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https://www.readbyqxmd.com/read/28548912/improving-the-comfort-of-nurses-caring-for-stroke-patients-at-the-end-of-life
#1
Jocelyn Zwicker, Isabelle Martineau, Sarah Walsh, Jenny Lavoie, Evelyn Weger, John Scott
BACKGROUND: End-of-life care of stroke patients is an important aspect of stroke care. It has been previously reported that nurses express discomfort caring for patients at the end of life or caring for patients who have suffered severe strokes. Nurses at our centre expressed similar discomfort. AIM: To improve the comfort of nurses caring for patients at the end of life after stroke. DESIGN: Nurses were asked to rate their comfort with treating patients at the end of life using the Stroke End-of-Life Care Comfort Scale before and after attending an education session...
May 2, 2017: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/28546322/poststroke-fatigue-emerging-evidence-and-approaches-to-management-a-scientific-statement-for-healthcare-professionals-from-the-american-heart-association
#2
REVIEW
Janice L Hinkle, Kyra J Becker, Jong S Kim, Smi Choi-Kwon, Karen L Saban, Norma McNair, Gillian E Mead
At least half of all stroke survivors experience fatigue; thus, it is a common cause of concern for patients, caregivers, and clinicians after stroke. This scientific statement provides an international perspective on the emerging evidence surrounding the incidence, prevalence, quality of life, and complex pathogenesis of poststroke fatigue. Evidence for pharmacological and nonpharmacological interventions for management are reviewed, as well as the effects of poststroke fatigue on both stroke survivors and caregivers...
May 25, 2017: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/28544132/-can-not-talk-about-it-urinary-incontinence-from-the-point-of-view-of-stroke-survivors-a-qualitative-study
#3
Myrta Kohler, Hanna Mayer, Jürg Kesselring, Susi Saxer
PURPOSE: The current study intends to gain an in-depth understanding of stroke survivors' lived experience of urinary incontinence and its treatment in an inpatient rehabilitation clinic. METHODS: A qualitative approach was chosen. Semi-structured individual interviews with ten stroke survivors suffering from urinary incontinence were conducted in an inpatient rehabilitation clinic and analysed using qualitative content analysis with an inductive approach. RESULTS: '(Can) not talk about it' was identified as the first main category...
May 24, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28537509/maugeri-centre-for-telehealth-and-telecare-a-real-life-integrated-experience-in-chronic-patients
#4
Simonetta Scalvini, Palmira Bernocchi, Emanuela Zanelli, Laura Comini, Michele Vitacca
Management of chronic diseases in a progressively aging population is a major issue in western industrialized countries and telehealth is one way to ensure the continuity of care in chronic illness. We describe here our personal experience in a telehealth and telecare centre in Italy. Between January 2000 and December 2015, 1635 elderly patients (71% male) with one or more comorbidities have undergone a telehealth program tailored to their specific disease: chronic obstructive pulmonary disease (COPD)/chronic respiratory insufficiency; amyotrophic lateral sclerosis/neuromuscular diseases; chronic heart failure (CHF); post-stroke; and post-cardiac surgery patients discharged from hospital after an acute event...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28535332/interventions-for-treating-anxiety-after-stroke
#5
REVIEW
Peter Knapp, C Alexia Campbell Burton, John Holmes, Jenni Murray, David Gillespie, C Elizabeth Lightbody, Caroline L Watkins, Ho-Yan Y Chun, Sharon R Lewis
BACKGROUND: Approximately 20% of stroke patients experience clinically significant levels of anxiety at some point after stroke. Physicians can treat these patients with antidepressants or other anxiety-reducing drugs, or both, or they can provide psychological therapy. This review looks at available evidence for these interventions. This is an update of the review first published in October 2011. OBJECTIVES: The primary objective was to assess the effectiveness of pharmaceutical, psychological, complementary, or alternative therapeutic interventions in treating stroke patients with anxiety disorders or symptoms...
May 23, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28533683/new-standardized-nursing-cooperation-workflow-to-reduce-stroke-thrombolysis-delays-in-patients-with-acute-ischemic-stroke
#6
Yan Zhou, Zhuojun Xu, Jiali Liao, Fangming Feng, Lai Men, Li Xu, Yanan He, Gang Li
OBJECTIVE: We assessed the effectiveness of a new standardized nursing cooperation workflow in patients with acute ischemic stroke (AIS) to reduce stroke thrombolysis delays. PATIENTS AND METHODS: AIS patients receiving conventional thrombolysis treatment from March to September 2015 were included in the control group, referred to as T0. The intervention group, referred to as T1 group, consisted of AIS patients receiving a new standardized nursing cooperation workflow for intravenous thrombolysis (IVT) at the emergency department of Shanghai East Hospital (Shanghai, People's Republic of China) from October 2015 to March 2016...
2017: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/28520658/age-group-and-gender-differences-in-stroke-knowledge-in-an-israeli-jewish-adult-population
#7
Semyon Melnikov, Michal Itzhaki, Silvia Koton
BACKGROUND: Stroke is a leading cause of long-term disability and the fifth leading cause of death in Israel. Knowledge of stroke warning signs has been linked to early seeking of medical help. Little is known about knowledge of stroke warning signs in Israeli Jewish adults. METHODS: Stroke knowledge was examined among Jewish Israeli adults. Using a structured questionnaire, registered nurses interviewed a convenience sample of the respondents, 18 years or older, with no stroke history...
May 17, 2017: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/28514888/seeing-is-believing-healthcare-professionals-perceptions-of-a-complex-intervention-to-improve-care-towards-the-end-of-life-a-qualitative-interview-study
#8
Katherine Bristowe, Irene Carey, Adrian Hopper, Susanna Shouls, Wendy Prentice, Irene J Higginson, Jonathan Koffman
BACKGROUND: Methods to improve care, trust and communication are important in acute hospitals. Complex interventions aimed at improving care of patients approaching the end of life are increasingly common. While evaluating outcomes of complex interventions is essential, exploring healthcare professionals' perceptions is also required to understand how they are interpreted; this can inform training, education and implementation strategies to ensure fidelity and consistency in use. AIM: To explore healthcare professionals' perceptions of using a complex intervention (AMBER care bundle) to improve care for people approaching the end of life and their understandings of its purpose within clinical practice...
May 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/28513399/reducing-health-inequalities-for-people-with-serious-mental-illness
#9
Nutmeg Hallett, Helen Rees
People with serious mental illness (SMI) are at risk of dying many years earlier than the general population. Providing an effective, cost-efficient healthcare service requires a holistic approach, and improving the physical health of people with SMI should be integral to all healthcare roles. It is important for nurses to identify and understand the barriers that people with SMI may experience when accessing physical healthcare. A range of factors contribute to reduced life expectancy, including lifestyle factors, symptoms of mental illness and the side effects of medications...
May 17, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28512066/use-of-electroencephalography-brain-computer-interface-systems-as-a-rehabilitative-approach-for-upper-limb-function-after-a-stroke-a-systematic-review
#10
REVIEW
Esther Monge-Pereira, Jaime Ibañez-Pereda, Isabel M Alguacil-Diego, Jose I Serrano, María P Spottorno-Rubio, Francisco Molina-Rueda
BACKGROUND: Brain computer interface (BCI) systems have been suggested as a promising tool for neurorehabilitation. However, to date, there is a lack of homogeneous findings. Furthermore, no systematic reviews have analyzed the degree of validation of these interventions for upper limb (UL) motor rehabilitation post-stroke. OBJECTIVES: To compile all available studies that assess an UL intervention based on an electroencephalography (EEG) - BCI system in stroke...
May 13, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28506258/health-care-waste-management-in-community-based-care-experiences-of-community-health-workers-in-low-resource-communities-in-south-africa
#11
Lydia Hangulu, Olagoke Akintola
BACKGROUND: In South Africa, community health workers (CHWs) working in community-based care (CBC) programmes provide care to patients most of whom are living with HIV/AIDS and tuberculosis (TB). Although studies have shown that the caregiving activities provided by the CHWs generate health care waste (HCW), there is limited information about the experiences of CHWs on health care waste management (HCWM) in CBC. This study explored HCWM in CBC in Durban, South Africa from the perspectives CHWs...
May 15, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28490653/prospective-association-between-%C3%AE-2-microglobulin-levels-and-ischemic-stroke-risk-among-women
#12
Pamela M Rist, Monik C Jiménez, Kathryn M Rexrode
OBJECTIVE: To determine whether elevated β2-microglobulin (B2M) levels were associated with an increased risk of incident ischemic stroke events among women. METHODS: We performed a nested case-control study among women enrolled in the Nurses' Health Study who provided blood samples between 1989 and 1990 and were free of prior stroke and cancer. We measured B2M levels in 473 ischemic strokes cases confirmed by medical record review and in 473 controls matched 1:1 to the cases on age, race, date of blood collection, menopausal status, postmenopausal hormone use, and smoking status...
May 10, 2017: Neurology
https://www.readbyqxmd.com/read/28488353/effectiveness-of-a-shared-team-approach-between-nurses-and-doctors-for-improved-risk-factor-management-in-survivors-of-stroke-a-cluster-randomized-controlled-trial
#13
M T Olaiya, J Kim, M R Nelson, V K Srikanth, C F Bladin, R P Gerraty, S M Fitzgerald, T Phan, J Frayne, D A Cadilhac, A G Thrift
BACKGROUND AND PURPOSE: Limited evidence exists on the benefits of organized care for improving risk factor control in patients with stroke or transient ischaemic attack. The effectiveness of an individualized management programme in reducing absolute cardiovascular disease risk in this high-risk population was determined. METHODS: This was a prospective, multicentre, cluster-randomized controlled trial with blinded assessment of outcomes and intention-to-treat analysis...
May 10, 2017: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/28483832/screening-for-atrial-fibrillation-a-report-of-the-af-screen-international-collaboration
#14
REVIEW
Ben Freedman, John Camm, Hugh Calkins, Jeffrey S Healey, Mårten Rosenqvist, Jiguang Wang, Christine M Albert, Craig S Anderson, Sotiris Antoniou, Emelia J Benjamin, Giuseppe Boriani, Johannes Brachmann, Axel Brandes, Tze-Fan Chao, David Conen, Johan Engdahl, Laurent Fauchier, David A Fitzmaurice, Leif Friberg, Bernard J Gersh, David J Gladstone, Taya V Glotzer, Kylie Gwynne, Graeme J Hankey, Joseph Harbison, Graham S Hillis, Mellanie T Hills, Hooman Kamel, Paulus Kirchhof, Peter R Kowey, Derk Krieger, Vivian W Y Lee, Lars-Åke Levin, Gregory Y H Lip, Trudie Lobban, Nicole Lowres, Georges H Mairesse, Carlos Martinez, Lis Neubeck, Jessica Orchard, Jonathan P Piccini, Katrina Poppe, Tatjana S Potpara, Helmut Puererfellner, Michiel Rienstra, Roopinder K Sandhu, Renate B Schnabel, Chung-Wah Siu, Steven Steinhubl, Jesper H Svendsen, Emma Svennberg, Sakis Themistoclakis, Robert G Tieleman, Mintu P Turakhia, Arnljot Tveit, Steven B Uittenbogaart, Isabelle C Van Gelder, Atul Verma, Rolf Wachter, Bryan P Yan
Approximately 10% of ischemic strokes are associated with atrial fibrillation (AF) first diagnosed at the time of stroke. Detecting asymptomatic AF would provide an opportunity to prevent these strokes by instituting appropriate anticoagulation. The AF-SCREEN international collaboration was formed in September 2015 to promote discussion and research about AF screening as a strategy to reduce stroke and death and to provide advocacy for implementation of country-specific AF screening programs. During 2016, 60 expert members of AF-SCREEN, including physicians, nurses, allied health professionals, health economists, and patient advocates, were invited to prepare sections of a draft document...
May 9, 2017: Circulation
https://www.readbyqxmd.com/read/28481826/the-impact-of-nurse-staffing-on-in-hospital-mortality-of-stroke-patients-in-korea
#15
Wankyo Chung, Min Sohn
BACKGROUND: Stroke is one of the leading causes of death in Korea, and a well-qualified, adequate nursing force achieves better patient outcomes. STUDY PURPOSES: This study examined the association between nurse staffing and in-hospital mortality among stroke patients in a nationally representative sample. METHODS: This cross-sectional retrospective study was conducted using 2009 National Health Insurance claims data of stroke patients admitted to variously sized Korean hospitals...
May 5, 2017: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/28459184/embedding-an-enriched-environment-in-an-acute-stroke-unit-increases-activity-in-people-with-stroke-a-controlled-before-after-pilot-study
#16
Ingrid Cm Rosbergen, Rohan S Grimley, Kathryn S Hayward, Katrina C Walker, Donna Rowley, Alana M Campbell, Suzanne McGufficke, Samantha T Robertson, Janelle Trinder, Heidi Janssen, Sandra G Brauer
OBJECTIVES: To determine whether an enriched environment embedded in an acute stroke unit could increase activity levels in acute stroke patients and reduce adverse events. DESIGN: Controlled before-after pilot study. SETTING: An acute stroke unit in a regional Australian hospital. PARTICIPANTS: Acute stroke patients admitted during (a) initial usual care control period, (b) an enriched environment period and (c) a sustainability period...
April 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28452261/impartial-advice-on-stroke-and-brain-injury-apps
#17
(no author information available yet)
Specialist nurses and patients have joined forces to create a website to review apps for those with stroke or brain injuries.
April 28, 2017: Nursing Older People
https://www.readbyqxmd.com/read/28451552/rehabilitation-nursing-for-cerebral-stroke-patients-within-a-suitable-recovery-empty-period
#18
Hu Zhiyan, Li Nin, Chen Baoyun, Gong Zunke, Wang Qinghong, Fan Lange
BACKGROUND: We aimed to research the value of extended nursing for cerebral stroke patients within a suitable recovery empty period. METHODS: Seventy-two cerebral stroke patients were randomized to a control group or treatment group at the recovery period at Xuzhou Recovery Hospital, China in 2016. A recovery guidance exercise was applied to the control group for a set time, while a recovery guidance exercise combined with functional training were applied to the treatment group within the recovery empty period (at 6:00-7:00 a...
February 2017: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/28450468/barriers-to-evidence-based-acute-stroke-care-in-ghana-a-qualitative-study-on-the-perspectives-of-stroke-care-professionals
#19
Leonard Baatiema, Ama de-Graft Aikins, Adem Sav, George Mnatzaganian, Carina K Y Chan, Shawn Somerset
OBJECTIVE: Despite major advances in research on acute stroke care interventions, relatively few stroke patients benefit from evidence-based care due to multiple barriers. Yet current evidence of such barriers is predominantly from high-income countries. This study seeks to understand stroke care professionals' views on the barriers which hinder the provision of optimal acute stroke care in Ghanaian hospital settings. DESIGN: A qualitative approach using semistructured interviews...
April 27, 2017: BMJ Open
https://www.readbyqxmd.com/read/28446515/role-of-biomarkers-for-the-prevention-assessment-and-management-of-heart-failure-a-scientific-statement-from-the-american-heart-association
#20
REVIEW
Sheryl L Chow, Alan S Maisel, Inder Anand, Biykem Bozkurt, Rudolf A de Boer, G Michael Felker, Gregg C Fonarow, Barry Greenberg, James L Januzzi, Michael S Kiernan, Peter P Liu, Thomas J Wang, Clyde W Yancy, Michael R Zile
BACKGROUND AND PURPOSE: Natriuretic peptides have led the way as a diagnostic and prognostic tool for the diagnosis and management of heart failure (HF). More recent evidence suggests that natriuretic peptides along with the next generation of biomarkers may provide added value to medical management, which could potentially lower risk of mortality and readmissions. The purpose of this scientific statement is to summarize the existing literature and to provide guidance for the utility of currently available biomarkers...
April 26, 2017: Circulation
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