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Total 535 results found since Jan 2013.
Implementation of an Advanced Practice Registered Nurse–Led Clinic to Improve Follow-up Care for Post–Ischemic Stroke Patients
CONCLUSION: An APRN-led clinic can improve follow-up care and may reduce unplanned 30-day readmissions for post–ischemic stroke patients. Further work is needed to determine the impact of alternative approaches such as telehealth.
Source: Journal of Neuroscience Nursing - September 10, 2022 Category: Neuroscience Tags: Clinical Nursing Focus Source Type: research
Empowering Stroke Survivors: Understanding The Role of Multidisciplinary Rehabilitation
Stroke is 1 of the leading causes of disability worldwide, with someone having a stroke every 40 seconds in the United-States.1 A stroke can occur by clot that interrupts blood flow in the brain. It can also be caused by a burst of a blood vessel that causes bleeding in the brain. There are also other unknown causes of stroke which occur less frequently. A stroke causes brain cells to die as they no longer receive oxygen and nutrients from the blood. Some of the most common risk factors of stroke are high blood pressure, high cholesterol, heart diseases, diabetes, smoking, physical inactivity, and obesity.
Source: Archives of Physical Medicine and Rehabilitation - April 24, 2023 Category: Rehabilitation Tags: INFORMATION/EDUCATION PAGE Source Type: research
Do Elderly Patients Call 911 When Presented with Clinical Scenarios Suggestive of Acute Stroke A Cross-Sectional Study
Conclusions: These results suggest the need to provide interventions that are specifically designed to increase awareness of potential stroke signs and symptoms and appropriate subsequent clinical actions.Cerebrovasc Dis 2015;39:87-93
Source: Cerebrovascular Diseases - January 8, 2015 Category: Neurology Source Type: research
An occupational therapy intervention for residents with stroke related disabilities in UK care homes (OTCH): cluster randomised controlled trial.
CONCLUSIONS: This large phase III study provided no evidence of benefit for the provision of a routine occupational therapy service, including staff training, for care home residents living with stroke related disabilities. The established three month individualised course of occupational therapy targeting stroke related disabilities did not have an impact on measures of functional activity, mobility, mood, or health related quality of life, at all observational time points. Providing and targeting ameliorative care in this clinically complex population requires alternative strategies.Trial registration Current Controlled ...
Source: Cancer Control - February 8, 2015 Category: Cancer & Oncology Authors: Sackley CM, Walker MF, Burton CR, Watkins CL, Mant J, Roalfe AK, Wheatley K, Sheehan B, Sharp L, Stant KE, Fletcher-Smith J, Steel K, Wilde K, Irvine L, Peryer G, OTCH trial investigators Tags: BMJ Source Type: research
Burden in caregivers of long-term stroke survivors: prevalence and determinants at 6 months and 5 years after stroke
The demographic ageing of societies and decreasing early stroke fatality rates have resulted in an approximately 84% increase in the absolute number of stroke survivors in the past few decades [1]. Nowadays, around 33 million stroke patients live worldwide and a sizable proportion of them suffer from moderate or severe disability [1]. According to recent studies, significant functional limitations are noted in 40-45% of the survivors in the first months after a stroke [2,3] and in around 30% after 5 years [4,5].
Source: Patient Education and Counseling - April 24, 2015 Category: Global & Universal Authors: Krystyna Jaracz, Barbara Grabowska-Fudala, Krystyna Górna, Jan Jaracz, Jerzy Moczko, Wojciech Kozubski Tags: Caregiver burden Source Type: research
MRI ameliorates the prediction of further clinical evolution even months after ischemic stroke
Publication date: September 2015 Source:Annals of Physical and Rehabilitation Medicine, Volume 58, Supplement 1 Author(s): V. Quintaine, H. Chabriat, E. Jouvent, A. Yelnik Background Late recovery after a first ischemic stroke is highly variable and its predictors are unknown. The present study aims at determining whether MRI data obtained one to four months after a first ischemic stroke help to predict clinical evolution up to 2 years. Methods Patients included in the PERFORM MRI study, an ancillary study of the PERFORM randomized control trial of terutroban against aspirin in secondary prevention of vascular ische...
Source: Annals of Physical and Rehabilitation Medicine - October 2, 2015 Category: Rehabilitation Source Type: research
An exploration of factors influencing physical activity levels amongst a cohort of people living in the community after stroke in the south of England.
CONCLUSIONS: Almost half of the survey cohort reported PA levels insufficient to meet current guidelines. Similar to barriers reported in previous studies in USA and other parts of the UK, numerous interlinking and overlapping personal, interpersonal, and environmental barriers to undertaking PA were identified. Implications for Rehabilitation This study found that although more than 60% of the survey population were able to ambulate >200 m, only 55.2% reported undertaking sufficient PA to meet current guidelines, putting them at increased risk of further stroke and other co-morbidities. Participants reported a number ...
Source: Disability and Rehabilitation - December 27, 2016 Category: Rehabilitation Authors: Jackson S, Mercer C, Singer BJ Tags: Disabil Rehabil Source Type: research
Call for human contact and support: an interview study exploring patients' experiences with inpatient stroke rehabilitation and their perception of nurses' and nurse assistants' roles and functions.
CONCLUSION: The findings deepen our understanding of how patients experience inpatient rehabilitation. The patients struggled with existential thoughts and concerns about the future and therefore called for human contact and support from the nursing staff. They perceived the nursing staff as mostly polite and helpful, but were unclear about the nursing staff's function in rehabilitation which, in the patients' perspective, equals physical training. Implications for Rehabilitation Nursing staff need to pay attention to the patients' needs, existential thoughts and concerns during inpatient rehabilitation. Meaningful goals f...
Source: Disability and Rehabilitation - October 24, 2017 Category: Rehabilitation Authors: Loft MI, Martinsen Woythal B, Esbensen BA, Mathiesen LL, Iversen HK, Poulsen I Tags: Disabil Rehabil Source Type: research
An international cluster-randomized quality improvement trial to increase the adherence to evidence-based therapies for acute ischemic stroke and transient ischemic attack patients: Rationale and design of the BRIDGE STROKE Trial
Publication date: January 2019Source: American Heart Journal, Volume 207Author(s): Maria Julia Machline-Carrion, Eliana Vieira Santucci, Lucas Petri Damiani, Cecilia Bahit, Germán Málaga, Octávio Marques Pontes-Neto, Sheila Cristina Ouriques Martins, Viviane Flumignan Zétola, Karina Normilio-Silva, Gabriel Rodrigues de Freitas, Alessandra Gorgulho, Antônio De Salles, Beatriz Gonzales Pacheco da Silva, Juliana Yamashita Santos, Isabella de Andrade Jesuíno, Priscila Regina Torres Bueno, Alexandre Biasi Cavalcanti, Hélio Penna Guimarães, Ying Xian, Janet Prvu BettgerBackgroundTranslating evidence into clinical practic...
Source: American Heart Journal - November 9, 2018 Category: Cardiology Source Type: research
Impact of quality improvement strategies on the quality of life of individuals post-stroke: a systematic review.
CONCLUSIONS: There is a lack of evidence to demonstrate efficacy/effectiveness of patient education, self-management, team changes, and case management approaches on improving the quality of life of stroke survivors. Identifying the essential features of effective and ineffective strategies, especially in the area of self-management strategies would be beneficial. Implications for rehabilitation There is a lack of evidence to demonstrate efficacy/effectiveness of patient education, self-management, team changes, and case management approaches on improving the quality of life of stroke survivors. To improve these outcomes, ...
Source: Disability and Rehabilitation - November 25, 2018 Category: Rehabilitation Authors: Munce SEP, Perrier L, Shin S, Adhihetty C, Pitzul K, Nelson MLA, Bayley MT Tags: Disabil Rehabil Source Type: research
Every person is an individual: physical therapist clinical reasoning used in inpatient rehabilitation for walking assistive device prescription in patients with stroke and brain injury.
Conclusions: Results from this study revealed complexity in the clinical reasoning process used in physical therapy practice to determine the best walking assistive device for patients with stroke and brain injury during inpatient rehabilitation. Information from this study can inform post-acute physical therapy practice and education, and may reduce device abandonment. Implications for rehabilitation Clinical reasoning (CR) is a complex process in which a clinician must consider multiple factors, which requires non-linear and iterative thinking, and involves many people, making it shared among the patient, caregivers, and...
Source: Disability and Rehabilitation. Assistive Technology. - August 19, 2019 Category: Rehabilitation Authors: O'Brien SR, Durr K, Laubisch E, Losi L, Parrillo V, Pericozzi S, Poirier B, Poirier L, Ray K, Sackett A, Simoneau D Tags: Disabil Rehabil Assist Technol Source Type: research
Spirituality and resilience among family caregivers of survivors of stroke: A scoping review.
CONCLUSIONS: Spirituality and resilience following stroke are essential factors in caregiver adjustment following stroke. Further research with a focus on causality and the link between spirituality, resilience and adjustment in this population is needed.
PMID: 32039873 [PubMed - as supplied by publisher]
Source: NeuroRehabilitation - February 11, 2020 Category: Rehabilitation Tags: NeuroRehabilitation Source Type: research
Experienced consequences of spasticity and effects of botulinum toxin injections: a qualitative study amongst patients with disabling spasticity after stroke.
Conclusion: Incorporating patient-relevant outcomes into the current assessment of spasticity and monitoring these outcomes may improve spasticity management, particularly regarding the timing of botulinum toxin injections.Implications for rehabilitationBecause chronic spasticity after stroke impacts on almost all domains of everyday life, professionals should identify and target the most relevant problems in each individual patient.Monitoring patient-reported outcomes may help patients and professionals to get insight in the fluctuations of spasticity-related symptoms and may help to evaluate the effects of botulinum toxi...
Source: Disability and Rehabilitation - April 6, 2020 Category: Rehabilitation Authors: Kerstens HCJW, Satink T, Nijkrake MJ, De Swart BJM, Nijhuis-van der Sanden MWG, Van der Wees PJ, Geurts ACH Tags: Disabil Rehabil Source Type: research
Patient experience using digital therapy "Vigo" for stroke patient recovery: a qualitative descriptive study.
CONCLUSIONS: Participants had a positive attitude towards using tablet tehchnologies in their home environment. Users of digital assistant "Vigo" acknowledged its ability to support, give educational information and increase participation in therapeutic activities. Implications for rehabilitation Tablet application can support, give educational information, and increase participation in therapeutic activities for persons after stroke. As home-based rehabilitation tool, the content of the application must be simple, flexible, and diverse, to face the challenges of meeting each individual's goals, functional needs and abilit...
Source: Disability and Rehabilitation. Assistive Technology. - November 6, 2020 Category: Rehabilitation Authors: Epalte K, Tomsone S, Vētra A, Bērziņa G Tags: Disabil Rehabil Assist Technol Source Type: research
Effect of a comprehensive eRehabilitation intervention alongside conventional stroke rehabilitation on disability and health-related quality of life: A pre-post comparison.
CONCLUSION: eRehabilitation alongside conventional stroke rehabilitation had a small effect on communication and physical strength on the longer term.
PMID: 33369683 [PubMed - as supplied by publisher]
Source: Journal of Rehabilitation Medicine - December 30, 2020 Category: Rehabilitation Tags: J Rehabil Med Source Type: research
