ACUTE STROKE NURSING

Stroke is a medical emergency that requires immediate medical attention. With active and efficient nursing management in the initial hours after stroke onset and throughout subsequent care, effective recovery and rehabilitation is increased. Acute Stroke Nursing provides a current, evidence-based, practical text facilitating the provision of optimal stroke care during the primary prevention, acute and continuing care phases.
This timely, comprehensive and practical text is structured to follow the acute stroke pathway experienced by patients. It explores the causes, symptoms and effects of stroke, and provides guidance on issues such as nutrition, continence, positioning, mobility and carer support. The text also considers rehabilitation, discharge planning, palliative care and the role of the nurse within the multi-professional team. Acute Stroke Nursing is the definitive reference on acute stroke for all nurses and health care professionals wishing to extend their knowledge of stroke nursing.
Evidence-based and practical in style, with case studies and practice examples throughout
Edited and authored by recognised stroke nursing experts, clinicians and leaders in the field of nursing practice, research and education
The first text to explore stroke management from UK and international perspectives, and with a nursing focus

Jane Williams is Consultant Nurse in Stroke Care, based in Portsmouth Hospitals NHS Trust, UK. She has been involved in many national working parties, including the National Stroke Strategy, UK Forum for Stroke Training, and UK Stroke Forum. Jane is member of The Stroke Association research awards committee. A founder member of the National Stroke Nursing Forum, Jane undertook a term of office as chair.
Lin Perry is Professor of Nursing Research and Practice Development, University of Technology, Sydney and the Northern Hospitals Network, South Eastern Sydney and Illawarra Area Health Service. A member of the Intercollegiate Stroke Working Party in the UK, the National Stroke Foundation Guidelines Working Party and Stroke Services New South Wales in Australia, she has extensive experience with national guideline development, benchmarking, service review and evaluation.
Caroline Watkins is Professor of Stroke and Older People's Care at the University of Central Lancashire, UK. As a member of the Vascular Team at the Department of Health, she is working to implement the National Stroke Strategy, and leads the development of the new UK Forum for Stroke Training. Caroline is the president of the Society for Research in Rehabilitation and on the Steering Group of the National Stroke Nursing Forum.

"This will certainly be the first place I turn for future stroke-related technique". (Nursing Older People, 1 November 2010)

Foreword
Editors and Contributors
1 Setting the scene(Caroline Watkins and Michael Leathley)
Introduction
Stroke epidemiology
Stroke policy
Stroke management strategies
Research and education
Conclusion
References
2 Developing stroke services: a key role for nursing and nurses (Christopher R. Burton)
Introduction
Service development
The nursing contribution to stroke services
The political agenda shaping stroke service development
Conclusion
References
3 What is a stroke? (Anne W. Alexandrov)
Introduction
Stroke development processes
Risk factors for stroke
Anatomy, physiology and related stroke clinical findings
Standardised instruments for acute neurological assessment
Conclusion
References
4 Acute stroke nursing management (Anne W. Alexandrov)
Introduction
Priorities in acute stroke management
Hyperacute stroke management
Acute stroke management
Conclusion
References
5 Nutritional aspects of stroke care (Lin Perry and Elizabeth Boaden)
Introduction
Do stroke patients experience nutritional problems pre-stroke?
How does stroke affect dietary intake?
How can stroke patients be helped to maintain adequate
dietary intake?
Conclusion
References
6 Promoting continence (Kathryn Getliffe and Wendy Brooks)
Introduction
Bladder problems and urinary incontinence
Bowel problems and bowel care
Conclusion
References
7 Management of physical impairments post-stroke (Cherry Kilbride and Rosie Kneafsey)
Introduction
Movement
Moving and handling people with stroke
Therapeutic positioning and seating in the acute phase
Promoting early mobilisation
Falls prevention
Restoration and re-education of movement
Management of the upper limb
Further rehabilitation strategies and novel developments
Patients’ perspective on mobility rehabilitation
Conclusion
References
8 Communication (Jane Marshall, Katerina Hilari and Madeline Cruice)
Introduction
Communication impairments caused by stroke
Language minorities
The role of the speech and language therapist in acute stroke care
Psychosocial issues and quality of life
Conclusion
References
9 Mood and behavioural changes (Peter Knapp)
Introduction
Psychological reactions to the onset of stroke
Conclusion
References
10 Minimally responsive stroke patients (Elaine Pierce and Aeron Ginnelly)
Introduction
Definitions and identification
Minimally responsive state
‘Locked-in’ syndrome
Conclusion
References
11 Rehabilitation and recovery processes (Jane Williams and Julie Pryor)
Introduction
Initiation of rehabilitation
Outcomes of rehabilitation
Recovery processes
Transfer to rehabilitation
Rehabilitation provision
Conclusion
References
12 Stroke and palliative care: a difficult combination? (Christopher R. Burton and Sheila Payne)
Introduction
Palliative care
Relevance of palliative care to stroke
Organisational challenges
Conclusion
References
13 Reducing the risk of stroke (Peter Humphrey, Jo Gibson and Stephanie Jones)
Introduction
Primary prevention
Secondary prevention: identifying those at risk of stroke
Public awareness and access to services
Secondary prevention of stroke in less common aetiologies
and patient groups
Conclusion
References
14 Longer-term support for survivors and supporters (Louise Brereton and Jill Manthorpe)
Introduction
Leaving hospital
What is required longer term?
What do carers want?
Conclusion
References
15 Stroke resources for professionals, patients and carers (Graham Williamson)
National associations
Resources for patients and carers
Other resources and organisations
Specialist international journals
Non-specialist journals’ stroke collections
Clinical practice guidelines
Finding current stroke research
Evidence-based practice resources
Chapter links
Index