Acute Stroke Nursing

by Editor: Jane Williams (Consultant Nurse in Stroke Care, Portsmouth Hospitals NHS Trust, UK); Editor: Lin Perry (Professor of Nursing Research and Practice Development, University of Technology, Sydney and the Northern Hospitals Network, South Easte

• ISBN13: 9781444318845
• ISBN10: 1444318845
• Format: eBook
• Copyright: 2010-01-01
• 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

Table of Contents

Foreword

Editors and Contributors

Setting the scene

Introduction

Stroke epidemiology

Stroke policy

Stroke management strategies

Research and education

Conclusion

References

Developing stroke services: a key role for nursing and nurses

Introduction

Service development

The nursing contribution to stroke services

The political agenda shaping stroke service development

Conclusion

References

What is a stroke?

Introduction

Stroke development processes

Risk factors for stroke

Anatomy, physiology and related stroke clinical findings

Standardised instruments for acute neurological assessment

Conclusion

References

Acute stroke nursing management

Introduction

Priorities in acute stroke management

Hyperacute stroke management

Acute stroke management

Conclusion

References

Nutritional aspects of stroke care

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

Promoting continence

Introduction

Bladder problems and urinary incontinence

Bowel problems and bowel care

Conclusion

References

Management of physical impairments post-stroke

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

Communication

Introduction

Communication impairments caused by stroke

Language minorities

The role of the speech and language therapist in acute

stroke care

Psychosocial issues and quality of life

Conclusion

References

Mood and behavioural changes

Introduction

Psychological reactions to the onset of stroke

Conclusion

References

Minimally responsive stroke patients

Introduction

Definitions and identification

Minimally responsive state

'Locked-in' syndrome

Conclusion

References

Rehabilitation and recovery processes

Introduction

Initiation of rehabilitation

Outcomes of rehabilitation

Recovery processes

Transfer to rehabilitation

Rehabilitation provision

Conclusion

References

Stroke and palliative care: a difficult combination?

Introduction

Palliative care

Relevance of palliative care to stroke

Organisational challenges

Conclusion

References

Reducing the risk of stroke

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

Longer-term support for survivors and supporters

Introduction

Leaving hospital

What is required longer term?

What do carers want?

Conclusion

References

Stroke resources for professionals, patients and carers

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

Table of Contents provided by Publisher. All Rights Reserved.