(s):  
Shogo Shima ◽  
Yasunari Niimi ◽  
Yosuke Moteki ◽  
Osamu Takahashi ◽  
Shinsuke Sato ◽  
...  
Keyword(s):  
Systematic Review ◽  
Hospital Mortality ◽  
Hospital Stay ◽  
Acute Stroke ◽  
Meta Analysis ◽  
Length Of Hospital Stay ◽  
Mean Difference ◽  
Cochrane Library ◽  
Inclusion Criteria ◽  
Stroke Patients

<b><i>Objective:</i></b> Hyponatremia is a common electrolyte disorder in patients with stroke, which leads to various fatal complications. We performed a systematic review and meta-analysis to investigate the outcomes of acute stroke patients with hyponatremia. <b><i>Methods:</i></b> We searched MEDLINE, EMBASE, and the Cochrane Library databases for relevant literature in English published up to March 2020. Two review authors independently screened and selected the studies by assessing the eligibility and validity based on the inclusion criteria. Mortality at 90 days was set as the primary end point, and in-hospital mortality and length of hospital stay were set as the secondary end points. We conducted the data synthesis and analyzed the outcomes by calculating the odds ratio (OR) and mean difference. <b><i>Results:</i></b> Of 835 studies, 15 studies met the inclusion criteria (<i>n</i> = 10,745). The prevalence rate of stroke patients with hyponatremia was 7.0–59.2%. They had significantly higher 90-day mortality (OR, 1.73; 95% confidence interval (CI), 1.24–2.42) and longer length of hospital stay (mean difference, 10.68 days; 95% CI, 7.14–14.22) than patients without hyponatremia. Patients with hyponatremia had a higher tendency of in-hospital mortality than those without hyponatremia (OR, 1.61; 95% CI, 0.97–2.69). <b><i>Conclusions:</i></b> The development of hyponatremia in the clinical course of stroke is associated with higher short-term mortality and a longer hospital stay. Although the causal relationship is unclear, hyponatremia could be a significant predictor of poor outcomes after stroke.

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