Tailored interventions to improve hypertension management after stroke or TIA--phase II (TIMS II).
CONCLUSION: Stroke and TIA patients with diabetes may require additional resources and support in order to reach BP target values. PMID: 23687780 [PubMed - indexed for MEDLINE] (Source: Canadian Journal of Neuroscience Nursing)
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Oral intensity: reducing non-ventilator-associated hospital-acquired pneumonia in care-dependent, neurologically impaired patients.
DISCUSSION: An enhanced oral care protocol was beneficial in reducing the incidence of non-ventilator-associated hospital-acquired pneumonia. IMPLICATIONS: Nurses play a vital role in preventing hospital-acquired pneumonia. Foundational nursing practices, such as regular oral hygiene, are important aspects of care in preventing nosocomial infections and related costs, optimizing health, and promoting quality care. PMID: 24180207 [PubMed - indexed for MEDLINE] (Source: Canadian Journal of Neuroscience Nursing)
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Pilot evaluation of the family informal caregiver stroke self-management program.
CONCLUSIONS: The pilot evaluation of the program validated the content of the FICSS program and indicated recommendations for improvement. PMID: 24180208 [PubMed - indexed for MEDLINE] (Source: Canadian Journal of Neuroscience Nursing)
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

How do you know when your patient is "waking up": coma recovery assessment in a complex continuing care setting.
Authors: Lee TM, Savage J, McKee H, Flament MP, D'Onofrio S, Eckert S Abstract Coma, vegetative state (VS) and minimally conscious state (MCS) are disastrous outcomes following severe traumatic brain injury. Due to the extent of the resultant neurological deficits including hemisphere damage, loss of cellular integrity, altered and abnormal movements such as flexor and extensor patterns, and alterations in cranial nerve function, it can become difficult for the interprofessional team to identify when a patient is emerging from their coma. The Glasgow Coma Scale (GCS), commonly used to assess patients with ...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

The World Stroke Organization and nursing.
Authors: Lindsay P, Green T PMID: 24933842 [PubMed - indexed for MEDLINE] (Source: Canadian Journal of Neuroscience Nursing)
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Presidential address, June 4, 2014, Banff, Alberta.
Authors: Hartley C PMID: 25265762 [PubMed - indexed for MEDLINE] (Source: Canadian Journal of Neuroscience Nursing)
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Challenges in providing culturally-competent care to patients with metastatic brain tumours and their families.
Authors: Longo L, Slater S Abstract Being diagnosed with a metastatic brain tumour can be devastating as it is characterized by very low cure rates, as well as significant morbidity and mortality. Given the poor life expectancy and progressive disability that ensues, patients and family members experience much turmoil, which includes losses that bring about changes to family roles, routines and relationships. Crisis and conflict are common during such major disruptions to a family system, as individual members attempt to make sense of the illness experience based on cultural and spiritual beliefs, past exp...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Promoting rest using a quiet time innovation in an adult neuroscience step down unit.
Authors: Bergner T Abstract Sleep and rest are fundamental for the restoration of energy needed to recuperate from illness, trauma and surgery. At present hospitals are too noisy to promote rest for patients. A literature search produced research that described how quiet time interventions addressing noise levels have met with positive patient and staff satisfaction, as well as creating a more peaceful and healing environment. In this paper, a description of the importance of quiet time and how a small butfeasible innovation was carried out in an adult neuroscience step down unit in a large tertiary health...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Primary malignant brain tumours, psychosocial distress and the intimate partner experience: what do we know?
Authors: Sabo B Abstract From the time of diagnosis of a primary malignant brain tumour (PMBT) and throughout the illness trajectory, the patient and intimate partner face many psychosocial challenges ranging from fear and uncertainty to hope and loss (Fox & Lantz, 1998; Janda et al., 2007; Kvale, Murthy, Taylor, Lee, & Nabors, 2009). While many patients diagnosed with cancer may go on to live with cancer as a chronic illness, this may not be said of individuals diagnosed with a PMBT, in particular those diagnosed with a glioma, the most common form of brain tumour (Gupta & Sarin, 2002). Glioma...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Development of clinical practice guidelines for urinary continence care of adult stroke survivors in acute and rehabilitation settings.
This study developed evidence-based clinical practice guidelines for the urinary continence care of adult stroke survivors in acute and rehabilitation settings. The research team conducted a comprehensive review of the literature on urinary continence interventions and outcomes. The team then developed a set of recommendations outlined in the resulting clinical practice guidelines titled Clinical Practice Guidelines (CPGs) for the Urinary Continence Care of Stroke Survivors in Acute and Rehabilitation Settings. The evaluation of the CPGs consisted of a two-part assessment and pilot implementation. An expert panel of 25 loc...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Clustered stroke patients on a general medical unit: what nursing skills and knowledge contribute to optimal patient outcomes?
Authors: Clayton B Abstract The purpose of this paper is to explore the nurse's role in caring for adult stroke patients, both ischemic and hemorrhagic, who are clustered on general medical units. There is evidence in the literature that having patients cared for in a dedicated stroke unit improves patient outcomes by decreasing disability and mortality rates for stroke survivors. However having a dedicated stroke unit may not be practical or feasible because of the population distribution, particularly for smaller urban and rural communities. Therefore, training nurses on the general medical units to prov...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Retrospective analysis of phone queries to an epilepsy clinic hotline.
Authors: Laforme A, Jubinville S, Gravel M, Cossette P, Nguyen DK Abstract We undertook a retrospective study of 5,189 telephone calls made between January 2004 and June 2011 through our adult epilepsy clinic hotline to a single epileptologist initially and two epileptologists from June 2010 onwards. The majority of calls were made by patients themselves (72%), followed by family members (16%) and health care providers (11%). Half of the calls originated from outside the city limits. Most were related to medication (25%), notification of seizures (23%), appointments or tests (12%), and side effects (9%). H...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

An evaluation study of the implementation of stroke best practice guidelines using a Knowledge Transfer Team approach.
CONCLUSION: The KTT approach resulted in improved patient care and outcomes, as illustrated by the high patient satisfaction levels. PMID: 26152100 [PubMed - indexed for MEDLINE] (Source: Canadian Journal of Neuroscience Nursing)
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research