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To be or not to be? A caregiver's question: the lived experience of a stroke family during the first 18 months poststroke
ConclusionsFamiliarity with the caregiving role and experience of unreliable community services led stroke family members to question the primary caregiver's ability to resume caregiving following a family member's stroke. The primary caregiver was physically and emotionally spent, and rest home care for the survivor became the only self‐preserving option. A new caring arrangement was formulated seeking equity for both stroke survivor and caregiver.
Source: Scandinavian Journal of Caring Sciences - May 19, 2017 Category: Nursing Authors: Cheryl L Olivier, Jill Phillips, Dianne E Roy Tags: Empirical Studies Source Type: research

The Influence of Chinese Culture on Family Caregivers of Stroke Survivors: A Qualitative Study
ConclusionOur findings provide a comprehensive and culturally sensitive perspective in understanding the experience of stroke caregivers in Chinese communities. Cultural and religious backgrounds were found to influence Chinese stroke caregivers’ experience, coping strategies, and self‐sacrifice behavior in idiosyncratic ways. Relevance to clinical practiceResearch on the practice of culture can serve as a basis for the formulation of specific policies and effective interventions for supporting stroke caregivers of different cultural backgrounds.This article is protected by copyright. All rights reserved.
Source: Journal of Clinical Nursing - July 5, 2017 Category: Nursing Authors: Olivia Xichenhui Qiu, Janet W.H. Sit, Fung Kuen Koo Tags: Original Article Source Type: research

Satisfaction with care and rehabilitation among people with stroke, from hospital to community care
ConclusionTo ensure high quality throughout the whole stroke care chain, people with stroke must be invited to participate in the care and the planning of care. To offer evidence‐based stroke rehabilitation, it is important that the rehabilitation is specific, intense, and performed by professionals, regardless of where the rehabilitation is performed. A changed view of the patient's autonomy in residential community services should be developed, and this process must start from the staff and residents.
Source: Scandinavian Journal of Caring Sciences - February 5, 2014 Category: Nursing Authors: Helena Tholin, Anette Forsberg Tags: Empirical Studies Source Type: research

Developing a complex intervention programme for informal caregivers of stroke survivors: The Caregivers’ Guide
ConclusionThrough a qualitative mixed‐methods design, an in‐depth contextual understanding of stroke caregiver needs within the rehabilitative support system was reached. This allowed the development of a context tailored comprehensive caregiver support programme consisting of five ‘Conceptual Building Blocks’.
Source: Scandinavian Journal of Caring Sciences - May 31, 2016 Category: Nursing Authors: Theresia Krieger, Frans Feron, Elisabeth Dorant Tags: Empirical Studies Source Type: research

Envisioning the future as expressed within family health conversations by families of persons suffering from stroke
ConclusionThe persons with stroke and their belonging family members’ vision of the future was reflected over in the light of theories about beliefs, possible selves, hope and suffering, and the findings highlight the need for broader use of family conversations to support persons with stroke and their families to manage the future.
Source: Scandinavian Journal of Caring Sciences - August 29, 2017 Category: Nursing Authors: Karin Sundin, Susanna Pusa, Carin Jonsson, Britt ‐Inger Saveman, Ulrika Östlund Tags: Empirical Studies Source Type: research

Availability of informal caregivers in surviving stroke patients in Belgium
ConclusionsA vast majority of surviving stroke patients in Belgium can rely on informal caregivers in their home setting, but their availability rapidly decreases 6 months after the event. These findings underline the importance of proactive health policy making in stroke care taking into account the potentially decreasing number of available informal caregivers in the decades to come.
Source: Scandinavian Journal of Caring Sciences - November 5, 2013 Category: Nursing Authors: Silke Francois, Liesbeth Borgermans, Viviane Van Casteren, Katrien Vanthomme, Dirk Devroey Tags: Empirical Studies Source Type: research

Family caregivers' experience of activities of daily living handling in older adult with stroke: a qualitative research in the Iranian context
ConclusionFamily has an important role in handling of elderly stroke patients’ ADL dependency. Health practitioners can take benefit from the findings to help the stroke families play more active role in the handling ADL dependency of their patients after stroke.
Source: Scandinavian Journal of Caring Sciences - August 15, 2016 Category: Nursing Authors: Ali Hesamzadeh, Asghar Dalvandi, Sadat Bagher Maddah, Masoud Fallahi Khoshknab, Fazlollah Ahmadi, Nazila Mosavi Arfa Tags: Empirical Studies Source Type: research

Mobile stroke units: taking stroke care to the patient
Purpose of review Since the development of intravenous tissue plasminogen activator (tPA) for acute ischemic stroke (AIS), functional outcome has improved when treatment occurs within 4.5 h of stroke onset and treatment benefits are greater with earlier treatment. Endovascular revascularization also is better the sooner it is delivered. Recent findings The Get with the Guidelines Stroke registry found that less than one-third of treatment-eligible AIS patients receive intravenous tPA within 60 min of hospital arrival. Initiatives have tried to improve public education and awareness of stroke symptoms to decrease t...
Source: Current Opinion in Critical Care - March 6, 2020 Category: Nursing Tags: ACUTE NEUROLOGICAL PROBLEMS: Edited by Peter Le Roux Source Type: research

Portable Bladder Ultrasound Reduces Incidence of Urinary Tract Infection and Shortens Hospital Length of Stay in Patients With Acute Ischemic Stroke.
CONCLUSIONS: Portable bladder ultrasound scanning reduced the incidence of UTI and shortened length of stay. We suggest routine PBU procedures for patients with acute ischemic stroke who fulfill the AGN3 criteria for a high risk of UTI.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. PMID: 29851660 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Nursing - May 24, 2018 Category: Nursing Authors: Chen SC, Chen PY, Chen GC, Chuang SY, Tzeng IS, Lin SK Tags: J Cardiovasc Nurs Source Type: research

Dabigatran etexilate: management in acute ischemic stroke.
Abstract A 54-year-old man treated with dabigatran experienced new onset of a stroke with a score of 9 on the National Institutes of Health Stroke Scale. Administration of recombinant tissue plasminogen activator (rtPA) was not recommended because of the dabigatran therapy. Angiography showed occlusion of the left middle cerebral artery by an embolic thrombus. Suction thrombectomy achieved flow through the inferior division of the artery. Computed tomography of the head showed possible intracranial hemorrhage, and dabigatran reversal was attempted with prothrombin complex concentrate and recombinant factor VIIa. C...
Source: American Journal of Critical Care - March 1, 2013 Category: Nursing Authors: Javedani PP, Horowitz BZ, Clark WM, Lutsep HL Tags: Am J Crit Care Source Type: research

Early supported discharge following mild stroke: a qualitative study of patients' and their partners' experiences of rehabilitation at home
ConclusionESD was experienced as a meaningful and adequate rehabilitation service that allowed patients and partners to collaboratively reinvent and rebuild their flow of everyday life by jointly adjusting routines, activities and their relationship.
Source: Scandinavian Journal of Caring Sciences - May 31, 2016 Category: Nursing Authors: Stina Lou, Kathrine Carstensen, Marie M øldrup, Seham Shahla, Elias Zakharia, Camilla Palmhøj Nielsen Tags: Empirical Studies Source Type: research

Portable Bladder Ultrasound Reduces Incidence of Urinary Tract Infection and Shortens Hospital Length of Stay in Patients With Acute Ischemic Stroke
Conclusions: Portable bladder ultrasound scanning reduced the incidence of UTI and shortened length of stay. We suggest routine PBU procedures for patients with acute ischemic stroke who fulfill the AGN3 criteria for a high risk of UTI.
Source: Journal of Cardiovascular Nursing - October 11, 2018 Category: Nursing Tags: ARTICLES: Heart Failure Source Type: research

Striving for a life worth living: stroke survivors' experiences of home rehabilitation
ConclusionThe focus on therapeutic communicative qualities, bodily changes, emotional processes, social concerns and long‐term follow‐up should be increased in order to achieve a more beneficial experience for stroke survivors.
Source: Scandinavian Journal of Caring Sciences - February 4, 2015 Category: Nursing Authors: Tina Taule, Liv Inger Strand, Jan Sture Skouen, Målfrid Råheim Tags: Empirical Studies Source Type: research

(Can) Not talk about it – Urinary incontinence from the point of view of stroke survivors: a qualitative study
ConclusionIt is important to raise awareness within the treatment team of urinary incontinence in stroke survivors. Team members should be able to communicate about urinary incontinence in an open and empathic way. Obviously, there is great potential for supporting stroke survivors in dealing with incontinence.
Source: Scandinavian Journal of Caring Sciences - May 24, 2017 Category: Nursing Authors: Myrta Kohler, Hanna Mayer, J ürg Kesselring, Susi Saxer Tags: Empirical Studies Source Type: research

Nursing roles and functions addressing relatives during in ‐hospital rehabilitation following stroke. Care needs and involvement
ConclusionNurses experience their roles and functions addressing relatives after stroke as crucial, challenging and multifaceted. They acknowledged care needs of the relatives in their own right by addressing the relatives’ vulnerability during in‐hospital rehabilitation characterised by an existential threat to the physical as well as the shared life. The focus on the needs of relatives considering their expected future role was experienced as conflicting with restricting time frames and a healthcare system focusing on the individual patient.
Source: Scandinavian Journal of Caring Sciences - September 4, 2017 Category: Nursing Authors: Lena Aadal, Sanne Angel, Leanne Langhorn, Birgitte Blicher Pedersen, Pia Dreyer Tags: Empirical Studies Source Type: research

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