Case Study: MUSC Stroke Recovery Department

Status post cardioembolic cerebrovascular accident with residuals word finding problems and right upper extremity weakness. Currently, he is possibly having an allergic reaction to Plavix.

Led by our chairs Samantha Sangabi and Julia Roh, our Power to End Stroke initiative has worked to break the barrier that lies between the community and the signs of stroke. With the help of the B.E.F.A.S.T method we have been able to reach out to the community and provide patients with the tools to detect and take preventative measures against stroke.

Strokes are not isolated to the United States. It is reported that worldwide nearly 15 million people suffer from a stroke every year (“Stoke,” n.d.). The idea of home therapy for stroke rehabilitation has appeared in other countries as well. A group of researchers in Spain looked into the effectiveness of occupational therapy for individuals affected by a stroke. They focused specifically on home based therapy. The researchers sought out occupational therapy programs which “aimed to improve the participation of the individual in significant functions, activities, and tasks” and how that translated into a home program (Ávila et al., 2014). The study included twenty-three participants who had suffered a stroke. The Barthel Index (Fig.3) was

I was lucky to be attend the Stroke Support Group In Arroyo Grande Community Hospital. I work in the Acute Rehab Unit in Arroyo Grande, we get a lot of patients with severe strokes that receive rehab for 7-14 days. Our manager (ANM) is involved in spreading the word about the stroke support group to the patients and their love ones. That is how I was informed about the Stoke Support Group through work. There where 8 (including the leader) people attending the support group the ages where late 60s early 80s. They meet every third Monday of the month at 10:30-11:30 on the Annex building. They provide snacks and set up a circle with chairs. The leader is the one to get the conversation going she goes around the room and asks each person how they are doing and

Strokes are one of the major causes of immobility in seniors. Recovery largely depends on the extent of the brain injury and the length of time before treatment. Nonetheless, most seniors require the assistance of a caregiver and this mainly requires planning and organization. Here are some ways you can take care of a senior post -stroke

Heart diseases from maternal side; lung diseases from paternal side. No previous stroke, cancer or diabetes.

odour, changes in voice and any difficulty or pain on swallowing. Assessing a patients should not only involve a nurse, but the member of the multidisciplinary team. The physiotherapy, dietitian, speech and language therapist, occupational therapist and the doctors involves in the patients care. Who all play an important role. A study was carried out by Horne et al (2014) to investigate the organisation, provision and practice of oral care in typical UK 11 stroke units; and explore stroke survivors’, carers’ and healthcare professionals’ experiences and perceptions about the barriers and facilitators to receiving and undertaking oral care in stroke unit. The senior nurse on each of the 11 stroke units completed and returned the questionnaire.

Strokes are caused by a block in the blood supply to the brain which causes a decrease in oxygen and delivery of other important supplies which facilitate proper functioning. Fifteen million cases are reported worldwide annually, although not all of these cases are mortalities, the large prevalence of strokes ranks it as the fourth leading cause of death in the United States. (Figueroa) Because of the time sensitivity associated with the lack of resources to the brain, strokes are considered a medical emergency and early recognition of symptoms can help decrease the amount of damage caused . Although strokes do not always cause death, strokes most often leave the individual with some physical and cognitive impairment.

The over the counter medication once known only for its ability of easing aches and pains or fighting off fever and inflammation is proving itself to be quite the miracle drug. Aspirin has become part of the protocol for stroke victims as a preventative measure due to its neuro-protective benefits. Stroke can cause lesions in cerebral white matter, which may result in cognitive impairments such as deficits in learning and memory. White matter lesions (WML) have also been linked to increasing the risk of post-stroke dementia. Cerebral white matter damage has been widely overlooked. Comprised of oligodendrocytes that form the insulating myelin in the CNS, white matter is evidentially just as vulnerable to ischemia as gray matter.

The neurology floor where I work has twenty-five beds. As the Certified Stroke Center, the majority of our patients are stroke patients, but not only limited to this one. Other neurological disorders include altered mental status, spinal surgeries, brain surgeries, Guillain-Barré syndrome, myasthenia Gravis, multiple sclerosis; and brain and spinal cord

3000 word essay on patient with left sided stroke with one identified health need/problem: Dysphagia

Evidence-Base practice (EBP) is defined as based on problems identified from nursing practice; using best evidence and professional expertise and merging them into current practice to ensure patients receive quality care (French, 1999). Evidence-based practice is a part of quality improvement process; it is made of evidence, clinical expertise, patient preference and the context of care (Barker, 2013). In brief, evidence-based practice is the guideline in the nursing practice that requires nurses gather and use clinical evidence to help diagnose or assess patients correctly by using their knowledge and experience in order they can deliver the quality of care to the patients (Ellis, 2013). In the other words, in the nursing practice the clinical evidence supports all the nursing procedures performed.

As a medical scribe, I observe every doctor-patient interaction, and working in San Jose exposes me to a wide demographic. As a result, I gain understanding of how the disadvantaged attain health care and some of the difficulties they experience. Many of the patients I see use the emergency room as if it were a primary care clinic because they do not have health insurance or a regular doctor. This is unfavorable for the patient because they do not get the extended treatment that is often required for non-acute ailments, however their situation leaves them with little choice.

Approximately 15 million people suffer a stroke worldwide each year, of those 5 million die and another 5 million are permanently disabled Mackay et al (2004). Stroke tends to affect people over the age of 75 (Scarborough et al 2009). Since almost 70% of people over 75 retain some teeth (Todd and Laden 1998), maintaining a healthy mouth is important for elderly stroke patients. Not only does effective oral care play a central role in the prevention of infection, a healthy mouth also makes a real difference to a person’s quality of life (McGrath and Bedi 1998) and maintenance of nutritional status (Jones 1998) .For these reasons, this dissertation will examine the benefits of good oral hygiene for elderly stroke patients and nurses role in

Likewise, NICE (2013a) recommended at least 45 minutes of each relevant stroke rehabilitation therapy for a minimum of 5 days per week to people who have the ability to participate to get best result. In the case of Mr. Devi, being a full-time worker, there is a possibility of relapse. So it is necessary to make a proper plan and set the time-table that is convenient to him, which helps him to continue with exercise session. Since, he has recovered from a stroke I recommend him to discuss possible exercise plans with members of his rehabilitation team.