2nd Edition
The Stroke Center Handbook Organizing Care for Better Outcomes, Second Edition
Setting the goal for the stroke center
Phase I: Acute stroke treatment
Phase II: Medical/surgical management
Phase III: Rehabilitation
Phase IV: Postdischarge monitoring
Stroke centers: Levels of care
Major components of a primary stroke center as recommended in 2000
Major components of a comprehensive stroke center (2005)
Components of an acute stroke-ready hospital
Setting annual goals
Stroke center organization
People
Meetings
Location
Tools
Questions to consider
Appendix to Chapter 2: Stroke Watch Action Team (SWAT)
Regional stroke networks
Determine the type of stroke center you will be
Links in the chain of successful stroke intervention (focusing on ischemic stroke)
Imaging for diagnosis and selection of therapy
Imaging for acute ischemic stroke
Imaging for secondary stroke prevention
Imaging of hemorrhagic stroke
Transient ischemic attack: TIA
Incidence and diagnosis
Evolution of definition
Clinical evaluation
Acute stroke interventions
Ischemic stroke
Intracerebral hemorrhage
Subarachnoid hemorrhage
Neurocritical care management of acute stroke
Acute ischemic stroke
Intracerebral hemorrhage
Subarachnoid hemorrhage
Neurocritical care and comprehensive stroke center certification by Joint Commission
Dedicated space for a neuro ICU
Specialty training for nurses
Physician staff
Critical care physician certification
Neurocritical care and comprehensive stroke center certification by DNV
Issues in acute management
ICU care
Glucose control
Temperature control
Oxygen saturation
Airway management
Cardiac telemetry
Head of the bed
Acute monitoring post-IV thrombolysis
Acute medical management
Prevention of complications
Infections
Nutritional compromise
Constipation
Deep vein thrombosis and pulmonary embolism
Musculoskeletal complications
Falls
Skin breakdown
Seizures
Discharge planning
Secondary prevention of stroke
Ischemic stroke (or transient ischemic attack)
Modifiable cardiovascular risk factors
Treatment
Intracerebral hemorrhage
Stroke rehabilitation
Acute inpatient rehabilitation
Stroke rehabilitation outcomes
New approaches to motor and functional training
Appendix A: Emergency tools for stroke team nurses
Appendix B: Management of subarachnoid hemorrhage
Appendix C: Management of intracerebral hemorrhage
Appendix D: Management of ischemic stroke
Appendix E: Additional tools for stroke team nurses
Index
Biography
Marilyn M. Rymer (Author) , Debbie Summers (Mid-America Brain & Stroke Institute, Saint Luke's Hospital, Kansas City, Missouri, USA) (Author) , Pooja Khatri (Department of Neurology, University of Cincinnati Medical Center, Cincinnati, OH, USA) (Author)
