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Properties of the Early Symptom Measurement of Post-Stroke Depression: Concurrent Criterion Validity and Cutoff Scores
Background Early-stage post-stroke depression (PSD) increases the risk of stroke-related disability and mortality in the first year of recovery. Presently available screening measures were developed to assess major depression, and none used a PSD screening criterion that was systematically developed and tested in populations of patients with acute stroke. Purpose The purpose of this study was to evaluate the concurrent criterion validity and cutoff scoring of the Early Symptom Measurement of Post-Stroke Depression (ESM-PSD) instrument in hospitalized patients with acute stroke. Methods Purposive recruitment of newl...
Source: Journal of Nursing Research - July 30, 2020 Category: Nursing Tags: ORIGINAL ARTICLES 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

Improving Access to Stroke Care in the Rural Setting: The Journey to Acute Stroke Ready Designation
Publication date: January 2017 Source:Journal of Emergency Nursing, Volume 43, Issue 1 Author(s): Andrea Slivinski, Robin Jones, Hollis Whitehead, Vallire Hooper Stroke is the fifth highest cause of death and the leading cause of long-term disability in the United States. North Carolina has one of the highest death rates from stroke in the nation. Access to acute stroke care in rural western North Carolina is limited, with only one primary stroke center within an 18-county region. Angel Medical Center, located in rural western North Carolina, sought to pursue The Joint Commission’s disease-specific certification as an A...
Source: Journal of Emergency Nursing - January 25, 2017 Category: Nursing Source Type: research

A Rural Hospital ’s Journey to Becoming a Certified Acute Stroke–Ready Hospital
Publication date: January 2017 Source:Journal of Emergency Nursing, Volume 43, Issue 1 Author(s): Denise C. Rhew, Susan H. Owens, Jessica B. Buckner, Sandra S. Kueider Problem For many stroke patients, rural emergency departments are the first point of medical care to stop brain cell death. We identified a need to meet standards to improve outcomes for stroke care. Methods An interdisciplinary Stroke Continuous Process Improvement Committee was formed. We conducted a gap analysis to address current stroke care processes. Chart audits were performed, and strategies to meet the requirements for recognition as an Acute Strok...
Source: Journal of Emergency Nursing - January 25, 2017 Category: Nursing Source Type: research

Case Studies Demonstrating Stroke Telemedicine in the Rural Emergency Department
A 65-year-old man was transported to a critical access hospital emergency department for treatment of sudden onset dysphasia, a “funny feeling” on the right side of his face, dysphagia, and difficulty holding water in his mouth. He was alert and oriented and had unremarkable vital signs except for hypertension (188/65 mm Hg). A computed tomography scan of the head identified no abnormalities.
Source: Journal of Emergency Nursing: JEN - December 31, 2016 Category: Nursing Authors: Debra L. Bowman Tags: Case Review Source Type: research

Regarding “Meet Me in Computed Tomography Suite: Decreasing Tissue Plasminogen Activator Door-to-Needle Time for Acute Ischemic Stroke Patients”
Publication date: January 2016 Source:Journal of Emergency Nursing, Volume 42, Issue 1
Source: Journal of Emergency Nursing - January 28, 2016 Category: Nursing Source Type: research

The efficacy and safety of a chest pain protocol for short stay unit patients: A one year follow-up
Conclusion: Patients had a low risk of adverse events 12 months after discharge but substantial continuing health care utilization was observed. Complete assessment by health care professionals prior to discharge may help mitigate representations.
Source: European Journal of Cardiovascular Nursing - September 17, 2015 Category: Nursing Authors: Lee, G., Dix, S., Mitra, B., Coleridge, J., Cameron, P. Tags: Original Articles Source Type: research

Meet Me in Computed Tomography Suite: Decreasing Tissue Plasminogen Activator Door-to-Needle Time for Acute Ischemic Stroke Patients
Publication date: Available online 18 March 2015 Source:Journal of Emergency Nursing Author(s): Lauri Speirs , Anne Mitchell
Source: Journal of Emergency Nursing - March 20, 2015 Category: Nursing 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