This approach to rehabilitation has been preferred due to the typical level of complexity of patient care needs, with many patients having medical, social, psychological and economic issues (Haley et al., 1998). To be effective, though, these authors emphasize that such team approaches to healthcare delivery require communication, collaboration, and coordination required in order to avoid fragmented care that does not address the unique needs of the rehabilitation patient: "Rehabilitation professionals must collaborate and coordinate the intensity of rehabilitation care to efficiently and effectively influence and achieve maximum patient and family outcomes" (Haley et al., 1998, p. 29). This is particularly important for stroke victims that still have children at home. According to Dowdy, Kiev, Lathrop and Winkle (1997), "Sudden disability of a parent brought on by stroke or other life-threatening illnesses can have a devastating effect on a child at any age. Families are frequently ill-equipped to deal with the questions and concerns that children have regarding the nature of the illness and course of recovery" (p. 22). In this regard, nurses are in an excellent position to both help coordinate the delivery of rehabilitation services as well as to help educate stroke patients, their caregivers, family members and community at large concerning the ongoing need for timely rehabilitation interventions and what effect the stroke may have on the family unit. According to Dillon and Sternas (1997), "Due to the multifaceted changes occurring within the health care system, it is essential that nurses continue to expand their care beyond that of restoration of health to include that of health promotion and health maintenance through education" (p. 1). These are especially important considerations once stroke victims return to their homes. Because every patient is unique, Fischer (1999) emphasizes that the healthcare implications for stroke patients are varied, and nurses must to remain knowledgeable about changes in Medicare and managed care systems in order to ensure that homebound stroke patients receive the rehabilitation services they require. In this regard, Antai-Otong emphasizes that many stroke patients are at an increased risk of developing depressive symptoms that can adversely affect their rehabilitation progress, but these symptoms are treatable: "Stroke is a risk factor for depression and requires...
167).
Patients with aphasia struggle with language disorders including both oral and written communication problems. Also, clinical depression is found to be common among many stroke victims. [NINDS] Stroke Prevention Given the high stakes involving both mortality and morbidity, stroke prevention is considered a very vital health care policy. Prevention strategies are usually targeted on controlling the important 'first tier risk factors' which were mentioned earlier. First and foremost among these is
It was also found that higher levels of education were associated with a greater sense of well being across the dimensions. Using the prior quantitative information as a guideline, Clarke proceeds to the qualitative section of her research with the attempt to shed more light on aspects of the stroke experienced wither not researched in the prior study or that were left with ambiguous explanation. While admitting that it would
Nursing Mary Young is a 71-year-old Aboriginal Australian female. She has present with a number of different health issues, including osteoporosis, hypercholesterolaemia, atherosclerosis, atrial fibrillation and Type 2 diabetes. She has been feeling fatigued for the past several months, and her current admission was on account of increasing dizziness, blurred vision and persistent headache. She was found to have suffered an ischaemic stroke, of moderate to severe status. This paper will
Abstract This article examines literature related to the EBP problem of using the mCIMT intervention to help stroke patients regain motor function. Two studies are examined for their potential use in the EBP project. The first provides quantitative data obtained from a randomized controlled trial in which the mCIMT intervention was implemented. The second provides qualitative data obtained from in-depth, semi-structured interviews with three elderly stroke patients who underwent mCIMT to
Recovering Motor Function After Stroke Stroke and Motor Learning Strategies for Recovering Motor Function after Stroke Strategies for Recovering Motor Function after Stroke On an annual basis, close to a million U.S. citizens are hospitalized for stroke and their length of stay averages 5.3 days (NHLBI, 2013). Close to 60% of these are first time stroke patients. In terms of morbidity, stroke is responsible or 1.7 million Americans currently suffering from chronic physical and/or
Coping Styles in Middle Aged Stroke Survivors Extant literature has been dedicated to coping styles in middle aged stroke survivors. Rochette et al. (2006) conducted a study to evaluate the adaptation process, participation as well as depression over a period of six moths in souses and fists-stroke individuals. In their study they described the changes in the process of adaptation (both coping and appraisal) within six months after the very fist
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now