Do you find it scary and overwhelming to take care of someone who has suffered a brain injury? Caring for a patient who has had a stroke can be very challenging. Trust us, we have been right where you are and we know the intimidation you might feel when thinking of all the components of caring for patients with this complex diagnosis. Nursing assessment is a crucial piece of the overall puzzle that will determine how the patient is cared for and, ultimately, the outcome of the patient. From the moment a patient arrives to ...
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Do you find it scary and overwhelming to take care of someone who has suffered a brain injury? Caring for a patient who has had a stroke can be very challenging. Trust us, we have been right where you are and we know the intimidation you might feel when thinking of all the components of caring for patients with this complex diagnosis. Nursing assessment is a crucial piece of the overall puzzle that will determine how the patient is cared for and, ultimately, the outcome of the patient. From the moment a patient arrives to the hospital with stroke-like symptoms, all members of the stroke care team begin working on the patient's history, obtaining tests, drawing labs, developing a plan, implementing safety measures, carrying out time-sensitive orders, and educating the patient and the patient's family. This book is a guide for anyone new to caring for stroke patients in the hospital setting. We have used our own nursing and teaching experience to help explain how to assess, anticipate, and prevent complications, and what to expect while caring for anyone who has been admitted to the hospital for a stroke or stroke-like symptoms. Our hope is that you feel more confident while caring for and educating this patient population. Table of Contents Chapter 1: Anatomy and Physiology Parts of the Brain Blood Supply Risk Factors Transient Ischemic Attack (TIA) Ischemic Stroke Hemorrhagic Stroke Chapter 2: Assessment Common Stroke Symptoms Components of a Neurological Assessment NIH Stroke Scale Chapter 3: Orders Emergency Department Orders General Stroke Orders Ischemic Stroke Orders Hemorrhagic Stroke Orders Chapter 4: Complications Cerebral Edema and Herniation Hemorrhagic Conversion Seizures Chapter 5: Nursing Care and Considerations Time Is Brain Impaired Communication Swallow Precautions Bowel and Bladder Issues Mobility Fall Prevention Pain Management Emotional Support Discharge Planning Chapter 6: Critical Care and Interventions Ventriculostomy (Ventric) and External Ventricular Drains (EVD) Intracranial Pressure Monitoring Tissue Plasminogen Activator (tPA) Intraarterial tPA Craniotomy (Crani) Aneurysm Clipping Craniectomy Neurovascular Interventions Chapter 7: Case Studies Case Study 1, 2, 3, 4
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