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Perioperative Stroke Screening Tool (Phase I)
Within 12-months, two patients exhibited symptoms of stroke that were not recognized in a timely manner in the PACU at UMMC. Incidence of perioperative stroke in non-cardiac, non-neurological surgery patients is approximately 1 per 1000 cases but is associated with an eight fold increase in mortality. Due to confounding factors of anesthesia and frequent opioid administration, stroke symptoms can easily be masked. No screening tool for perioperative stroke in this population was found in the literature.
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Julie Busseau, Kristin Seidl, Beatrice Hazzard, Michael S. Phipps, Jacqueline Y. Dash, Karen Yarbrough Tags: ASPAN National Conference Abstract Source Type: research

Stroke conference is vital for those seeking to transform care.
Abstract As a GP and senior clinical researcher looking at ways of reducing cardiovascular events in general practice, I see the irreparable and devastating impact of stroke. PMID: 25315561 [PubMed - in process]
Source: Nursing Standard - October 15, 2014 Category: Nursing Authors: Lasserson D Tags: Nurs Stand Source Type: research

Stroke Center Readiness in the PACU
Our institution is certified as the first Comprehensive Stroke Center in Missouri. This recognizes the commitment of our hospital to deliver complex stroke care to patients in the hospital and the community. During certification there were opportunities noted for improvement. The PeriAnesthesia Care Unit (PACU) collaborated with the neurosciences department to ensure appropriate education for RNs was completed and patient education was completed to prepare for the next survey. Audits of charting were done to measure compliance.
Source: Journal of Vascular Nursing - May 29, 2015 Category: Nursing Authors: Sandra Filla Tags: 2015 SVN National Conference Presentation Abstract Source Type: research

Increased stroke and MI risk linked to sleeping disorders
Poor sleep is associated with increased risk of heart attack and stroke, according to the results from a study presented at an international conference today.
Source: Nursing Times Breaking News - June 15, 2015 Category: Nursing Source Type: news

Respond, Intervene and Escalate: Acute Stroke Events in the Post Anesthesia Care Unit
In the post-anesthesia care unit (PACU) setting there can be challenges in differentiating between anesthesia-related versus thrombolytic neurologic deficits. The ability to accurately assess, differentiate and escalate care is imperative to improve outcomes. The occurrence of acute stroke events in the peri-operative setting at a comprehensive cancer center emphasized the need for an evidence-based and comprehensive approach to assessment, communication and documentation of risk factors for thrombotic complications.
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Lisa Jiang, Heather Douglas, Miguel Laxa, Leena Mathew, Sharon Sarmiento, Kimberly Vanderhorst, Elizabeth Vogler Tags: ASPAN National Conference Abstract Source Type: research

Peripheral Arterial Disease Screening Within a Hispanic Community
Peripheral arterial disease (PAD) affects 8-12 million Americans annually. By 2050, PAD is estimated to affect 9.6-16 million Americans over age 65. PAD develops when the arteries supplying blood to the extremities become narrowed, largely due to atherosclerosis. Typically PAD refers to diseases of the arteries in the legs which are plagued by fatty deposits that progress and result in varying degrees of stenosis. With decreased blood flow to the leg muscles, individuals with PAD experience a cramp or ache which causes them to stop and rest. As PAD advances, infections and ulcers may develop. Additionally, individuals wit...
Source: Journal of Vascular Nursing - June 1, 2014 Category: Nursing Authors: Kathleen M. Large, M. Eileen Walsh Tags: 2014 SVN National Conference Poster Abstracts Source Type: research

A Personal Sentinel Event: The Nurse's Role in Preventing Vascular Complications
Vascular complications DVT and PE are seen as preventable vascular complications. Keys to preventing these types of complications are ardent assessment and the implementation of appropriate VTE prophylaxis. This presentation will inspire and motivate nurses to assure timely assessments and interventions to prevent vascular complications during hospitalization and after a major trauma. A personal story regarding a traumatic ski accident resulting in multiple bone fractures and subsequent complications including stroke, brain surgery and DVT will be reviewed.
Source: Journal of Vascular Nursing - May 29, 2015 Category: Nursing Authors: Pamela Mahaffrey Tags: 2015 SVN National Conference Presentation Abstract Source Type: research

The Nerve of it all! Improving Compliance for Periprocedural Neurological Assessments for Carotid Endarterectomy (CEA) and Carotid Artery Stent (CAS) Patients
Stroke is a major comorbidity for CEA/CAS patients (3%-6%) periprocedural. Patients require stringent monitoring post procedure (vital signs& neurological checks) to assess for neurological decline, initiate expedited treatment as necessary for improved patient outcomes. Post assessment auditing demonstrated 37% compliance with documentation of neurological assessments.
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Kevin Fogarty, Anne McLeod, Kirk Romans, Denise O ’Brien, Mary Jo Kocan, Nancy Strzyzewski, Sarah Easthope, Theresa Hosey, Aditya Pandey, Nicholas Osborne, Laurel Moore, Eric Adelman, Jenevra Foley, Tiffany Hoang Tags: ASPAN National Conference Abstract Source Type: research

Innovation of the governance of integrated care
Aim: Interest in integrated care is growing. This is reflected in the rising numbers of scientific publications, IJIC ’s increased impact factor and the increasing number of participants at IFIC’s international conferences. It is stimulating to see that organizations like the World Health Organisation are developing conceptual frameworks that embrace integrated care [1,2]. At the same time we know that integrat ed care does not become reality automatically; it takes a long timeframe. That can be conflicting with ambitions like ‘implementing good practices as fast as possible’ and with the pressure to deliver result...
Source: International Journal of Integrated Care - October 22, 2018 Category: Nursing Source Type: research