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Stroke education proposal
Stroke patient care- student nruse essay
Stroke patient care- student nruse essay
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Educating a stroke patient comes with many challenges. Patients who have had a stroke may suffer from barriers that may negatively affect the learning process. When educating patients in general, it has been reported that 40-80% of the information provided by the healthcare professionals is forgotten (Kessels, 2003). The more information that is presented, the least amount of information is recalled (Kessels, 2003). Many studies have provided information regarding which teaching modality works best with stroke patients. Written materials paired with oral education, hands on approach, demonstration, telephone follow up calls, as well as repetition has been proven effective with stroke patients. In addition, it has been reported that one must individualize the education to each patient keeping in mind the patients post stroke reading level.
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In addition, it is important to keep in mind that patients who have suffered from a stroke may be diagnosed with aphasia and may have difficulty reading beyond their baseline (Agarwal et al., 2013). Patients that have a low reading level are more likely to suffer from adverse outcomes than patients that have a higher reading level (Agarwal et al., 2013). The National Institutes of Health (NIH) recommends providing written education that is written at a sixth grade reading level or lower (Agarwal et al., 2013). Furthermore, the NIH also recommends providing easy-to-read education materials that focuses on a few concepts avoiding medical jargon and the use of complex words while keeping the reading level between 4th to 6th grades (Agarwal et al., 2013). Lastly, according to the Joint Commission, it is reported that patient safety is compromised when education materials are too complex for the patient (Agarwal et al.,
Responding is the third phase of the Tanner’s (2006) model based on the nurse’s initial grasp, interpretation and applying clinical reasoning to respond with evidence based practice. Based on the assessment it recognised that in Mr. Devi several nursing interventions need to consider, these are reported to the appropriate medical practitioner about deterioration in his condition. Mr. Devi condition was reported to medical practitioner using an interdisciplinary communication SBAR tool (Situation, Background, Assessment and Recommendation). SBAR is a communication tool designed for the clinical team to transfer clear and concise information about a patient’s condition (Cadman 2016). Recovering after stroke he will be referred to a specialist
Stroke survivors or anyone with chronic illness and health providers remain hopeful and “realistic” by counting on each other. The patients while being realistic about the outcome of their disease, stay hopeful that each of their health care providers will give them the appropriate care and will make sure that they can live with their disease in the best way possible.
In the healthcare setting, teach-back is used when patient education is required (Tamura-Lis, 2013, p. 270). Teach-back is defined as a non-shaming process of asking patients to repeat information in their own words (Tamura-Lis, 2013, p. 268). It involves teaching and learning between two participants. Patients who have low health literacy levels are at risked for the need of teach-back. These include patients who are older than 60 years old (Eadie, 2014, p. 9). Older adult patients may have sensory alterations that impair communication (Potter & Perry, 2013, p. 181). In addition, patients from low socioeconomic status and minority groups are more likely to have inadequate health literacy (Tamura-Lis, 2013, p. 267). Nevertheless, assessment tools are available to identify a patient’s health literacy level (Eadie, 2014, p. 11)
It is frequently expressed by stroke patients and caregivers that they have not been afforded the suitable information related to stroke, treatments, or post discharge management and recovery, and that the information conveyed is perceived as insufficient and complex. The problem is that there is a failure of healthcare professionals in identifying the learning needs of stroke patients associated with a deficiency in knowledge of just how to access and communicate this crucial information. Indeed, while patient education can be time consuming and nurses may not be properly trained in stroke education it is a nursing duty to provide these teachings to patients and caregivers prior to discharge. This paper will propose an educational plan intended to train, assist, and support nursing staff responsible for stroke patient education, in providing accurate, individualized, guideline based stroke education to patients and families prior to discharge. This plan
1. What is the difference between a. and a. Introduction The main aim of this report is to present and analyse the disease called Cerebrovascular Accident, popularly known as stroke. This disease affects the cerebrovascular system, which is a part of the cardiovascular system.
It goes without saying that everyone’s health is important and should be taken care carefully. Everyone has heard of strokes before but many people do not really know its meaning, types, and the number of individuals of that dies due to this issue. According to Centers for Disease Control and Prevention (2015), strokes kills an average of 130,000 people a year and it is one of the most common deaths that happen in the United States. An average of 800,000 of people die from cardiovascular disease and strokes and it is also a reason of long-term disability (Centers of Disease Control and Prevention, 2015). Strokes, which can also be called cerebrovascular accident or CVA happen when the blood supply to the brain is interrupted or the blood vessel going towards the brain burst. Then part of the brain dies or become seriously injured because the brain cells do not receive oxygen and they eventually die. People’s lifestyle may also impact seriously on their health and increase the possibility of having a stroke. Some of the risk that can severely increase the cause of stroke would be high blood pressure, heart disease, diabetes, cigarette smoking, as well as strokes that
...ook at the effect that these variables had on measures of language impairment in people with stroke-induced aphasia. This study also supported the idea that an increased intensity of therapy was associated with improvements of language impairment.
Patient knowledge has been shown to influence outcomes for stroke patients. A number of studies have indicated that delays to emergency department presentation due to a lack of patient knowledge regarding stroke is the main reason for exclusion from treatment (Chan et al, 2010; Kothari et al, 1997; Panagos, 2008). A prospective study performed by Kothari et al (1997) showed that 40% of stroke patients questioned had no knowledge of any stroke symptoms. Both Chan et al (2010) and Kothari et al (1997) propose that public education regarding stroke is needed to increase the positive outcome for these patients. In the study performed by ...
Aphasia is an acquired communication disorder that disrupts communication and it can deteriorate a person’s coping potential and quality of life (Parr, 2001) which involve damage to the parts of brain that contain language (ASHA, 2013). Statistics from United States indicated around 25-40% of stroke survivors developed aphasia (National Association of Aphasia, NAA, 2013). Aphasia will affect both the ability to produce or comprehend spoken language and written language while intelligence is left intact (NAA, 2013). In US, it is found that the most common cause of aphasia is stroke (85%) and others including Traumatic Brain Injury (TBI), brain tumor or other degenerative diseases (NAA, 2013).
This module has enabled the author to understand the concept of vulnerability, risk and resilience in relation to stroke. Therefore, it will contribute to her professional development and lifelong learning (NES, 2012). Additionally, the author has gained evidence based knowledge of person-centred care, compassion and self-awareness; all of which can be used to inform future practice (Miller, 2008). Consequently, she will be able to provide the appropriate level of care that can make a difference to a person’s recovery.
“Time is brain” is the repeated catch phrase when addressing the treatment and management of stroke (Saver, 2006). Access to prompt and appropriate medical care during the first few hours of stroke onset is critical to patient survival and outcomes. Recent changes in the guidelines for acute stroke care released by the American Heart Association (AHA) and the American Stroke Association (ASA) have improved patient access to treatment. Stroke treatment now follows the model of myocardial infarction treatment. Hospitals are categorized into four levels based on stroke treatment capability. The most specialized treatment is available in comprehensive stroke centers followed by primary stroke centers, acute stroke-ready hospitals, and community hospitals. The use of telemedicine now enables even community hospitals, with limited specialized capabilities, to care for stroke patients. Telemedicine puts emergency hospital personnel in contact with neurologists providing expertise in the evaluation of a stroke patient and determination of their eligibility for treatment with thrombolytic medication (Jefferey, 2013).
Stroke is a serious medical condition that affects people of all ages specifically older adults. People suffer from a stroke when there is decreased blood flow to the brain. Blood supply decreases due to a blockage or a rupture of a blood vessel which then leads to brain tissues dying. The two types of stroke are ischemic stroke and hemorrhagic stroke. An ischemic stroke is caused by a blood clot blocking the artery that brings oxygenated blood to the brain. On the other hand, a hemorrhagic stroke is when an artery in the brain leaks or ruptures (“About Stroke,” 2013). According to the Centers for Disease Control and Prevention (CDC), “Stroke is the fourth leading cause of death in the United States and is a major cause of adult disability” (“About Stroke,” 2013). Stroke causes a number of disabilities and also leads to decreased mobility in over half of the victims that are 65 and older. The CDC lists several risk factors of stroke such as heredity, age, gender and ethnicity as well as medical conditions such as high blood pressure, high cholesterol, diabetes and excessive weight gain that in...
Stroke is a commonly known disease that is often fatal. This cellular disease occurs when blood flow to the brain is interrupted by either a blood clot halting the progress of blood cells in an artery, called an Ischemic stroke, or a blood vessel in the brain bursting or leaking causing internal bleeding in the brain, called a hemorrhagic stroke. When this happens, brain cells are deprived of oxygen and nutrients because the blood cells carrying these essential things are stopped, causing them to die. When the cells in the brain die, sensation or movement in a limb might be cut off and may limit an organism’s abilities. A person with stroke is affected depending on where in the brain the stroke occurs. In other words, symptoms of a stroke
This could involve pre-test to examine users’ current literacy capacity to determine what word health workers should select in designing message. The messages designed for parents should differ from the one designed for school children. Individuals’ health literacy was also concentrated on functional level, such as the ability to read doctor’s instruction (William el al. 1995). Yet, one’s reading skill does not always comparable with listening, writing or writing skill (Schonlau et al. 2011). When health message is complex, health professionals should not assume individuals could understand only by checking their reading skills. In fact, they should consider overall level of consumers’ literacy level.
Globally, 15 million people suffer from stroke annually, 6 million of them die from it and 5 million has to live with disability (World Heart Foundation [WHF], 2015). In New Zealand