N2MM3_Final_Exam_Notes CVA DISEASE - STROKE

N2MM3_Final_Exam_Notes CVA DISEASE - STROKE CVA DISEASE - STROKE : PAGE 1-25 8. 1 Acute Stroke unit care recommendations ● Admitted patients to hospital with an acute stroke/transient ischemic attack should be treated in a inpatient stroke unit ASAP ○ Ideally within 24hrs from arrival ○ Stroke unit should be a specialized and geographically defined hospital unit (specialised area with trained professionals) ○ For those without stroke units, they must strive to focus care according to the comprehensive stroke care delivery ■ Includes: ● Clustering patients ● Interdisciplinary team ● Access to early rehabilitation ● Stroke care protocols ● Case rounds ● Patient education ● Core interdisciplinary team on the stroke units should consist of healthcare professionals with stroke experience. This includes: ○ Physicians ○ Nurses ○ Occupational therapists ○ Physiotherapists ○ Speech-language pathologist ○ Social workers ○ Clinical nutritionists/dietitians ■ Pharmacists should be included to promote patient safety, medication reconciliation, patient/caregiver/family and team education about medication(side effects, adverse effects, drug interactions) and should be included for discussion about adherence and discharge planning ■ Additional members can include discharge planners, case managers, neuropsychologist, palliative care specialist, recreational and vocational therapists, spiritual care providers, peer supporters, and stroke recovery group liaisons ● Patient assessment should be within 48 hours of admission to facility and care/management plan should be created ○ Clinicians should use industry standard and valid assessment tools to evaluate stroke related impairments ○ Assessments should include: ■ dysphagia assessment ■ Mood and cogn