Download e-book for iPad: Acute Stroke Nursing by Jane Williams, Lin Perry, Caroline Watkins

By Jane Williams, Lin Perry, Caroline Watkins

ISBN-10: 1405161043

ISBN-13: 9781405161046

ISBN-10: 1444318837

ISBN-13: 9781444318838

Content material:
Chapter 1 environment the Scene (pages 1–16): Professor Caroline Watkins and Michael Leathley
Chapter 2 constructing Stroke companies: A Key function for Nursing and Nurses (pages 17–32): Christopher R. Burton
Chapter three what's a Stroke? (pages 33–65): Anne W. Alexandrov
Chapter four Acute Stroke Nursing administration (pages 66–90): Anne W. Alexandrov
Chapter five dietary facets of Stroke Care (pages 91–122): Professor Lin Perry and Elizabeth Boaden
Chapter 6 selling Continence (pages 123–151): Kathryn Getliffe and Wendy Brooks
Chapter 7 administration of actual Impairments Post?Stroke (pages 152–183): Cherry Kilbride and Rosie Kneafsey
Chapter eight communique (pages 184–204): Jane Marshall, Katerina Hilari and Madeline Cruice
Chapter nine temper and Behavioural adjustments (pages 205–221): Peter Knapp
Chapter 10 Minimally Responsive Stroke sufferers (pages 222–240): Elaine Pierce and Aeron Ginnelly
Chapter eleven Rehabilitation and restoration approaches (pages 241–262): Dr Jane Williams and Julie Pryor
Chapter 12 Stroke and Palliative Care: a tricky blend? (pages 263–274): Christopher R. Burton and Sheila Payne
Chapter thirteen decreasing the danger of Stroke (pages 275–308): Peter Humphrey, Jo Gibson and Stephanie Jones
Chapter 14 Longer?Term aid for Survivors and Supporters (pages 309–330): Louise Brereton and Jill Manthorpe
Chapter 15 Stroke assets for execs, sufferers and Carers (pages 331–341): Graham Williamson

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Additional info for Acute Stroke Nursing

Example text

Ideally, however, the development or the redesignation of a stroke unit requires considerable planning and support, including amongst other things, specialist resources and training and development for staff. Conceptual clarity about what constitutes a stroke unit is therefore urgently required. Developing Stroke Services 25 Based on a review of stroke unit trials (Langhorne & Pollock 2002), six features that characterise stroke units have been identified, as follows: • • • • • • Comprehensive assessment of medical problems, impairments and disabilities Active physiological management Early mobilisation and the avoidance of bed-rest Early setting of rehabilitation plans involving carers Early assessment and planning of discharge needs Skilled nursing care The term ‘skilled nursing care’ is not further defined and there is little empirical research in the literature identifying exactly what nurses are skilled in.

G. Department of Health 2007; Welsh Assembly Government 2006). Encouragingly, there has been a steady increase in the proportion of hospitals in England that have stroke units from 75% in 2001, to 84% in 2004, to 96% in 2008 (Intercollegiate Stroke Working Party 2008c). To date there is limited evidence to indicate why or how stroke units are effective, which makes it difficult for effective implementation in a local context. There are, for example, no nationally accepted minimum standards for what constitutes a ‘stroke unit’, although there are classifications based on broad types of services.

For example, recommendations about palliative care in the National Clinical Guidelines are underpinned by consensus within the guideline development group, or extrapolated from the cancer literature. Secondly, there is an increasing awareness of the usefulness of other forms of knowledge such as patient experience, practical ‘know-how’ and information from the local context on which to base the development of services (Rycroft-Malone et al. 2004). Whilst the implementation of research demonstrating clinical and economic effectiveness is a key issue for all health and social care professions, nursing has adopted a broad approach to service development.

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Acute Stroke Nursing by Jane Williams, Lin Perry, Caroline Watkins

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