Stroke Nursing

Chapter 1: Setting the Scene

• • 1.1 Introduction
• • 1.2 Stroke Epidemiology
• • 1.3 Cost Burden
• • 1.4 Stroke Policy
• • 1.5 Stroke Management Strategies
• • 1.6 Research and Education
• • 1.7 Conclusion
• • References

Chapter 2: What Is a Stroke?

• • 2.1 Introduction
• • 2.2 Stroke Classification
• • 2.3 Risk Factors for Stroke
• • 2.4 Anatomy, Physiology, and Related Stroke Clinical Findings
• • 2.5 Standardised Instruments for Acute Neurological Assessment
• • 2.6 Conclusion
• • References

Chapter 3: Reducing the Risk of Stroke

• • 3.1 Introduction
• • 3.2 Primary Prevention
• • 3.3 Primary Prevention – Medical Considerations
• • 3.4 Secondary Medical Prevention After TIA or Stroke
• • 3.5 Interventions for Secondary Prevention After TIA or Recovered Stroke
• • 3.6 Conclusion
• • References

Chapter 4: Acute Stroke Nursing Management

• • 4.1 Introduction
• • 4.2 Priorities in Acute Stroke Management
• • 4.3 Hyper-acute Stroke Management
• • 4.4 Hyper-acute Treatment of Haemorrhagic Stroke
• • 4.5 Acute Stroke Management
• • 4.6 Conclusion
• • References

Chapter 5: Nutritional Aspects of Stroke Care

• • 5.1 Introduction
• • 5.2 Do Stroke Patients Experience Nutritional Problems Pre-Stroke?
• • 5.3 How Does Stroke Affect Dietary Intake?
• • 5.4 How Can Stroke Patients Be Helped to Maintain Adequate Dietary Intake?
• • 5.5 Conclusion
• • References

Chapter 6: Oral Care After Stroke

• • 6.1 Introduction
• • 6.2 Oral Assessment
• • 6.3 Management and Care
• • 6.4 Patient and Carer Perspective
• • 6.5 Conclusion
• • References

Chapter 7: Communication

• • 7.1 Introduction
• • 7.2 Aphasia
• • 7.3 Dysarthria and Apraxia of Speech
• • 7.4 Right-Hemisphere Damage (RHD) Communication Deficit
• • 7.5 Language Minorities
• • 7.6 What Can SLTs Contribute in Acute Stroke Care?
• • 7.7 Psychological Issues and Quality of Life
• • 7.8 Conclusion
• • References

Chapter 8: Management of Physical Impairments Post-Stroke

• • 8.1 Introduction
• • 8.2 Movement
• • 8.3 Promoting Physical Activity and Movement After Stroke
• • 8.4 Promoting Early Rehabilitation
• • 8.5 Re-education of Movement
• • 8.6 Management of the Upper Limb
• • 8.7 Patients’ Perspectives on Early Physical Rehabilitation
• • 8.8 Conclusion
• • References

Chapter 9: Rehabilitation and Recovery Processes

• • 9.1 Introduction
• • 9.2 Understanding Rehabilitation
• • 9.3 Initiation of Rehabilitation
• • 9.4 Nursing’s Rehabilitation Role
• • 9.5 Outcomes of Rehabilitation
• • 9.6 Goal–Directed Rehabilitation
• • 9.7 Recovery Processes
• • 9.8 Transfer to Rehabilitation
• • 9.9 Rehabilitation Provision
• • 9.10 Length of Rehabilitation
• • 9.11 Adjustment to Life After Stroke
• • 9.12 Conclusion
• • References

Chapter 10: Promoting Continence

• • 10.1 Introduction
• • 10.2 Prevalence and Causes of Continence Problems Post-Stroke
• • 10.3 Importance of Continence Care
• • 10.4 Bladder Function and Dysfunction
• • 10.5 Main Types of UI
• • 10.6 Transient Causes of UI
• • 10.7 Assessment of UI and Bladder Dysfunction
• • 10.8 Treatment Strategies and Care Planning for UI
• • 10.9 Management and Containment of Incontinence
• • 10.10 Bowel Problems and Care
• • 10.11 Conclusion
• • References

Chapter 11: Emotional and Cognitive Changes Following a Stroke

• • 11.1 Introduction
• • 11.2 Psychological Reactions to the Onset of Stroke
• • 11.3 Coping with Stroke
• • 11.4 Depression
• • 11.5 Conclusion
• • References

Chapter 12: Stroke and Palliative Care

• • 12.1 Introduction
• • 12.2 Specific Challenges in Stroke
• • 12.3 Tools to Support Palliative Care
• • 12.4 Case Studies
• • 12.5 Discussion
• • 12.6 Conclusion
• • References

Chapter 13: Minimally Responsive Stroke Patients

• • 13.1 Introduction
• • 13.2 Definitions
• • 13.3 Assessment and Diagnosis
• • 13.4 Management and Care
• • 13.5 Locked-In Syndrome
• • 13.6 Conclusion
• • References

Chapter 14: Longer-Term Support for Survivors of Stroke and Their Carers

• • 14.1 Introduction
• • 14.2 Longer-Term Consequences of Stroke, Informal Care and Costs
• • 14.3 The Need for Support
• • 14.4 Responsibilities of Health and Social Care Professionals
• • 14.5 Identifying Those at Risk
• • 14.6 Interventions to Support Stroke Survivors and Carers
• • 14.7 Supporting Working-Age Survivors of Stroke
• • 14.8 Conclusion
• • References

Chapter Appendix A: The stroke-specific education framework (ssef)