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Adherence to medication and self-managment in stroke patients.
Conclusions: Applying self-management interventions to improve medication adherence in stroke patients across integrated clinical settings shows promise. However, further development of such interventions and research is recommended, with more stringent methodologies and longer follow-up periods. PMID: 24526023 [PubMed - in process]
Source: British Journal of Nursing - February 13, 2014 Category: Nursing Authors: Chapman B, Bogle V Tags: Br J Nurs Source Type: research

Nasogastric feeding for stroke patients: practice and education.
CONCLUSIONS: This study shows that the management of NG feeding for dysphagic stroke patients requires standardisation, as does the education for nurses to ensure that this intervention is carried out safely, effectively and acceptably. PMID: 25815823 [PubMed - in process]
Source: British Journal of Nursing - March 26, 2015 Category: Nursing Authors: Mahoney C, Rowat A, Macmillan M, Dennis M Tags: Br J Nurs Source Type: research

The lived experiences of nurses in one hyper-acute stroke unit.
Abstract Hyper-acute stroke units (HASUs) admit all stroke patients across London. As a novel London stroke model, the integration of thrombolysis in acute ischaemic stroke is an important element of hyper-acute stroke care for patients. In this model, nurses working in a hyper-acute stroke unit are involved in the delivery of thrombolysis treatment. By use of a phenomenological approach, the study investigates the 'lived experiences' of nurses' preparation for their role and explores any factors that affect nurses' participation in thrombolysis treatment. The nurses' roles-which facilitate, support, monitor, anti...
Source: British Journal of Nursing - February 13, 2014 Category: Nursing Authors: Javier Catangui E, John Roberts C Tags: Br J Nurs Source Type: research

Enteral tube feeding for dysphagic stroke patients.
Abstract Enteral feeding tubes, a nasogastric tube (NGT) or percutaneous endoscopic gastrostomy (PEG), are commonly used to provide nutrition, hydration and essential medications to stroke patients who cannot swallow. Early tube feeding is associated with improved survival after stroke and it is recommended that patients start tube feeding within 24 hours of hospital admission. NGT feeding is the preferred method for short-term feeding in the acute phase of stroke as it has the advantage of being easily placed at the bedside. However, there are often difficulties inserting the NGT and it can be easily dislodged by...
Source: British Journal of Nursing - February 12, 2015 Category: Nursing Authors: Rowat A Tags: Br J Nurs Source Type: research

Thrombolytic dosing in acute ischaemic stroke.
Abstract Thrombolysis treatment for acute ischaemic stroke is effective if it is administered within 4.5 hours of stroke onset. Alteplase is a licensed thrombolytic treatment for ischaemic stroke. The dose of alteplase is dependent on a patient's weight. The stroke team involved in the administration of the treatment usually estimates a patient's weight prior to the treatment in order to ensure the correct dosage. This paper highlights the reliability of body weight estimates in determining the accuracy of thrombolysis dosing and the implication of dosing errors to post-thrombolysed patients. PMID: 24121849 [PubMed - in process]
Source: British Journal of Nursing - October 9, 2013 Category: Nursing Authors: J Catangui E Tags: Br J Nurs Source Type: research

Preventing muscular contractures through routine stroke patient care.
Abstract The aim of this article is to elevate the standard of ward-based routine care by informing readers about the prevention and management of muscular contractures post-cerebrovascular accident (CVA). Musculoskeletal complications can develop at any time during the acute or latter stages of stroke care and rehabilitation; therefore, it is imperative that all nurses understand the importance of correct limb placement and some of the detrimental complications that can occur. By placing more onus on therapeutic positioning and earlier mobilisation, nurses, working alongside allied health professionals, can signi...
Source: British Journal of Nursing - July 24, 2014 Category: Nursing Authors: De D, Wynn E Tags: Br J Nurs Source Type: research

Effectiveness of a pressure-relieving mattress in an acute stroke ward.
Abstract Between the 10 May and 18 July 2016, St Helens and Knowsley Teaching Hospitals NHS Trust conducted a small, non-controlled evaluation set out to assess the performance of the Apex Pro-care Auto pressure-relieving mattress in an acute stroke ward. Seven patients, assessed as being at medium-to-high risk of developing a pressure ulcer (PU), were recruited into the evaluation; the mean age was 73.1 years. Three patients were bed bound and four had restricted mobility. The average length of time spent on the mattress was 31 days. At the end of the evaluation, none of the patients had developed a PU while usin...
Source: British Journal of Nursing - November 9, 2016 Category: Nursing Authors: Gleeson D Tags: Br J Nurs Source Type: research

Stroke: ineffective tube securement reduces nutrition and drug treatment.
In conclusion, most tubes studied were lost to inadvertent tube removal, leading to clinically significant delays to nutrition, hydration and drug treatments; this may impair recovery. Reducing tube loss is likely to reduce patient distress, treatment cost and enhance recovery. PMID: 28640722 [PubMed - in process]
Source: British Journal of Nursing - June 22, 2017 Category: Nursing Authors: Brazier S, Taylor SJ, Allan K, Clemente R, Toher D Tags: Br J Nurs Source Type: research

Dysphagia, nutrition and hydration post stroke.
PMID: 25039625 [PubMed - in process]
Source: British Journal of Nursing - June 26, 2014 Category: Nursing Authors: Rowat A Tags: Br J Nurs Source Type: research

Foot ulceration in patients with diabetes: a risk analysis.
Abstract The study reported in this article aimed to analyse factors associated with the risk of ulceration in the feet of patients with diabetes using a conceptual hierarchic model. It was a cross-sectional study carried out with 1515 people with diabetes mellitus aged 40 years and older. The risk of foot ulceration was of higher significance in male patients with diabetes (adjusted odds ratio (OR)=1.39 (95% confidence interval (CI) 1.11 to 1.73); p=0.020), who did not practise a regular physical activity (adjusted OR=1.58 (95% CI 1.15 to 2.15); p=0.013), with time since diagnosis over 10 years (adjusted OR=1.42 ...
Source: British Journal of Nursing - March 23, 2017 Category: Nursing Authors: Rossaneis MA, Haddad MD, Mantovani MF, Marcon SS, Pissinati PS Tags: Br J Nurs Source Type: research

Parastomal hernia and physical activity. Are patients getting the right advice?
This article draws on a large nationwide survey (2631 respondents) that investigated the physical health and wellbeing of people living with stomas in the UK. It specifically considers the findings relating to parastomal hernia (where additional loops of bowel protrude through the abdominal wall around the stoma, creating a bulge). In this survey, 26% of respondents reported that they had a medically diagnosed parastomal hernia, which is below average when compared with other estimates. The impact of parastomal hernia on physical activity levels was the most significant finding: 32% of those with a medically diagnosed hern...
Source: British Journal of Nursing - September 28, 2017 Category: Nursing Authors: Russell S Tags: Br J Nurs Source Type: research

Mitigating the damaging effects of tissue distortions by using a low-friction heel protector.
This article reports the finding of a small non-controlled evaluation over a 2-week period in three different care settings: a residential care home, an acute stroke unit and a community intermediate care hospital. At initial recruitment 30 patients were identified by clinical assessment as being at high risk of developing a heel pressure ulcer. Further inclusion criteria were identifying heels that had signs of pressure damage occurring, blanching and non-blanching erythema, blistering and category 2 ulceration. In all, 15 patients fully completed the evaluation over a 14-day period. The mean age was 86 years. The low-fri...
Source: British Journal of Nursing - June 27, 2018 Category: Nursing Authors: Schofield A Tags: Br J Nurs Source Type: research

Introducing an oral care assessment tool with advanced cleaning products into a high-risk clinical setting.
This study aimed to establish whether the use of a 24-hour oral care kit and an oral care assessment tool can meet the needs of patients on an acute stroke unit. In comparison with the same period the preceding year, the introduction of the oral care kit and assessment tool improved compliance with oral care by more than 4 times; the overall costs of antibiotics to treat NV-HAP patients fell by 79%, with the number of doses falling by 70%, and the mortality rate decreased from 27% to 20%. According to a survey of multidisciplinary team (MDT) members keeping oral care tools available at the point of use saved time, and the ...
Source: British Journal of Nursing - March 11, 2020 Category: Nursing Authors: Chick A, Wynne A Tags: Br J Nurs Source Type: research

Introducing an ANP-led temporal artery biopsy service for patients with suspected giant cell arteritis
This article discusses the introduction of an advanced nurse practitioner-led temporal artery biopsy service.PMID:33983820 | DOI:10.12968/bjon.2021.30.9.512
Source: British Journal of Nursing - May 13, 2021 Category: Nursing Authors: John Cooper Source Type: research

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