Care of the Patient With Acute Ischemic Stroke (Endovascular/Intensive Care Unit-Postinterventional Therapy): Update to 2009 Comprehensive Nursing Care Scientific Statement: A Scientific Statement From the American Heart Association

Abstract

Ischemic stroke remains the fifth leading cause of death in the United States. Nurses play a pivotal role in the care of patients throughout the continuum. With the advances in stroke care, including mechanical thrombectomy, the American Heart Association/American Stroke Association charged the writing panel to complement the 2009 clinical practice guideline, “Comprehensive Overview of Nursing and Interdisciplinary Care of the Acute Ischemic Stroke Patient,” with current evidence-based nursing care. This update is 1 of a 3-part series focusing on emergency medical services/emergency care, endovascular/intensive care unit care, and postacute care. The aim of this scientific statement is to review and present current evidence, complications, best practices, and clinical practice strategies to provide current comprehensive scientific information for nursing care in the neuroendovascular area and intensive care unit in conjunction with medical treatments, including intravenous thrombolysis and mechanical thrombectomy.

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 last section of this statement, nursing care in the ICU is described. 3 Since patients with AIS treated with intravenous thrombolysis, with or without MT, are vulnerable to developing complications leading to secondary brain injury, they require intensive monitoring and further interventions. 5 Early recognition of complications and neurological deterioration requires faster intervention to minimize permanent neurological disability.…”

“…In this second statement, current scientific evidence, prominent complications, best practices interventions are reviewed that guide neuroscience nurses in the neuro-endovascular area and ICU pertaining to Key Words: American Heart Association ◼ emergency medical services ◼ intensive care unit ◼ mechanical thrombectomy ◼ neuroscience nursing intravenous thrombolysis and mechanical thrombectomy (MT). 3 The first section describes essential care elements of adult patients with AIS who are undergoing endovascular treatment. Emphasis is placed on interventional nurses being responsible for the preprocedural, periprocedural, and postprocedural nursing care of this population of patients with AIS.…”

“…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.…”

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

“…The joint motions of limbs included the adduction and abduction of the shoulder joints of the upper limbs, the extension and flexion movement of the elbow joints, wrist joint, finger joints and knee joints, shrugging movement of the unilateral shoulder, Bobath handclasp, and the abduction, flexion, extorsion, intortion, and extension of the hip joints, 2 times/day and 10–20 min/time. Such motions gradually transited to the active movement according to the patients' recovery [ 10 ]. (3) Functional training.…”