Acute Stroke Nursing

by Williams, Jane; Perry, Lin; Watkins, Caroline

• ISBN13: 9781444318838
• ISBN10: 1444318837
• Edition: 1st
• Format: eBook
• Copyright: 2010-02-03
• Publisher: Wiley-Blackwell

Summary

Stroke is a medical emergency. With active and efficient nursing management in the initial hours after stroke onset, effective recovery and rehabilitation is increased. Acute Stroke Nursing provides nurses with a current, evidenced based, practical text facilitating the provision of optimal stroke care during the primary prevention and acute phases.



This timely and practical text is structured to follow the acute stroke pathway experienced by patients. It explores the symptoms, causes and effects of stroke and provides guidance on issues such as nutrition, continence, positioning, mobility and continence. The text also considers rehabilitation. discharge planning, palliative care and the role of the nurse within the multiprofessional team. Acute Stroke Nursing is an essential guide to the management of acute stroke for all nurses health care professional wishing to extend their knowledge of stroke nursing

Author Biography

Jane Williams is Consultant Nurse in Stroke Care, based in Portsmouth Hospitals NHS Trust, UK. She has been involved in many national working parties, including the National Stroke Strategy, UK Forum for Stroke Training, and UK Stroke Forum. Jane is member of The Stroke Association research awards committee. A founder member of the National Stroke Nursing Forum, Jane undertook a term of office as chair.

Lin Perry is Professor of Nursing Research and Practice Development, University of Technology, Sydney and the Northern Hospitals Network, South Eastern Sydney and Illawarra Area Health Service. A member of the Intercollegiate Stroke Working Party in the UK, the National Stroke Foundation Guidelines Working Party and Stroke Services New South Wales in Australia, she has extensive experience with national guideline development, benchmarking, service review and evaluation.

Caroline Watkins is Professor of Stroke and Older People's Care at the University of Central Lancashire, UK. As a member of the Vascular Team at the Department of Health, she is working to implement the National Stroke Strategy, and leads the development of the new UK Forum for Stroke Training. Caroline is the president of the Society for Research in Rehabilitation and on the Steering Group of the National Stroke Nursing Forum.

Table of Contents

Foreword

Editors and Contributors

1 Setting the scene(Caroline Watkins and Michael Leathley)

Introduction

Stroke epidemiology

Stroke policy

Stroke management strategies

Research and education

Conclusion

References

2 Developing stroke services: a key role for nursing and nurses (Christopher R. Burton)

Introduction

Service development

The nursing contribution to stroke services

The political agenda shaping stroke service development

Conclusion

References

3 What is a stroke? (Anne W. Alexandrov)

Introduction

Stroke development processes

Risk factors for stroke

Anatomy, physiology and related stroke clinical findings

Standardised instruments for acute neurological assessment

Conclusion

References

4 Acute stroke nursing management (Anne W. Alexandrov)

Introduction

Priorities in acute stroke management

Hyperacute stroke management

Acute stroke management

Conclusion

References

5 Nutritional aspects of stroke care (Lin Perry and Elizabeth Boaden)

Introduction

Do stroke patients experience nutritional problems pre-stroke?

How does stroke affect dietary intake?

How can stroke patients be helped to maintain adequate

dietary intake?

Conclusion

References

6 Promoting continence (Kathryn Getliffe and Wendy Brooks)

Introduction

Bladder problems and urinary incontinence

Bowel problems and bowel care

Conclusion

References

7 Management of physical impairments post-stroke (Cherry Kilbride and Rosie Kneafsey)

Introduction

Movement

Moving and handling people with stroke

Therapeutic positioning and seating in the acute phase

Promoting early mobilisation

Falls prevention

Restoration and re-education of movement

Management of the upper limb

Further rehabilitation strategies and novel developments

Patients’ perspective on mobility rehabilitation

Conclusion

References

8 Communication (Jane Marshall, Katerina Hilari and Madeline Cruice)

Introduction

Communication impairments caused by stroke

Language minorities

The role of the speech and language therapist in acutestroke care

Psychosocial issues and quality of life

Conclusion

References

9 Mood and behavioural changes (Peter Knapp)

Introduction

Psychological reactions to the onset of stroke

Conclusion

References

10 Minimally responsive stroke patients (Elaine Pierce and Aeron Ginnelly)

Introduction

Definitions and identification

Minimally responsive state

‘Locked-in’ syndrome

Conclusion

References

11 Rehabilitation and recovery processes (Jane Williams and Julie Pryor)

Introduction

Initiation of rehabilitation

Outcomes of rehabilitation

Recovery processes

Transfer to rehabilitation

Rehabilitation provision

Conclusion

References

12 Stroke and palliative care: a difficult combination? (Christopher R. Burton and Sheila Payne)

Introduction

Palliative care

Relevance of palliative care to stroke

Organisational challenges

Conclusion

References

13 Reducing the risk of stroke (Peter Humphrey, Jo Gibson and Stephanie Jones)

Introduction

Primary prevention

Secondary prevention: identifying those at risk of stroke

Public awareness and access to services

Secondary prevention of stroke in less common aetiologies

and patient groups

Conclusion

References

14 Longer-term support for survivors and supporters (Louise Brereton and Jill Manthorpe)

Introduction

Leaving hospital

What is required longer term?

What do carers want?

Conclusion

References

15 Stroke resources for professionals, patients and carers (Graham Williamson)

National associations

Resources for patients and carers

Other resources and organisations

Specialist international journals

Non-specialist journals’ stroke collections

Clinical practice guidelines

Finding current stroke research

Evidence-based practice resources

Chapter links

Index