Evidence Based Case Study

It's important for nurses to be actively involved with an interdisciplinary team because of the increasing complexity and scope of patient problems. As these complexities and problems increase, patient care necessitates the combination of efforts of physicians from different disciplines. Actually, comprehensive patient care in today's healthcare settings incorporates attempts to solve problems that are beyond the scope of expertise and training of a single professional. Therefore, the active involvement of nurses in interdisciplinary teams is vital for the provision of comprehensive and effective patient care that help in dealing with the evolving patient problems

Evidence Based Practice is beyond the Advanced Nurse Practitioners and the patients, it is more and part of an organizational culture. Advanced Nurse Practitioners have to understand how literature findings can be reviewed in order to determine if they are relevant and clinically significant to the population they serve as your focus on lesbian, gay, bisexual, and transgender (LGBT) community. It is a good idea to use the evidence-based policy to implement and provide education and training. In addition to education and training, the clinical environments need to be change which can change some behaviors towards this

There are numerous approaches to stroke rehabilitation, some of which are still in the early stages of development. Behavioral performance in any area, such as sensory-motor and cognitive function, is most likely to improve when motor activity is willful, repetitive and task specific.

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

Interdisciplinary team work is extremely important to ensure patients receive quality care that meets their individual needs (Nancarrow, et al, 2013). To achieve this a group of health care professionals work together by bringing their different professions, assessments and evaluations together in order to design a care plan for treatment of the patient (Korner, 2010). For example if a patient is dealing with a mental health disorder such as depression or schizophrenia, the interdisciplinary team would consist of the doctor, nurse, psychologist, psychiatrist, pharmacist and neurologist. The roles and responsibilities of each team member must be based on their scope of practice including the assessment of the patient, the treatment to be given,

De, D., & Wynn, E. (2014). Preventing muscular contractures through routine stroke patient care. British Journal of Nursing, 23(14), 781-786. doi:10.12968/bjon.2014.23.14.781

Most exercise is designed for neurorehabilitation, not cardiovascular health, so there is a very different definition for stroke patient exercise, as well as a very different goal set. Because strokes affect each person differently, treatment is also specific to the individual. The literature included in this review focuses on three different methods of exercise, each with very specific goals in mind. Cabanas-Valdés and collegues study was on Core and Trunk stability, Minyoung describes use of Virtual Reality enhanced exercise for treatment, and Tutak introduces the concepts behind Rehabilitation

following a stroke the client usually has weakness in the left side of the body so physiotherapist will aim to create a work out plan

Stroke is a leading health care problem worldwide; ‘living with stroke’ is a real challenge both stroke survivors and their caregivers face.

Stroke is a leading cause of adult disability and patients face multiple challenges, such as weakness/paralysis on one side of the body, social disability, inability to walk and self-care, the decline in community participation, and the decline in cognitive and emotional functioning. These challenges impede them from independently performing their daily activities related to work, school, parenting, or leisure. Evidence Based Practice shows that the best way to treat individuals with stroke is through the use of the mental practice. Mental practice is a training method during which a person cognitively rehearses a physical skill in the absence of overt, physical movements for the purpose of enhancing motor skill performance. It is a practice

Working in a team is an important responsibility by understanding each other’s role which may include doctor, nurse, occupational therapist, physiotherapist and many more. Team members divide the work based on their scope practice such as acute care, metal health care, homecare etc. Interprofessional collaboration practice is decision making and communicating between individuals for their patient’s health based on their knowledge and skills. It helps to promote habits, maximizing health resources, leading care to be safer with patient’s satisfaction and Canada’s health care (Kenaszchuk, Reeves, Nicholas, & Zwarenstein, 2010).

Stroke, or brain attack, is the number four killer of adults in the world. In the United States, 160,000 deaths occur each year. From 1999 to 2009, the death rate from stroke gradually lowered as improvements to medicine and testing developed. Yet, 800,000 Americans continue to have strokes and survive the event. Worldwide, about 15 million experience stroke with 6 million who die and 5 million who become permanently disabled. (Robinson, Richard & Odle, Teresa G. & Frey, Rebecca J. & Odle, Teresa G. , 2011) The statistics in America are better for surviving a stroke because of rapid response and better interpretation of symptoms. Nevertheless, surviving a stroke often brings on dilapidating effects; which means a change in lifestyle and lifelong rehabilitation through physical therapy.

The lack of technology in the past has left multiple stroke patients struggling with physical and mental impairments. However, due to the constant change and improvements made to technology, patients are now getting more help with their physical and mental needs. Nowadays, the odds of a patient gaining full function and ability back after a traumatic brain injury are much more favorable than not. Advanced technology such as robotic gloves, interactive video games, and electrical stimulators are effective tools in the treatment of strokes because they stimulate the brain to help regain ability and motor functions.

Physical activity can improve health and lower risk for heart disease, stroke, type 2 diabetes, depression, and some cancers, (CDC, 2014). Even though physical activity can reduce recurrent stroke, stroke survivors are not engaging in physical activity at optimal levels to protect against recurrent stroke. In their research, Boysen & Krarup, pg. 148, (2013) found that “following a stroke, sequelae such as hemiparesis and ataxia may limit the trainability of stroke patients and lead to decreasing levels of physical activity and physical performance.” Historically, motivation to exercise has also been cited in the literature as a deterrent and a facilitator to exercise among the stroke survivor population (Damush, Plue, Bakas, Schmid & Williams, 2007). According to a study conducted by researchers Mohan, Wolfe, Rudd, Heuschmann, Kolominsky-Rabas, & Grieve, (2011) patients who survive an initial stroke are at a significantly increased risk for future strokes compared with the general population; a systematic review and meta-analysis showed that the cumulative risk of stroke recurrence was 3.1% at 30 days, 11.1% at 1 year, 26.4% at 5 years and 39.2% at 10 years. Furthermore, recurrent strokes are more likely to be disabling or fatal compared with the first stroke (Mohan, Crichton, Grieve, Rudd , Wolfe, & Heuschmann,

Teamwork is vital in healthcare.  When all participants are engaged in a program, goals are successfully achieved. Being able to communicate and work collectively as a team requires an appreciation for each other’s area of practice.  Every team member has an important role and being acknowledged provides a sense of responsibility and accountability. Essentially, inter-professional collaboration helps ensure that the patient is getting care that is not only accessible but also comprehensive.  The plan of a patients’ care includes active participation by all health care professionals working interdependently in accordance to the patient’s preferences, values and beliefs. The health care team accomplishes the goal of meeting the patient’s medical needs by delivering evidence-based practice.   To deliver quality care, the patient should always be involved.