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Nurse-Led Motor Function Rehabilitation Program for Acute Ischemic Stroke: A Randomized Pilot Study
This article was designed to evaluate the feasibility and effectiveness of implementing a nurse-led motor function rehabilitation program on patients with acute ischemic stroke. Methods From January to October 2018, patients with initial acute ischemic stroke were assigned to one of two groups using a pilot randomized controlled trial design, with one group receiving a nurse-led motor function intervention program developed based on Orem's theory (7 consecutive days, twice daily for 30 minutes, experimental group) and the other receiving usual care (control group). The effectiveness measures included changes in the ...
Source: Journal of Nursing Research - November 28, 2022 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Core outcomes sets for studies evaluating critical illness and patient recovery
This article provides an update on COS projects in critical care medicine, and related resources and tools for COS developers. Recent findings We identified 28 unique COS projects, of which 15 have published results as of May 2020. COS topics relevant to critical care medicine include mechanical ventilation, cardiology, stroke, rehabilitation, and long-term outcomes (LTOs) after critical illness. There are four COS projects for coronavirus disease 2019 (COVID-19), with a ‘meta-COS’ summarizing common outcomes across these projects. To help facilitate COS development, there are existing resources, standards, guidelin...
Source: Current Opinion in Critical Care - September 3, 2020 Category: Nursing Tags: CRITICAL CARE OUTCOMES: Edited by Stephen Brett Source Type: research

Standardizing the Frequency of Neurologic Assessment After Acute Stroke.
Abstract The National Institutes of Health Stroke Scale (NIHSS) is considered the standard for assessing neurologic status after an acute stroke. Currently, there is no guideline for when this assessment should be completed, nor is there consensus on how frequently or for how long.We initiated a quality improvement project that sought first to determine when and how often nurses at a variety of institutions in our multisite health care system completed the NIHSS assessment and then to identify the minimum frequency at which nurses should complete the assessment. After reviewing the literature and current practices...
Source: The American Journal of Nursing - February 24, 2020 Category: Nursing Authors: Wells-Pittman J, Gullicksrud A Tags: Am J Nurs Source Type: research

Standardizing the Frequency of Neurologic Assessment After Acute Stroke
The National Institutes of Health Stroke Scale (NIHSS) is considered the standard for assessing neurologic status after an acute stroke. Currently, there is no guideline for when this assessment should be completed, nor is there consensus on how frequently or for how long. We initiated a quality improvement project that sought first to determine when and how often nurses at a variety of institutions in our multisite health care system completed the NIHSS assessment and then to identify the minimum frequency at which nurses should complete the assessment. After reviewing the literature and current practices and observing i...
Source: AJN - February 21, 2020 Category: Nursing Tags: Cultivating Quality Source Type: research

Clinical Localization of Stroke
This article explores the process of clinical localization in relation to the physiology affected by stroke vascular insufficiency. Elements of the neurologic examination are described as they relate to discreet areas in the brain and the National Institutes of Health Stroke Scale.
Source: Critical Care Nursing Clinics of North America - February 1, 2020 Category: Nursing Authors: Wendy Dusenbury, Anne W. Alexandrov Source Type: research

3E.1. A Multimodal Approach to Postoperative Pain Management after Spine Surgery: The Back-Up Plan
Life is not without pain. In fact, 100 million Americans suffer from chronic pain (National Institute of Health, 2011). Back pain ranks high among the offenders. According to the National Institute of Neurological Disorders and Stroke (2014), approximately 80 percent of adults will have some form of back pain. Although many may recover, others must undergo various medical treatments before surgical intervention becomes a viable solution for relief. Surgical interventions however, are not without risk.
Source: Pain Management Nursing - March 31, 2019 Category: Nursing Authors: Donna M. Mangruen Source Type: research

Change in Activities of Daily Living in the Year Following a Stroke: A Latent Growth Curve Analysis
Discussion To promote ADLs of stroke patients, NIHSS score at admission, gender, and age should be included as important predictors of stroke care management. The results highlight that the rehabilitation of stroke patients should be focused more on ADLs at 1–6 months poststroke.
Source: Nursing Research - June 29, 2018 Category: Nursing Tags: Feature Articles Source Type: research

The Influence of β-Adrenergic Receptor Kinase-1 on Stroke-induced Immunodeficiency Syndrome
The objective was to quantify the influence of lymphocyte BARK-1 on stroke-induced immunodeficiency in AIS patients. Methods: A prospective clinical cohort study was conducted (N = 44). Measures included age, gender, race, risk factors for stroke, stroke severity, comorbidities, presence of infection, white blood cell counts and differential proportions, and lymphocyte BARK-1. Student t tests, effect sizes, and linear and logistic regressions were conducted to test the study objective. The study was approved by the Oregon Health & Science University Institutional Review Board. Results: There were significant changes ...
Source: Journal of Cardiovascular Nursing - June 12, 2018 Category: Nursing Tags: Feature Article/Online Only Source Type: research

National Institutes of Health Stroke Scale in Plain English Is Reliable for Novice Nurse Users with Minimal Training
The National Institutes of Health Stroke Scale (NIHSS) is commonly used in Comprehensive Stroke Centers, but it has not been easily implemented in smaller centers. The aim of this study was to assess whether nurse providers who were naive to stroke assessment scales could obtain accurate stroke severity scores using our previously validated NIH Stroke Scale in Plain English (NIHSS-PE) with minimal or no training.
Source: Journal of Emergency Nursing: JEN - March 28, 2017 Category: Nursing Authors: Sandy Dancer, Allen J. Brown, Lisa Rietz Yanase Tags: Research Source Type: research

Evaluation of Nursing Documentation Completion of Stroke Patients in the Emergency Department: A Pre-Post Analysis Using Flowsheet Templates and Clinical Decision Support.
Abstract The primary aim of this performance improvement project was to determine whether the electronic health record implementation of stroke-specific nursing documentation flowsheet templates and clinical decision support alerts improved the nursing documentation of eligible stroke patients in seven stroke-certified emergency departments. Two system enhancements were introduced into the electronic record in an effort to improve nursing documentation: disease-specific documentation flowsheets and clinical decision support alerts. Using a pre-post design, project measures included six stroke management goals as d...
Source: Computers, Informatics, Nursing : CIN - December 16, 2015 Category: Nursing Authors: Richardson KJ, Sengstack P, Doucette JN, Hammond WE, Schertz M, Thompson J, Johnson C Tags: Comput Inform Nurs Source Type: research

Neurological assessment by nurses using the National Institutes of Health Stroke Scale: implementation of best practice guidelines.
Authors: Gocan S, Fisher A Abstract Assessment is an essential nursing skill that gathers clinical information to strengthen decisions about health interventions and priorities inpatient care delivery. Neurological assessment of the acute stroke survivor provides the cornerstone for early diagnosis, appropriate prognostic evaluation, and optimal management to obtain favourable patient outcomes. The nursing approach to neurological assessment has been enhanced in recent years through the development of new evidence-based assessment tools and the support of best practice guidelines. Based on gaps seen in clinical pra...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Guillain-Barré syndrome.
Authors: Office of Communications and Public Liaison, National Institute of Neurological Disorders and Stroke, National Institutes of Health PMID: 18649780 [PubMed - indexed for MEDLINE]
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs 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

A Survey on 465 Patients With Post-Stroke Depression in China
The incidence of PSD patients is very high. To analyze the related factors and incidence of post-stroke depression (PSD). A total of 465 stroke patients were evaluated by a self-designed questionnaire, Self-Rating Depression Scale (SDS) and Hamilton Depression Rating Scale (HAMD). The neurologic deficit score was tested using the National Institute of Health stroke scale (NIHSS). A multiple factor analysis with the logistic regression method was carried out to analyze related factors of PSD. A total of 146 cases (31.4%) were identified as suffering from PSD.
Source: Archives of Psychiatric Nursing - September 2, 2014 Category: Nursing Authors: Ning Sun, Qiu-Jie Li, Dong-Mei Lv, Jing Man, Xue-Song Liu, Mei-Ling Sun Tags: Research Paper Source Type: research

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