Care of the Patient With Acute Ischemic Stroke (Posthyperacute and Prehospital Discharge): Update to 2009 Comprehensive Nursing Care Scientific Statement: A Scientific Statement From the American Heart Association

Abstract

In 2009, the American Heart Association/American Stroke Association published a comprehensive scientific statement detailing the nursing care of the patient with an acute ischemic stroke through all phases of hospitalization. The purpose of this statement is to provide an update to the 2009 document by summarizing and incorporating current best practice evidence relevant to the provision of nursing and interprofessional care to patients with ischemic stroke and their families during the acute (posthyperacute phase) inpatient admission phase of recovery. Many of the nursing care elements are informed by nurse-led research to embed best practices in the provision and standard of care for patients with stroke. The writing group comprised members of the Stroke Nursing Committee of the Council on Cardiovascular and Stroke Nursing and the Stroke Council. A literature review was undertaken to examine the best practices in the care of the patient with acute ischemic stroke. The drafts were circulated and reviewed by all committee members. This statement provides a summary of best practices based on available evidence to guide nurses caring for adult patients with acute ischemic stroke in the hospital posthyperacute/intensive care unit. In many instances, however, knowledge gaps exist, demonstrating the need for continued nurse-led research on care of the patient with acute ischemic stroke.

Effects of Systemic Rehabilitation Nursing Combined with WeChat Publicity and Education on the Early Cognitive Function and Living Quality of the Patients with Cerebral Arterial Thrombosis

“…According to clinical investigations, the main reason for the high mutilation rate of elderly patients with cerebral arterial thrombosis is the neglect of rehabilitation nursing. In recent years, relevant studies have shown that the early rehabilitation nursing can effectively improve the patients' recovery, and the patients receiving complete systemic rehabilitation nursing have better recovery effects [ 5 , 15 ]. In addition, based on secondary stroke prevention, our hospital expects to enhance the patients' health education by the WeChat publicity and education.…”

Nursing Scientific Statements Advancing Stroke Care

“…The 3 American Heart Association statements collectively provide a comprehensive update on nursing and interprofessional care of patients with acute ischemic stroke and evidence supporting care delivery actions across the care continuum. [2][3][4]…”

“…In the third statement, best practices and supporting evidence to guide nursing care of the patient with AIS in acute stroke units are presented. 4 Along with a description of best care practices in stroke units, major differences in patient outcomes between dedicated stroke units compared with nonstroke units are reviewed. In the posthyperacute and prehospital discharge phase, nurses continue to play a critical role in identifying patients at risk for clinical deterioration through their performance of ongoing observations and assessments including timely and appropriate actions in response to patients' changing health status.…”

“…1 Given the numerous advancements in recent years, the Cardiovascular and Stroke Nursing Council decided to update the nursing 2009 scientific statement with 3 new nursing scientific statements designed to summarize and incorporate current best practices for adult patients with ischemic strokes. 2,3,4 Each of the 3 American Heart Association scientific statements was comprised of a unique intraprofessional team of authors and focuses on different phases of the care continuum. Each statement provides summaries of best practices and supporting scientific evidence.…”

Nursing’s Role in Successful Stroke Care Transitions Across the Continuum: From Acute Care Into the Community

“…iii. Use a comprehensive evidence-based stroke discharge checklist 8,17 that incorporates elements of poststroke education, including physical, mental and emotional health promotion, stroke prevention education, and discharge resources associated with successful transitions. iv.…”