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Nurse case management to improve risk reduction outcomes in a stroke prevention clinic.
Authors: Ireland S, MacKenzie G, Gould L, Dassinger D, Koper A, LeBlanc K Abstract Stroke prevention clinic health care professionals are mandated to provide early access to neurological consultation and treatment, diagnostic testing, and behavioural risk factor management for clients with transient ischemic attack or mild non-disabling stroke. Clinic nurses collaborate with clients and interprofessional teams to support risk factor reduction to prevent recurrent stroke events. Although hypertension is the most important modifiable risk factor for stroke, broader evidence indicates that adherence to prescribed medi...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Effects of a Comprehensive Reminder System Based on the Health Belief Model for Patients Who Have Had a Stroke on Health Behaviors, Blood Pressure, Disability, and Recurrence From Baseline to 6 Months: A Randomized Controlled Trial.
CONCLUSION: The comprehensive reminder system improved patients' health behaviors and medication adherence and reduced blood pressure and disability; the effect extended to 6 months after discharge. PMID: 31904693 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Nursing - January 2, 2020 Category: Nursing Authors: Wang MY, Shen MJ, Wan LH, Mo MM, Wu Z, Li LL, Neidlinger SH Tags: J Cardiovasc Nurs Source Type: research

Tailored interventions to improve hypertension management after stroke or TIA--phase II (TIMS II).
CONCLUSION: Stroke and TIA patients with diabetes may require additional resources and support in order to reach BP target values. PMID: 23687780 [PubMed - indexed for MEDLINE]
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Detecting cognitive impairment in clients with mild stroke or transient ischemic attack attending a stroke prevention clinic.
Authors: MacKenzie G, Gould L, Ireland S, LeBlanc K, Sahlas D Abstract Twenty clients diagnosed with probable transient ischemic attack (TIA) or stroke attending a stroke prevention clinic (SPC) were screened for cognitive function, as one inclusion criteria for a pilot study examining medication adherence and hypertension management. The Mini Mental State Examination (MMSE) was administered at study admission followed by a second screening within two weeks using the Montreal Cognitive Assessment (MoCA) tool. Individual scores for the MMSE and MoCA were compared. Results demonstrated that the majority (90%) of part...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Association of cardiovascular emerging risk factors with acute coronary syndrome and stroke: A case ‐control study
In this study, we estimated the risk of acute coronary syndrome and stroke associated with several emerging cardiovascular risk factors. This was a case‐control study, where an age ‐ and sex‐matched acute coronary syndrome group and stroke group were compared with controls. Demographic and clinical data were collected through patient interviews, and blood samples were taken for analysis. In the bivariate analysis, all cardiovascular risk factors analyzed showed as predictors of acute coronary syndrome and stroke, except total cholesterol and smoking. In the multivariate logistic regression model for acute coronary sy...
Source: Nursing and Health Sciences - May 31, 2016 Category: Nursing Authors: Jos é Manuel Martínez Linares, Rafael Guisado Barrilao, Francisco Manuel Ocaña Peinado, Francisco Javier Salgado Parreño Tags: Research Article Source Type: research

Variation in Knowledge of Stroke Warning Signs by Age and Presence of Conventional Risk Factors: A Community Health Survey in Korea.
CONCLUSION: Stoke risk factors are increasing among young people; they still have poor knowledge about SWSs. More education is needed to increase appropriate treatment, especially in young people with stroke-related risk factors. PMID: 32740227 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Nursing - July 28, 2020 Category: Nursing Authors: Oh J, Kim HY, Kim YS, Kim SH Tags: J Cardiovasc Nurs Source Type: research

The intensive care management of acute ischaemic stroke
Purpose of review To discuss recent advances in the critical care management of acute ischaemic stroke patients and highlight controversies and consensus. Recent findings Intravenous thrombolysis and endovascular thrombectomy are standard of care reperfusion therapies that have revolutionized the management of acute ischaemic stroke and transformed outcomes for patients. They can now be delivered in extended time windows and to those previously ineligible for intervention based on advanced neuroimaging criteria. Secondary systemic insults, such as hypo- and hypertension, hyperthermia or hyperglycaemia, which can...
Source: Current Opinion in Critical Care - March 8, 2022 Category: Nursing Tags: ACUTE NEUROLOGICAL PROBLEMS: Edited by Chiara Robba Source Type: research

Turn the Beat Around: A Stroke Prevention Program for African‐American Churches
ConclusionA church‐based intervention delivered by trained CHWs is feasible and may be a promising public health strategy to increase knowledge regarding hypertension and stroke prevention among African‐Americans.
Source: Public Health Nursing - September 25, 2015 Category: Nursing Authors: Lovoria B. Williams, Brandi Franklin, Mary B. Evans, Chazeman Jackson, Alethea Hill, Michael Minor Tags: Populations at Risk Across the Lifespan: Population Studies Source Type: research

Partnering with the black church: recipe for promoting heart health in the stroke belt.
This article shares findings of elements to improve relations between community agencies and pastors, explores the strengths and challenges of working with churches, examines the role of the pastors in establishing successful programs, and identifies model programs. This article will identify key factors that are essential to cardiovascular health programs that purport to reach high-risk populations for cardiovascular disease with life saving environmental policies and behavior change strategies. Suggestions are provided for working with pastors, churches, and church resources to maximize the desired outcomes of future hea...
Source: ABNF Journal : Official Journal of the Association of Black Nursing Faculty in Higher Education Inc - November 18, 2015 Category: Nursing Tags: ABNF J Source Type: research

Managing high blood pressure after a stroke.
Authors: Abstract High blood pressure is associated with poor outcome after stroke but it is not known if existing antihypertensive drugs should be temporarily withdrawn or continued. This trial compared a group given transdermal glyceryl trinitrate with a group not receiving this treatment and also compared patients who continued existing antihypertensive drugs with those who stopped taking them. PMID: 26018482 [PubMed - as supplied by publisher]
Source: Nursing Older People - May 28, 2015 Category: Nursing Tags: Nurs Older People Source Type: research

Self-monitoring and self-titration of antihypertensive medication reduces systolic blood pressure compared with usual care
This study represents a significant advance in hypertension self-management in high-risk patient groups, but the intervention's potential for wide implementation remains unclear. Context Hypertension is a major risk factor for cardiovascular disease, stroke, heart failure and chronic kidney disease.1 Effective treatment reduces risk for these devastating complications, but BP remains insufficiently controlled in up to half of adults.2 Because hypertension generates tremendous morbidity and costs, novel strategies for enhancing BP control are urgently needed. Interventions that enhance...
Source: Evidence-Based Nursing - June 22, 2015 Category: Nursing Authors: Bosworth, H. B., Crowley, M. J. Tags: General practice / family medicine, Drugs: cardiovascular system, Stroke, Hypertension, Ischaemic heart disease, Memory disorders (psychiatry) Primary healthcare Source Type: research

Nursing interventions in stroke care delivery: An evidence-based clinical review
Generally, nursing interventions during the acute stages following a stroke aim at preventing secondary brain injury (intracranial hypertension), maintaining the airways (due to paralysis of the pharynx muscles), providing general body support (vital signs, fluid and electrolyte balance), and anticipating the occurrence of complications (atelectasis and pneumonia).
Source: Journal of Vascular Nursing - November 16, 2016 Category: Nursing Authors: Dimitrios Theofanidis, Bernard Gibbon Tags: Article Source Type: research

Preeclampsia and future stroke risk in women: What NPs need to know
Abstract: Preeclampsia is a complication of pregnancy that affects approximately 4% of pregnancies. Preeclampsia is defined as new-onset hypertension after 20 weeks gestation often accompanied by new-onset proteinuria. Women who experience preeclampsia during pregnancy are at an increased risk for hypertension and stroke later in life. Healthcare providers should screen women appropriately to minimize risk.
Source: The Nurse Practitioner - March 20, 2019 Category: Nursing Tags: Feature: WOMEN'S HEALTH: DNP SPECIAL ISSUE Source Type: research

Early management of acute cerebrovascular accident
Purpose of review Stroke is common and often presents as a neurologic emergency that requires rapid evaluation and treatment to minimize debilitation. Recent advances in therapy expanded time windows for intra-arterial thrombectomy in ischemic stroke, and surgical interventions for clot evacuation in large intracranial hemorrhage have recently proven feasible. This review discusses recent data regarding new therapeutic options in both ischemic and hemorrhagic stroke, notably in scenarios in which therapy was previously limited to supportive care. Recent findings Recent data show that intra-arterial therapy in ischemic...
Source: Current Opinion in Critical Care - November 2, 2017 Category: Nursing Tags: EMERGENCIES IN CRITICAL CARE: Edited by Christopher W. Seymour Source Type: research

Assessing Patient Decision-Making Capacity: It’s About the Thought Process
Fred Jones is a 64-year-old man who presents to the emergency department with visual changes and left-sided facial numbness that started 2 hours earlier, after an argument with his wife. He states, “I want to make sure I’m not having a stroke.” His medical history is significant for hypertension. His medications include lisinopril, hydrochlorothiazide, and simvastatin. He is being evaluated for a cerebral vascular accident (CVA) with an onset of symptoms of less than 4 hours. Nursing assessment finds a National Institutes of Health Stroke Scale score of 1, with the loss of left upper quadrant peripheral visual fields.
Source: Journal of Emergency Nursing: JEN - January 9, 2015 Category: Nursing Authors: Melanie A. Mitchell Tags: Clinical Source Type: research

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