Download or read book Implementation of Acute Stroke Early Mobilization Education Program written by Olayinka Oluwasuyi and published by . This book was released on 2018 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Stroke is one of the prevalent illness and common neurological disorder locally, regionally and globally; with fifteen million suffering from a stroke every year. Out of these, five million are deceased, and five million are forever paralyzed. For those who have experienced a stroke it is an important goal to regain functional independence. Therefore, the most relevant clinical outcomes of stroke is disability and mortality. Early mobilization after acute stroke is secure and associated with various advantages. However, early mobilization has been associated as a key fundamental of stroke treatment, with the time interval within which mobilization should be started to improve outcome after stroke. The internal data received from the local facility showed that patients with stroke spent at least 45 days in this facility to regain their functional recovery. On average, each patient receives one hour of physical therapy per day five days a week. Accepted patients in this facility have private insurance or Medicare. Medicare only covers the first 20 days of a patient's stay with each additional day costing the patient $164.50. Evidence-Based Framework: The organizational change at the nursing home was to implement an acute stroke early mobilization education program in an attempt to reduce the length of stay, decrease readmissions, and improve functional mobility and quality of life. The Stevens Star Model of Knowledge Transformation Model and Virginia Henderson theory were used as the evidence-based practice model and the theory respectively for the development of the project. Method: The objectives of the project were: (1) to implement an early mobilization education program to abate the length of hospital stay, (2) to advance anatomic mobility, and (3) to reduce hospital readmission and immobilization complications. The objective of this scheme is to generate new knowledge to make an evidence-based positive change and to increase the staffs' knowledge about the importance of early mobilization after acute stroke by providing education to the nurses and other healthcare providers in order the activities of daily living. Evaluation was accomplished through comparing the pre-questionnaires and post-questionnaire directly before and after the educational in-service presentation and one month's post presentation during the implementation period of mobilization program. Data was collected using a self-developed questionnaire collection tool. The results of the project were used to demonstrate the impact of the mobilization education program. Recent literature provided evidence that early mobilization is effective in reducing hospital length of stay and decreasing disability. Findings: The implementation of an early mobilization program to a nursing education staff improved functional mobility to 87.5%, compared to 25% during the time period in the same year when early mobilization was not initiated. Conclusion/Recommendation: Based on the findings of this quailty improvement project, implementation of early mobilization education program is suggested in rehabilitation settings. Recommendations include: that an early mobilization education program should be embraced by all healthcare facilities because it minimizes/prevents complication, improves rehabilitation intervention, improves function disability and reduces hospital readmission. Areas for future study: extend study to verify the impact of early mobilization for stroke patients for a longer period of time as well compare different populations, financial benefits and costs to the facility and to the patient. An additional recommendation would be to focus on patient satisfaction rates.
Download or read book Early Mobilization of Stroke Patients written by Barbara Buesch and published by . This book was released on 2012 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: Statement of Problem: The purpose of the evidence based practice project was to examine the feasibility of ceveloping an early mobilization program for an acute stroke unit. /sources of data: A litereature review was completed using the PubMEd database. Search terms included ischemic stroke, stroke rehabilitation, stroke, intracerebral hemorrhage, and rehabilitation. Conclusion reached: After a presentation to staff of the stroke unit defining early mobilization, staff expressed interest in implementing a program. Several implications for practice, education and further research were identified.
Download or read book Acute Stroke Nursing written by Jane Williams and published by John Wiley & Sons. This book was released on 2013-05-07 with total page 367 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stroke is a medical emergency that requires immediate medical attention. With active and efficient nursing management in the initial hours after stroke onset and throughout subsequent care, effective recovery and rehabilitation is increased. Acute Stroke Nursing provides an evidence-based, practical text facilitating the provision of optimal stroke care during the primary prevention, acute and continuing care phases. This timely and comprehensive text is structured to follow the acute stroke pathway experienced by patients. It explores the causes, symptoms and effects of stroke, and provides guidance on issues such as nutrition, continence, positioning, mobility and carer support. The text also considers rehabilitation, discharge planning, palliative care and the role of the nurse within the multi-professional team. Acute Stroke Nursing is the definitive reference on acute stroke for all nurses and healthcare professionals wishing to extend their knowledge of stroke nursing. Evidence-based and practical in style, with case studies and practice examples throughout Edited and authored by recognised stroke nursing experts, clinicians and leaders in the field of nursing practice, research and education The first text to explore stroke management from UK and international perspectives, and with a nursing focus
Download or read book Clinical Pathways in Stroke Rehabilitation written by Thomas Platz and published by Springer Nature. This book was released on 2021-01-14 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book focuses on practical clinical problems that are frequently encountered in stroke rehabilitation. Consequences of diseases, e.g. impairments and activity limitations, are addressed in rehabilitation with the overall goal to reduce disability and promote participation. Based on the available best external evidence, clinical pathways are described for stroke rehabilitation bridging the gap between clinical evidence and clinical decision-making. The clinical pathways answer the questions which rehabilitation treatment options are beneficial to overcome specific impairment constellations and activity limitations and are well acceptable to stroke survivors, as well as when and in which settings to provide rehabilitation over the course of recovery post stroke. Each chapter starts with a description of the clinical problem encountered. This is followed by a systematic, but concise review of the evidence (RCTs, systematic reviews and meta-analyses) that is relevant for clinical decision-making, and comments on assessment, therapy (training, technology, medication), and the use of technical aids as appropriate. Based on these summaries, clinical algorithms / pathways are provided and the main clinical-decision situations are portrayed. The book is invaluable for all neurorehabilitation team members, clinicians, nurses, and therapists in neurology, physical medicine and rehabilitation, and related fields. It is a World Federation for NeuroRehabilitation (WFNR) educational initiative, bridging the gap between the rapidly expanding clinical research in stroke rehabilitation and clinical practice across societies and continents. It can be used for both clinical decision-making for individuals and as well as clinical background knowledge for stroke rehabilitation service development initiatives.
Download or read book Acute Ischemic Stroke written by R. Gilberto González and published by Springer Science & Business Media. This book was released on 2010-10-05 with total page 299 pages. Available in PDF, EPUB and Kindle. Book excerpt: This updated second edition of Acute Ischemic Stroke: Imaging and Intervention provides a comprehensive account of the state of the art in the diagnosis and treatment of acute ischemic stroke. The basic format of the first edition has been retained, with sections on fundamentals such as pathophysiology and causes, imaging techniques and interventions. However, each chapter has been revised to reflect the important recent progress in advanced neuroimaging and the use of interventional tools. In addition, a new chapter is included on the classification instruments for ischemic stroke and their use in predicting outcomes and therapeutic triage. All of the authors are internationally recognized experts and members of the interdisciplinary stroke team at the Massachusetts General Hospital and Harvard Medical School. The text is supported by numerous informative illustrations, and ease of reference is ensured through the inclusion of suitable tables. This book will serve as a unique source of up-to-date information for neurologists, emergency physicians, radiologists and other health care providers who care for the patient with acute ischemic stroke.
Download or read book Stroke Units written by Peter Langhorne and published by John Wiley & Sons. This book was released on 2008-04-15 with total page 115 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on a major systematic review from international centres this concise text discusses the benefits of managing stroke patients in specialised units compared to management outside the hospital. It provides invaluable information in the most effective management for this chronically disabled sector
Download or read book Textbook of Stroke Medicine written by Michael Brainin and published by Cambridge University Press. This book was released on 2014-09-11 with total page 425 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fully revised throughout, the new edition of this concise textbook is aimed at doctors preparing to specialize in stroke care.
Download or read book Constraint induced Movement Therapy written by G. Uswatte and published by Ios PressInc. This book was released on 2006 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: Constraint-Induced Movement therapy (CI therapy) is a behavioral approach to neurorehabilitation based on a program of neuroscience experiments conducted with monkeys. Evidence has accumulated to support the efficacy of CI therapy for rehabilitating hemiparetic arm use in individuals with chronic stroke. This book addresses the related topics.
Download or read book Stroke Recovery and Rehabilitation written by Richard L. Harvey, MD and published by Demos Medical Publishing. This book was released on 2008-11-20 with total page 817 pages. Available in PDF, EPUB and Kindle. Book excerpt: A Doody's Core Title 2012 Stroke Recovery and Rehabilitation is the new gold standard comprehensive guide to the management of stroke patients. Beginning with detailed information on risk factors, epidemiology, prevention, and neurophysiology, the book details the acute and long-term treatment of all stroke-related impairments and complications. Additional sections discuss psychological issues, outcomes, community reintegration, and new research. Written by dozens of acknowledged leaders in the field, and containing hundreds of tables, graphs, and photographic images, Stroke Recovery and Rehabilitation features: The first full-length discussion of the most commonly-encountered component of neurorehabilitation Multi-specialty coverage of issues in rehabilitation, neurology, PT, OT, speech therapy, and nursing Focus on therapeutic management of stroke related impairments and complications An international perspective from dozens of foremost authorities on stroke Cutting edge, practical information on new developments and research trends Stroke Recovery and Rehabilitation is a valuable reference for clinicians and academics in rehabilitation and neurology, and professionals in all disciplines who serve the needs of stroke survivors.
Download or read book Clinical Practice Guidelines We Can Trust written by Institute of Medicine and published by National Academies Press. This book was released on 2011-06-16 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advances in medical, biomedical and health services research have reduced the level of uncertainty in clinical practice. Clinical practice guidelines (CPGs) complement this progress by establishing standards of care backed by strong scientific evidence. CPGs are statements that include recommendations intended to optimize patient care. These statements are informed by a systematic review of evidence and an assessment of the benefits and costs of alternative care options. Clinical Practice Guidelines We Can Trust examines the current state of clinical practice guidelines and how they can be improved to enhance healthcare quality and patient outcomes. Clinical practice guidelines now are ubiquitous in our healthcare system. The Guidelines International Network (GIN) database currently lists more than 3,700 guidelines from 39 countries. Developing guidelines presents a number of challenges including lack of transparent methodological practices, difficulty reconciling conflicting guidelines, and conflicts of interest. Clinical Practice Guidelines We Can Trust explores questions surrounding the quality of CPG development processes and the establishment of standards. It proposes eight standards for developing trustworthy clinical practice guidelines emphasizing transparency; management of conflict of interest ; systematic review-guideline development intersection; establishing evidence foundations for and rating strength of guideline recommendations; articulation of recommendations; external review; and updating. Clinical Practice Guidelines We Can Trust shows how clinical practice guidelines can enhance clinician and patient decision-making by translating complex scientific research findings into recommendations for clinical practice that are relevant to the individual patient encounter, instead of implementing a one size fits all approach to patient care. This book contains information directly related to the work of the Agency for Healthcare Research and Quality (AHRQ), as well as various Congressional staff and policymakers. It is a vital resource for medical specialty societies, disease advocacy groups, health professionals, private and international organizations that develop or use clinical practice guidelines, consumers, clinicians, and payers.
Download or read book Bringing User Experience to Healthcare Improvement written by Paul Bate and published by Radcliffe Publishing. This book was released on 2007 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offering recommendations for the future and discussion points, this book explores the underlying concepts, methods and practices for experience-based design, applying a user-focused approach to healthcare systems.
Download or read book Cerebral Small Vessel Disease written by Leonardo Pantoni and published by Cambridge University Press. This book was released on 2014-05 with total page 375 pages. Available in PDF, EPUB and Kindle. Book excerpt: Up-to-date discussion of the etiology, diagnosis, treatment, and prevention of this common cause of stroke and cognitive impairment.
Download or read book Translational Research in Stroke written by Paul A. Lapchak and published by Springer. This book was released on 2017-12-20 with total page 567 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book mainly discusses the current status of stroke transnational research and allows the reader to understand the interplay of common comorbidities in the stroke population such as diabetes and hypertension, and provides insight into stroke targets to promote cell survival, angiogenesis, neurogenesis, and most importantly, functional recovery after stroke. Throughout the world, stroke is still a leading cause of mortality and morbidity; each year approximately 15 million people worldwide suffer from stroke. Stroke is now the leading cause of death and disability in China. Large communities of stroke survivors are eagerly awaiting scientific advances in transnational stroke research that would offer neuroprotective therapeutics for acute stroke management, or rehabilitation and regenerative strategies utilizing novel stem cell-based approaches. While research is ongoing, the Editors have compiled this volume to help the further understanding of the pathophysiology of stroke and to review and identify future potential biomarkers. The book is written for students, researchers and physicians in neurosciences, neurology and neuroradiology.
Download or read book Oxford Textbook of Stroke and Cerebrovascular Disease written by Bo Norrving and published by Oxford University Press, USA. This book was released on 2014 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part of the Oxford Textbooks in Clinical Neurology (OTCN) series, this practical volume covers the current pedagogic principles of stroke disease and care, including the acute hospital phase, public health issues, prevention, long-term management, and silent vascular disease.
Download or read book Neurological Physiotherapy Pocketbook written by Sheila Lennon and published by Elsevier Health Sciences. This book was released on 2018-07-25 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of the Neurological Physiotherapy Pocketbook is the only book for physiotherapists that provides essential evidence-based information in a unique and easy-to-use format, applicable to clinical settings. Written by new international editors and contributors, this pocketbook provides quick and easy access to essential clinical information. Pocketbook size for when out on clinical placement or working in clinical practice Revised and brand new chapters on neurological rehabilitation and essential components Concentrates on the six most common conditions: including stroke, traumatic brain, and spinal cord injury Key messages highlighted for assessment, treatment, and measurement of the most common neurological conditions
Download or read book Implementation Science 3 0 written by Bianca Albers and published by Springer Nature. This book was released on 2020-03-18 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook presents a much-needed overview of the recent developments in implementation science — a discipline that is young, has gained increasing attention in recent years, and has experienced substantial and rapid growth in knowledge production and debate. It captures the latest developments in research and pushes the reader toward the next phase for implementation science: bridging the science-to-practice divide. Drawing from multidisciplinary, international research by top scholars in the field, this book provides a critical but friendly approach to understanding what implementation science is, what it isn’t, and where it’s going. Topics include: • Factors associated with effective implementation • Organizational context and readiness for change • Implementation theories, models, and frameworks • Enhancing implementation measurement • Bringing interventions to scale • Closing the science-practice gap in implementation Implementation Science 3.0 is a timely, important resource for researchers, students, and others with an interest in implementation working across the fields of social welfare,public health, education, and psychology. The chapter “Making sense of implementation theories, models and frameworks”,in which some modifications to the text were made, is available open access under a Creative Commons Attribution 4.0 International License in Nilsen, P. (2015). Implementation Science, 10(53), via link.springer.com.
Download or read book Improving Critical Care Survivorship written by Kimberley J. Haines and published by Springer Nature. This book was released on 2021-04-22 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a comprehensive overview of improving critical care survivorship. Comprised of four sections, the text presents interventions that can be used to improve patient outcomes and reduce the burden of post-intensive care syndrome across the arc of care, from the ICU to returning home. The first section of the text focuses on preventing adverse outcomes in the ICU, with an emphasis on implementing early mobilization, engaging and supporting families, and employing various forms of therapy. The second section revolves around enhancing recovery post-ICU, focusing on physical and neurocognitive rehabilitation programs, peer support, and poly-pharmacy management. Community reintegration is the subject of the third section, with emphasis on socioeconomic reintegration, healthcare utilization, and volunteerism in ICU recovery. The book concludes with a section on future considerations, specifically spotlighting preliminary ideas that address long-term sequelae and international collaboration to solve critical care challenges. Written by experts in the field, Improving Critical Care Survivorship: A Guide for Prevention, Recovery, and Reintegration is a valuable resource for critical care clinicians and researchers interested in improving the quality of patient survival after ICU admission.
