Stroke management. Evolution of a model for the thrombolysis of acute stroke patients.
The National Audit Office (NAO, 2005) has reported that the priority afforded to stroke care should be increased, given its impact on health and cost to the NHS. It recommends improvements in preventing, treating and managing stroke patients in line with recent evidence. Thrombolysis for acute ischa...
| Publicado en: | British Journal of Nursing Vol. 15; no. 8; pp. 453 - 458 |
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| Autores principales: | , , |
| Formato: | diagnostic images research tables/charts Journal Article |
| Publicado: |
Mark Allen Holdings Limited
4/27/2006
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106308940&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106308940 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09660461 GHD jtl: British Journal of Nursing issn: 09660461 maglogo: N pubinfo: dt: 4/27/2006 vid: 15 iid: 8 pid: 11383 pub: Mark Allen Holdings Limited artinfo: ui: 106308940 106308940 2009199144 10.12968/bjon.2006.15.8.20965 NLM16723952 106308940 ppf: 453 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Stroke management. Evolution of a model for the thrombolysis of acute stroke patients. aug: au: Carty R Mooraby R Paterson J affil: Fairfield House, Fairfield Hospital, Lancashire. sug: subj: Stroke Drug Therapy Coronary Care Units Administration Emergency Care Methods Models, Theoretical Multidisciplinary Care Team Administration Thrombolytic Therapy Methods Acute Disease Audit Stroke Diagnosis Stroke Epidemiology Clinical Competence Standards Descriptive Statistics Emergency Medical Services Administration Evaluation Research Interdepartmental Relations Nursing Role Patient Selection Professional Development Program Evaluation Severity of Illness Indices Time Factors United Kingdom Human ab: The National Audit Office (NAO, 2005) has reported that the priority afforded to stroke care should be increased, given its impact on health and cost to the NHS. It recommends improvements in preventing, treating and managing stroke patients in line with recent evidence. Thrombolysis for acute ischaemic stroke is a proven treatment that produces good results in significant numbers of patients (Mar et al, 2005). However, owing to various barriers, many hospitals in the UK have failed to implement effective systems to facilitate the delivery of this treatment to acute stroke patients. These barriers include a lack of skill, nursing knowledge, and 'fast-track' organization relating to thrombolysis as a treatment for acute stroke. Fears of intracranial bleeding and lack of appropriate stroke unit beds and issues of consent have also been identified as further problems (Innes and International Stroke Trial (IST-3), 2003). Taking these concerns into consideration, Scarborough District General Hospital has developed a multidisciplinary model with the Coronary Care Unit (CCU), integral to the delivery of treatment. Between 2003 and 2005, 24 stroke patients have received thrombolysis treatment and have been cared for in CCU. Outcome results have been positive, with 51% of patients demonstrating a significant benefit at 7 days post-stroke. This model has broken traditional professional and speciality boundaries to allow patients to receive treatments they otherwise would not have received. Moreover, it provides the potential for further exploration into the wider implementation of thrombolysis for acute stroke patients in the UK. pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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