Sunday, March 31, 2019

Annotated Bibliography: Nursing Care of Patient With Stroke

An nonated Bibliography bring off for Care of Patient With knockThis annotated bibliography allow discuss three pieces of literatures, which accommodate a Department of health policy. Demonstrating an down the stairsstanding of the chosen obligates with the workout of spare literatures to test secernate and explore learning and how it will influence the nurse heraldic bearing of persevering with cam stroke. Furthermore, the analysis of how the literature search was performed, the database use, search enclosure used, the inclusion and exclusion criteria, the findings and exploration of why the literature was chosen will be identified.Search StrategyDatabase such as CINAHL plus, British breast feeding Index and Department of Health policy was utilised to acquire pertinent terms and guideline relating to stroke (Achterberg, Schoonhoven Grol, 2008). This was searched using keywords such as self- care stroking, self-care precaution, with the use of the Boolean doer OR, AND and IN which helped hit the roof and narrow the search criteria (Petersen, 2010). To carry out the first search the keywords self-care management was inserted and it came up with 1878 hits, again Boolean operator OR was used to flesh out the search. until now the hits were large at 40361 hits, the Boolean operator IN was inserted which gave slight than 1657 hits. Moreover, when the search keywords self-care stroke was inserted to the database it came up with 1831 hits, however when the Boolean operator AND was added the build of hits had reduced to 51.To further narrow the search to get minimum and applicable information relating to stroke, the source used the advance search shaft of lights by moderate the search to UK only, publications dates within 6years and excluding international. As a result of this, the first article had 30 results, second article had 500 results and the third article had 321 results. From this, the source read 10 summarys each from the ar ticles that were more suitable for the research. From the ten dollar bill abstract read, the writer was able to come to conclusion by choosing 1 article from each search as it contains appropriate information regarding nursing care for patient with stroke.However the policy was found using the DoH web code as the database used to find the other articles were not appropriate for finding a guideline. This was search using keywords SELF MANAGEMENT FOR STROKE, in which gave the writer suitable information relating to stroke and how it influence nursing care (reference)Annotated article 1Joice, S. (2012). Self-Management following shooting. nursing Standard, 26 (22), 39-46In this article the originator defines the concept of self-management and describes psychological theories and emerging behaviour change techniques that nanny-goats fuel use to promote convinced(p) self-care in patients who have had a stroke (McCabe Timmins, 2013). They site the brilliance that nurses are in the main position to combine a wide range of behaviour change techniques that can be transmute to different patients (Egan, 2009). They as well as station the importance of nurses creating a sanative family through communication as it enhances the delivery of care bring home the bacond (Palmer, 2000). Additionally, by providing serviceable communication between the nurse and patient it encourages them to take more please in their condition and develop greater understanding and confidence in self-care management (McCabe Timmins, 2013).Many authors such as Burnard (2003), Barrett, Komaromy, Robb and Rodger (2004) and Bach and Grant (2011) obligate that communication is the most important therapeutic skill compulsory for nurses. Whilst Schuster (2000) highlights that nurses must(prenominal) also be able to appreciate non-verbal communication, through eye liaison and touch, as it is a crucial method to creating a rapport and believe kin with their patient in the lead verb al communication commences.The article also identified the challenges nurses face when delivering self-management later on stroke, as different policies, authors or researchers whitethorn not use same definition of self-management (Newman, Steed Mulligan 2009). Therefore, nurses have to get a line documents and apply them in different environment. Lorig Holman (2003) supports that self-management is poorly theorised, which means lack of companionship restrict both the nurses and patients from facilitating self-care management (White, Duncan and Baumle, 2011)Although it identifies the importance of individuals attitudes and beliefs to shelters convalescence and response to rehabilitation, the attitudes and beliefs of the nurse also plays a role (Young and Forster, 2007). However Daniel, Grendall Wilkins (2008) states the importance of valuing peoples attitude and beliefs as it determines their motivation to participate in self- care. Therefore nurses have to be sensitive to th at fact that all patients parcel of land different beliefs regarding health care issues. (Barker, 2009)The overall article highlighted the importance of nurses usage of different behaviour change techniques to promote positive self-management after stroke. It also identifies nurses as the main provider in promoting self-care to patients and their families in order to improve the outcome.Annotated Article 2Rowat, A. (2011). Mal diet and Dehydration after Stroke. nursing Standard, 26 (14), 42-46The aim of the article was to encourage nurses to identify the frequency and causes of malnutrition and dehydration, address the complications it can cause and to be aware of the feeding strategies. They identify that patient presented with stroke should be assessed within the first 48 hours and swallowing should be assessed before giving any victuals, fluid or oral medication (NICE, 2008).They identify the video-fluoroscopy test used to observe the patient swallowing process. However the t est is not practical for assessing patient with stroke as they are unable to sit independently as well as endure movement of their doubt (Rowe DAntonio, 2005, Jacobsson et al, 2000). Although the video-fluoroscopy is used to detect dysphagia, it is believed to be an unreliable source as it does not identify how the patient should be fed when they return to the ward (Clayton, Jack, Ryall, Tran, Hilal Gosney 2006).The use of different trials carried out by Dennis, Lewis Warlow (2005) supports decisions about feeding patients after stroke as it illustrates the significance of enteral tube feeding trim down risks of death at 6months. The article also identifies alternative evaluation tool Fibre optic Endoscopic Evaluation of Swallowing (FEES) has been authentic as it can be used at the bedside to establish the movement of fluid and food in the larynx (Ramsey, Smithard Kalra, 2003). However it still requires a skilled operator to administer the swallowing test, therefore the perso n administering the tests must receive sufficient pedagogy and training in order to carry out the test accurately (Rodgers, 2005).It identifies the importance of nurses using the Malnutrition Universal Screening Tool as it is a valid and reliable nutritional screening tool used in hospital setting, as high number of patient with stroke assure malnutrition (NICE, 2008). However the tool is not specific to stroke and would not identify reasons the patient is malnourished, but it enables the nurses to identify the patients who need to refer to speech and oral communication therapist (Hickson, 2006).The overall article informs nurses of the common complication arising from stroke and the tools used to examine. It also identifies the importance of teamwork between nurses and speech and language therapy in maintaining the nutrition and hydration status of the patient after stroke.Annotated PolicyDepartment of Health. (2007). study Stroke Strategy. London HMSOThe strategy has been put in place as it provide a quality framework against which local services can inexpugnable improvements to stroke services and address health inequalities involving stroke within ten years, provide advice, guidance and support for commissioners, strategic health authorities, the voluntary domain and mixer care, in the grooming, development and monitoring of services and inform the expectations of those alter by stroke and their families, by providing a guide to high-quality health and social care services.The Department of Health (2007) established a national strategy for stroke facilities in England. According to DoH (2007), almost 110,000 people under the age of 65 in England have a stroke p.a. and 20-30% of those people pass away within a month. They identified Stroke as the main cause of disability within adults and costing the NHS and parsimoniousness 7 billion yearly as suggested by (Leatherman, Sutherland Airoldi 2008). The DoH developed the strategy as a result of an evidence establish do (Keele, 2011), which suggest what needs to be done by recommending nurses to use the care pathway to deliver an in force(p) care to patients with stroke (Barker, 2013).The policy was use to remodel the services provided to the patients, ensuring they receive the best care using resources useable. However due to some nurses lack of cognition, it could limit the resources being used efficaciously (Rodgers, 2005).Although the policy supports the involvement of patients and family with stroke by involving them in care planning (Benner, Kyriakidis Stannard, 2011). However the policy identifies that this can prove to be less effective when communicating with the patient due to either physical disability or limited communication as a result of the severity of their stroke (DoH,2007).Therefore the policy identifies how to interact effectively with the patient by maintaining their dignity (Masters, 2014). general the policy highlights the important of nurses being updated frequently on different tools available to use when warmth for their patient. This ensures the patients receive an up-to-date care and restricts their stay in hospital.To conclude, the writer has demonstrated understanding of the articles and policy chosen, by using literatures to analyse and explore further reading concerning how it influences the nursing care of the stroke patient. This has render the writer on how effective high quality care should be delivered to patients effectively.ReferencesAchterberg, T.V, Schoonhoven, L Grol, R. (2008). Nursing implementation science How evidence based nursing requires evidence- based implementation. Journal of Nursing Scholarship, 40(4), 302-310.Bach, S. Grant, A. (2011). Communication and interpersonal skills in nursing. (2nd ed). wide Britain Short Run Press.Barker, A.M. (2009). Advanced practice nursing Essential knowledge for the profession. USA Jones and Bartlett Publishers.Barker, J. (2013). Evidence based practice for n urses. (2nd ed.). LondonSAGE.Barret, S., Komaromy, C., Robb, M. Rodgers, A. (2004).Communication, relationship and care A reader. USA Routledge.Benner, P., Kyriakidis, P.H. Stannard, D. (2011). clinical wisdom and interventions in astute and critical care A thinking-in-action begin. (2nd ed.). New York Springer Publishing.Burnard,P. (2003). Ordinary gossip and therapeutic conversation Phatic communication and mental health nursing. Journal of psychiatrical and Mental Nursing, 10 (6), 678-682.Clayton, J., Jack, C.I., Ryall, C., Tran, J., Hilal, E. Gosney, M. (2006). Tracheal pH monitoring and aspiration in acute stroke. Age and Ageing. 5 (1), 47-53.Daniels, R, Grendell, R Wilkins, F.R. (2008). Nursing fundamentals caring and clinical decision making. (2nd ed). USA Cengage Learning.Dennis, M.S., Lewis, S.C. Warlow, C. Food Trial Collaboration (2005b). put in of timing and method of enteral tube feeling for dysphagic stroke patients (FOOD) a multicentre randomised controlled t rial. The Lancet. 365, 9461, 764-772.Egan, G. (2009). The skilled helper A problem management and opportunity-development approach to helping. (9th ed.). USA Cengage Learning.Hickson, M. (2006). Malnutrition and ageing. Postgraduate Medical Journal. 82 (963), 2-8.Jacobsson, C., Axelsson, K., Osterlind, P.O. Norberg, A. (2000). How people with stroke and rose-cheeked older people experience the eating process. Journal of Clinical Nursing. 9 (2), 255-264.Joice, S. (2012). Self-Management following Stroke. Nursing Standard, 26 (22), 39-46Keele, R. (2011). Nursing research and evidence based practice Ten steps to success. USA Jones Bartlett Learning.Lorig, K. Holman, H.R. (2003). Self-Management education History, definition,outcomes and mechanisms. record of Behavioural Medicine. 26 (1), 1-7.Leatherman, S., Sutherland, K. Airold, M. (2008). Bridging the quality gap Stroke. Retrieved March, 9, 2014 from http//www.wales.nhs.uk/documents/bridging_the_quality_gap.pdfMasters, K. (2014 ). Role development in professional nursing practice. (3rd ed). USA Jones and Bartlett Publishers.McCabe, C Timmins, F. (2013). Communication skills for nursing practice. (2nd ed). UK Palgrave Macmillian.Newman, S., Steed, L. Mulligan, K. (2009). Chronic physical illness Self-management and behavioural intervention. England Open University Press.Palmer, S. (2000). Introduction to counselling and psychotherapy. London SagePetersen, R. (2010). Ubuntu 10.04 LTS desktop handbook. USA Surfing Turtle Press.Ramsey, D.J., Smithard, D.G. Kalra, L. (2003). earlyish assessments of dysphagia and aspiration risk in acute stroke patients. Stroke. 34 (5), 1252-1257.Rodger, B.L. (2005). exploitation nursing knowledge Philosophical traditions and influences. USA Lippincott Williams and Wilkins.Rowat, A. (2011). Malnutrition and Dehydration after Stroke. Nursing Standard, 26 (14), 42-46Rowe, M.R DAntonoio, L.L. (2005). Velopharyngeal dysfunction Evolving developments in evaluation. Current Opi nion in Otolaryngology Head and Neck Surgery, 13 (6), 366-370.Schuster, P. (2000). Communication the key to the therapeutic relationship. Phiadelphia F.A. Davis Company.United Kingdom. Department of Health. (2007). National Stroke Strategy. London HMSO.United Kingdom. National Institute for Health and Clinical Excellence. (2008). Stroke National Clinical Guidelines for the diagnosis and Initial Management of Acute Stroke and Transient Ischaemic Attack. Clinical Guideline No.68. London HMSO.White, L., Duncan, G Baumle, W. (2011). Foundation of basic nursing. (3rd ed). USA Cengage Learning.Young, J Forster, A. (2007). Review of stroke rehabilitation. British Medical Journal. 334 (7584), 86-90.

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