Evidence Based Management Of Stroke

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Evidence-based Management of Stroke

Author : José Biller,,José M Ferro,
Publisher : tfm Publishing Limited
Page : 376 pages
File Size : 55,8 Mb
Release : 2011-06-01
Category : Medical
ISBN : 9781908986665

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Evidence-based Management of Stroke by José Biller,,José M Ferro, Pdf

Winner of a HIGHLY COMMENDED AWARD in the Neurology category of the 2012 BMA Medical Book Competition. More than five million people die from stroke each year. Stroke is also the leading cause of adult disability, affecting over 20 million people worldwide, with two-thirds of stroke victims left permanently disabled. We now know that speed of intervention is critical and patient outcomes are determined by a very narrow therapeutic window, during which physicians need to be able to make their choice of treatment rapidly, based on the best evidence available. The purpose of this book is to review that evidence, for both medical and surgical therapies as well as preventative strategies, drawing on the expertise of leading international authorities to distinguish the issues for which there is a consensus on best practice from those for which the evidence remains inconclusive. For example, for patients with acute ischemic stroke the first choice is intravenous thrombolytic therapy, but does a treatment window of 0-3 hours deliver outcomes significantly better than one of 3-4.5 hours? Arterial hypertension is the single most important modifiable risk factor for ischemic stroke, but what are the effects of blood pressure reduction among acute stroke patients? How effective is blood pressure lowering in primary intracerebral hemorrhage? What are the arguments in favour of continuation versus temporary discontinuation of antihypertensive therapy immediately after acute ischemic stroke? Endovascular procedures (carotid angioplasty/stenting) are increasingly important but what do the data tell us about their safety? Or durability? How do they compare with carotid endarterectomy? The management of unruptured intracranial aneurysms is rife with controversies; clip, coil, wait and watch? The authors examine the evidence for and against. Other sections examine the impact of various risk factors, and special populations. A section on stroke after cardiovascular surgeries reviews the incidence and management of stroke following a whole range of procedures. Another examines special risks during pregnancy. Lastly, the book reviews our understanding of childhood stroke and presents current best practice recommendations for this most challenging group of patients.

Acute Stroke Nursing

Author : Jane Williams,Lin Perry,Caroline Watkins
Publisher : John Wiley & Sons
Page : 367 pages
File Size : 54,7 Mb
Release : 2013-05-07
Category : Medical
ISBN : 9781118699621

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Acute Stroke Nursing by Jane Williams,Lin Perry,Caroline Watkins Pdf

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 an evidence-based, practical text facilitating the provision of optimal stroke care during the primary prevention, acute and continuing care phases. This timely and comprehensive 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 healthcare 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

Clinical Pathways in Stroke Rehabilitation

Author : Thomas Platz
Publisher : Springer Nature
Page : 284 pages
File Size : 44,5 Mb
Release : 2021-01-14
Category : Medical
ISBN : 9783030585051

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Clinical Pathways in Stroke Rehabilitation by Thomas Platz Pdf

This open access book focuses on practical clinical problems that are frequently encountered in stroke rehabilitation. Consequences of diseases, e.g. impairments and activity limitations, are addressed in rehabilitation with the overall goal to reduce disability and promote participation. Based on the available best external evidence, clinical pathways are described for stroke rehabilitation bridging the gap between clinical evidence and clinical decision-making. The clinical pathways answer the questions which rehabilitation treatment options are beneficial to overcome specific impairment constellations and activity limitations and are well acceptable to stroke survivors, as well as when and in which settings to provide rehabilitation over the course of recovery post stroke. Each chapter starts with a description of the clinical problem encountered. This is followed by a systematic, but concise review of the evidence (RCTs, systematic reviews and meta-analyses) that is relevant for clinical decision-making, and comments on assessment, therapy (training, technology, medication), and the use of technical aids as appropriate. Based on these summaries, clinical algorithms / pathways are provided and the main clinical-decision situations are portrayed. The book is invaluable for all neurorehabilitation team members, clinicians, nurses, and therapists in neurology, physical medicine and rehabilitation, and related fields. It is a World Federation for NeuroRehabilitation (WFNR) educational initiative, bridging the gap between the rapidly expanding clinical research in stroke rehabilitation and clinical practice across societies and continents. It can be used for both clinical decision-making for individuals and as well as clinical background knowledge for stroke rehabilitation service development initiatives.

Stroke Prevention and Treatment

Author : Jeffrey L. Saver,Graeme J. Hankey
Publisher : Cambridge University Press
Page : 585 pages
File Size : 46,7 Mb
Release : 2020-12-10
Category : Medical
ISBN : 9781107113145

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Stroke Prevention and Treatment by Jeffrey L. Saver,Graeme J. Hankey Pdf

An evidence-based guide for clinicians caring for stroke patients, with advice for best practice in prevention, treatment and recovery.

Stroke Units

Author : Peter Langhorne,Martin Dennis
Publisher : John Wiley & Sons
Page : 115 pages
File Size : 48,8 Mb
Release : 2008-04-15
Category : Medical
ISBN : 9780470759943

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Stroke Units by Peter Langhorne,Martin Dennis Pdf

Based on a major systematic review from international centres this concise text discusses the benefits of managing stroke patients in specialised units compared to management outside the hospital. It provides invaluable information in the most effective management for this chronically disabled sector

Stroke in Practice

Author : Christos Tziotzios,Jesse Dawson,Matthew Walters
Publisher : CRC Press
Page : 142 pages
File Size : 55,9 Mb
Release : 2017-10-02
Category : Medical
ISBN : 9781315346366

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Stroke in Practice by Christos Tziotzios,Jesse Dawson,Matthew Walters Pdf

Stroke is the leading cause of disability and the third leading cause of death in the developed world. The past decade has witnessed a paradigm shift in the management of stroke, with the understanding that care of acute stroke patients by specialists working in dedicated stroke units greatly improves patient outcomes; as a consequence, stroke units now exist in all major hospitals in the UK and Europe. Interventions to treat stroke have also increased in complexity, and the discipline of stroke medicine is now recognised as a medical specialty. This book is a concise, accessible and authoritative source of relevant and focussed information about stroke disease. It contains a thorough review of the management of cerebrovascular disease - everything you need to function effectively on an acute stroke unit. Tables and diagrams aid quick reference and easy comprehension. The most up-to-date and clinically relevant resource on the market, Stroke in Practice equips all medical professionals with evidence-based, practical knowledge and a comprehensive understanding of treatment of stroke. 'This text is directed at the non-specialist and emphasises practicality over academic niceties. If it inspires enthusiasm for a fascinating condition and convinces the reader that stroke is preventable, treatable and yet potentially devastating for patients and their families, it will justify its existence.' from the foreword by Kennedy R Lees

Collaborative capacity development to complement stroke rehabilitation in Africa

Author : Quinette Louw
Publisher : AOSIS
Page : 536 pages
File Size : 55,7 Mb
Release : 2020-12-31
Category : Medical
ISBN : 9781928523864

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Collaborative capacity development to complement stroke rehabilitation in Africa by Quinette Louw Pdf

This scholarly book focuses on stroke in Africa. Stroke is a leading cause of disability among adults of all ages, contributing significantly to health care costs related to long term implications, particularly if rehabilitation is sub-optimal. Given the burden of stroke in Africa, there is a need for a book that focuses on functioning African stroke survivors and the implications for rehabilitation within the African context. In addition, there is a need to progress with contextualised, person-centred, evidence-based guidance for the rehabilitation of people with stroke in Africa, thereby enabling them to lead socially and economically meaningful lives. The research incorporated in the book used a range of primary and secondary methodological approaches (scoping reviews, systematic reviews, meta-analyses, descriptive studies, surveys, health economics, and clinical practice guideline methodology) to shed new insights into African-centred issues and strategies to optimise function post-stroke.

The Continuum of Stroke Care

Author : Joanne V. Hickey,Sarah Livesay
Publisher : Lippincott Williams & Wilkins
Page : 452 pages
File Size : 41,8 Mb
Release : 2015-03-25
Category : Medical
ISBN : 9781496317568

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The Continuum of Stroke Care by Joanne V. Hickey,Sarah Livesay Pdf

The Continuum of Stroke Care: An Interprofessional Approach to Evidence-Based Care will address the clinical care of stroke patients across the continuum of care from primary prevention of stroke, the acute and subacute treatment of stroke syndromes through rehabilitation, and reintegration into the community. Each chapter will review current evidence-based practice guiding clinical stroke care. The book will address the American Stroke Association’s Stroke Chain of Survival addressing prehospital care of the stroke patient and the development of stroke systems of care to provide all people in the United States access to acute stroke care. Additionally, the book will cover the current role of state legislation in stroke care and the evolution of hospital stroke certification. The book will serve as a clinical resource providing detailed comprehensive medical and nursing care of all stroke subtypes while also addressing the system of stroke care in which medical, nursing and interprofessional care provided. As such, the book will serve as a clinical resource to medical and nursing caregivers providing direct patient care as well as stroke coordinators, program directors and other hospital administrators developing stroke programs. The book will also be a clinical resource for stroke interprofessional team members such as physical therapists, occupational therapists, Stroke care is most successful at improving patient outcomes when delivered by an interdisciplinary team. Each chapter will address the critical role of the interprofessional team and highlight comprehensive care of the stroke patient rather than focusing only on nursing care. Books published to date focus solely on the medical or nursing care of the stroke patient without attention to the stroke system of care and the role of the multidisciplinary team in improving stroke outcomes. Additionally, each chapter will highlight ongoing research trials and opportunities, with the recognition that the scientific foundation for acute stroke care is rapidly evolving.

Stroke Recovery and Rehabilitation

Author : Richard L. Harvey, MD,Richard F. Macko, MD,Dr. Joel Stein, MD,Carolee J. Winstein, PhD, PT, FAPTA,Richard D. Zorowitz, MD
Publisher : Demos Medical Publishing
Page : 224 pages
File Size : 51,9 Mb
Release : 2008-11-20
Category : Medical
ISBN : 1935281054

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Stroke Recovery and Rehabilitation by Richard L. Harvey, MD,Richard F. Macko, MD,Dr. Joel Stein, MD,Carolee J. Winstein, PhD, PT, FAPTA,Richard D. Zorowitz, MD Pdf

A Doody's Core Title 2012 Stroke Recovery and Rehabilitation is the new gold standard comprehensive guide to the management of stroke patients. Beginning with detailed information on risk factors, epidemiology, prevention, and neurophysiology, the book details the acute and long-term treatment of all stroke-related impairments and complications. Additional sections discuss psychological issues, outcomes, community reintegration, and new research. Written by dozens of acknowledged leaders in the field, and containing hundreds of tables, graphs, and photographic images, Stroke Recovery and Rehabilitation features: The first full-length discussion of the most commonly-encountered component of neurorehabilitation Multi-specialty coverage of issues in rehabilitation, neurology, PT, OT, speech therapy, and nursing Focus on therapeutic management of stroke related impairments and complications An international perspective from dozens of foremost authorities on stroke Cutting edge, practical information on new developments and research trends Stroke Recovery and Rehabilitation is a valuable reference for clinicians and academics in rehabilitation and neurology, and professionals in all disciplines who serve the needs of stroke survivors.

The Stroke Book

Author : Michel T. Torbey,Magdy H. Selim
Publisher : Cambridge University Press
Page : 395 pages
File Size : 51,5 Mb
Release : 2013-07-18
Category : Medical
ISBN : 9781107634725

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The Stroke Book by Michel T. Torbey,Magdy H. Selim Pdf

An essential companion for busy professionals seeking to navigate stroke-related clinical situations successfully and make quick informed treatment decisions.

Stroke

Author : Anonim
Publisher : Lippincott Williams & Wilkins
Page : 396 pages
File Size : 51,6 Mb
Release : 2009
Category : Medical
ISBN : 0781766141

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Stroke by Anonim Pdf

This book is a unique source of practical information for frontline providers of care for stroke patients. It focuses on patient management—from stroke prevention through acute stroke management, through chronic care—and offers how-to guidance on implementing diagnostic and treatment protocols. Each chapter includes a bulleted list of key learning points; an evidence-based rationale for why the diagnostic and treatment recommendations work; a step-by-step approach to clinical application; practical recommendations from the authors; a critical pathway; and a bibliography. An entire chapter focuses on building a stroke team. Appendices include reproducible samples of order sets and a list of important medications.

Disease Control Priorities, Third Edition (Volume 5)

Author : Dorairaj Prabhakaran,Shuchi Anand,Thomas A. Gaziano,Jean-Claude Mbanya,Rachel Nugent
Publisher : World Bank Publications
Page : 466 pages
File Size : 52,7 Mb
Release : 2017-11-17
Category : Medical
ISBN : 9781464805202

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Disease Control Priorities, Third Edition (Volume 5) by Dorairaj Prabhakaran,Shuchi Anand,Thomas A. Gaziano,Jean-Claude Mbanya,Rachel Nugent Pdf

Cardiovascular, respiratory, and related conditions cause more than 40 percent of all deaths globally, and their substantial burden is rising, particularly in low- and middle-income countries (LMICs). Their burden extends well beyond health effects to include significant economic and societal consequences. Most of these conditions are related, share risk factors, and have common control measures at the clinical, population, and policy levels. Lives can be extended and improved when these diseases are prevented, detected, and managed. This volume summarizes current knowledge and presents evidence-based interventions that are effective, cost-effective, and scalable in LMICs.

Acute Ischemic Stroke

Author : R. Gilberto González,Joshua A. Hirsch,Michael H. Lev,Pamela W. Schaefer,Lee H. Schwamm
Publisher : Springer Science & Business Media
Page : 299 pages
File Size : 40,5 Mb
Release : 2010-10-05
Category : Medical
ISBN : 9783642127519

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Acute Ischemic Stroke by R. Gilberto González,Joshua A. Hirsch,Michael H. Lev,Pamela W. Schaefer,Lee H. Schwamm Pdf

This updated second edition of Acute Ischemic Stroke: Imaging and Intervention provides a comprehensive account of the state of the art in the diagnosis and treatment of acute ischemic stroke. The basic format of the first edition has been retained, with sections on fundamentals such as pathophysiology and causes, imaging techniques and interventions. However, each chapter has been revised to reflect the important recent progress in advanced neuroimaging and the use of interventional tools. In addition, a new chapter is included on the classification instruments for ischemic stroke and their use in predicting outcomes and therapeutic triage. All of the authors are internationally recognized experts and members of the interdisciplinary stroke team at the Massachusetts General Hospital and Harvard Medical School. The text is supported by numerous informative illustrations, and ease of reference is ensured through the inclusion of suitable tables. This book will serve as a unique source of up-to-date information for neurologists, emergency physicians, radiologists and other health care providers who care for the patient with acute ischemic stroke.

Warlow's Stroke

Author : Graeme J. Hankey,Malcolm Macleod,Philip B. Gorelick,Christopher Chen,Fan Z. Caprio,Heinrich Mattle
Publisher : John Wiley & Sons
Page : 1008 pages
File Size : 40,9 Mb
Release : 2019-01-22
Category : Medical
ISBN : 9781118492420

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Warlow's Stroke by Graeme J. Hankey,Malcolm Macleod,Philip B. Gorelick,Christopher Chen,Fan Z. Caprio,Heinrich Mattle Pdf

A practical textbook, based on a problem-oriented workflow, that will improve patients' likelihood of full recovery from stroke and prevent future strokes from occurring Stroke is the leading cause of adult disability and is in the top five causes of death globally. Warlow's Stroke: Practical Management, 4th Edition takes a problem-oriented approach and addresses the questions posed by a stroke patient in the order they are likely to present in clinical practice, for instance, 'Is it a stroke?', 'What sort of stroke?', 'What caused it?', and 'What can be done about it?'. Beginning with chapters phrased as questions, the book walks the reader through a standard clinical workflow, exploring the practical skills and assessment required at each stage of patient management. Early chapters cover: locating the vascular lesion, identifying the involved arterial territory, the role imaging should play, and the application thereof. Subsequent chapters look at what causes a transient or persistent ischemic event, an intracerebral hemorrhage and a subarachnoid hemorrhage. Unusual causes of ischemic stroke and transient ischemic attack are also covered. The book then presents a practical approach to the management of stroke and transient ischemic attack; offers specific treatments for acute ischemic stroke and aneurysmal subarachnoid hemorrhage; provides ways for professionals to prevent first or recurrent stroke; and more. Final chapters of the book discuss rehabilitation after stroke, how patients and carers can be supported in the short term and long term, prevention of recurrent stroke, and the organization of stroke services. Warlow's Stroke: Practical Management, 4th Edition Follows clinical workflow for stroke analysis Features evidence-based approach throughout Offers practical application aimed at improving patient outcomes Written and edited by internationally renowned experts in the field An essential resource for all practitioners involved in the care of patients who suffer from cerebrovascular disease, but particularly suitable for neurologists, residents, geriatricians, stroke physicians, radiologists and primary care physicians.

Transient Ischemic Attack and Stroke

Author : Sarah T. Pendlebury,Matthew F. Giles,Peter M. Rothwell
Publisher : Cambridge University Press
Page : 407 pages
File Size : 54,7 Mb
Release : 2009-02-19
Category : Medical
ISBN : 9780521735124

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Transient Ischemic Attack and Stroke by Sarah T. Pendlebury,Matthew F. Giles,Peter M. Rothwell Pdf

Accessible handbook covering the investigation, diagnosis and management of transient ischemic attacks and minor strokes.