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Author: Great Britain: National Audit Office Publisher: The Stationery Office ISBN: 9780102963441 Category : Medical Languages : en Pages : 48
Book Description
The National Stroke Strategy (2007) is a comprehensive response to the concerns raised by the NAO in its 2005 report on stroke (HC 452, session 2005-06, ISBN 9780102935707). The strategy has been underpinned by strong national leadership and performance indicators as well as £59 million of central funding over the first two years, £30 million of which was allocated to local authorities specifically to provide support services to stroke patients and their carers. The NHS is now starting to deliver better care from stroke services, and outcomes for patients are also improving. Patients treated in a specialist stroke unit are more likely to survive, have fewer complications and regain their independence, but in 2008 only 17 per cent of stroke patients reached the stroke unit within four hours of arrival at hospital. Brain imaging is also very important for stroke patients but many patients are not given a scan quickly enough and access at weekends and evenings is significantly more limited. There is better awareness of the symptoms of stroke, and that it is a medical emergency, following the Department's 'Stroke: Act FAST' advertising campaign, launched in February 2009. The number of calls categorised as being a suspected stroke during April to June 2009 increased by 54 per cent in comparison with the same period in 2008. But a third of patients are not getting a follow-up appointment within six weeks and only a half of stroke survivors in the NAO's survey said that they were given advice on further stroke prevention when leaving hospital.
Author: Great Britain: National Audit Office Publisher: The Stationery Office ISBN: 9780102963441 Category : Medical Languages : en Pages : 48
Book Description
The National Stroke Strategy (2007) is a comprehensive response to the concerns raised by the NAO in its 2005 report on stroke (HC 452, session 2005-06, ISBN 9780102935707). The strategy has been underpinned by strong national leadership and performance indicators as well as £59 million of central funding over the first two years, £30 million of which was allocated to local authorities specifically to provide support services to stroke patients and their carers. The NHS is now starting to deliver better care from stroke services, and outcomes for patients are also improving. Patients treated in a specialist stroke unit are more likely to survive, have fewer complications and regain their independence, but in 2008 only 17 per cent of stroke patients reached the stroke unit within four hours of arrival at hospital. Brain imaging is also very important for stroke patients but many patients are not given a scan quickly enough and access at weekends and evenings is significantly more limited. There is better awareness of the symptoms of stroke, and that it is a medical emergency, following the Department's 'Stroke: Act FAST' advertising campaign, launched in February 2009. The number of calls categorised as being a suspected stroke during April to June 2009 increased by 54 per cent in comparison with the same period in 2008. But a third of patients are not getting a follow-up appointment within six weeks and only a half of stroke survivors in the NAO's survey said that they were given advice on further stroke prevention when leaving hospital.
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts Publisher: The Stationery Office ISBN: 9780215553195 Category : Medical Languages : en Pages : 44
Book Description
This report (HCP 405, session 2009-10, ISBN 9780215553195), looks at the "Progress in improving stroke care" and follows an NAO report (HCP 291, ISBN 9780102963441) on the same topic. Stroke is one of the top three causes of death and the largest cause of adult disability in England, costing the NHS at least £3 billion a year in direct care costs, with wider economic costs of around £8 billion. A 2006 report (HCP 911, session 2005-06, ISBN 9780215029683) highlighted serious shortcomings across the whole stroke care pathway. The Committee welcomes demonstrable improvements in stroke care which the Department of Health has achieved since. The Department and NHS have increased the priority given to stroke, particularly the speed of the acute hospital response. However, improvements have not been universal. The Committee finds it totally unacceptable that the likelihood of receiving a timely brain scan or accessing specialist care is dependent on where and when you have a stroke. Also the improvements in hospital care are not yet matched by progress in delivering more effective support once stroke survivors leave hospital with many patients discharged from hospital continuing to struggle to obtain follow-up care and access to community rehabilitation services remains a post-code lottery. The Committee has set out a number of conclusions and recommendations.
Author: Jess Hudson Publisher: The Stationery Office ISBN: 9780348100167 Category : Medical Languages : en Pages : 100
Book Description
For many years, stroke was viewed as an inevitable consequence of getting old. For stroke patients there seemed little to be done, except making them more comfortable.Things have begun to change, moving towards better treatment and care for stroke through specialist services and key interventions, such as stroke units, immediate scanning, thrombolysis and Early Supported Discharge.The publication of the NAO report 'Reducing Brain Damage: Faster Access to Better Stroke Care (HC 452)' in November 2005 highlighted how these developments can improve the efficiency and effectiveness of stroke care. As a result, the Department of Health is working to develop a comprehensive national stroke strategy, crossing prevention, urgent care, hospital care, community support and social care.This publication 'Joining Forces to Deliver Improved Stroke Care' sets out recommendations from expert project groups for a new national stroke care strategy, while also examining key messages and examples of good practice arising from the October 2006 'Joining Forces to Deliver Improved Stroke Care' conference hosted by the NAO
Author: Joanne V. Hickey Publisher: Lippincott Williams & Wilkins ISBN: 1496317564 Category : Medical Languages : en Pages : 452
Book Description
The Continuum of Stroke Care: An Interprofessional Approach to Evidence-Based Care will address the clinical care of stroke patients across the continuum of care from primary prevention of stroke, the acute and subacute treatment of stroke syndromes through rehabilitation, and reintegration into the community. Each chapter will review current evidence-based practice guiding clinical stroke care. The book will address the American Stroke Association’s Stroke Chain of Survival addressing prehospital care of the stroke patient and the development of stroke systems of care to provide all people in the United States access to acute stroke care. Additionally, the book will cover the current role of state legislation in stroke care and the evolution of hospital stroke certification. The book will serve as a clinical resource providing detailed comprehensive medical and nursing care of all stroke subtypes while also addressing the system of stroke care in which medical, nursing and interprofessional care provided. As such, the book will serve as a clinical resource to medical and nursing caregivers providing direct patient care as well as stroke coordinators, program directors and other hospital administrators developing stroke programs. The book will also be a clinical resource for stroke interprofessional team members such as physical therapists, occupational therapists, Stroke care is most successful at improving patient outcomes when delivered by an interdisciplinary team. Each chapter will address the critical role of the interprofessional team and highlight comprehensive care of the stroke patient rather than focusing only on nursing care. Books published to date focus solely on the medical or nursing care of the stroke patient without attention to the stroke system of care and the role of the multidisciplinary team in improving stroke outcomes. Additionally, each chapter will highlight ongoing research trials and opportunities, with the recognition that the scientific foundation for acute stroke care is rapidly evolving.
Author: Peter Langhorne Publisher: John Wiley & Sons ISBN: 0470759941 Category : Medical Languages : en Pages : 115
Book Description
Based on a major systematic review from international centres this concise text discusses the benefits of managing stroke patients in specialised units compared to management outside the hospital. It provides invaluable information in the most effective management for this chronically disabled sector
Author: Thomas Platz Publisher: Springer Nature ISBN: 3030585050 Category : Medical Languages : en Pages : 284
Book Description
This open access book focuses on practical clinical problems that are frequently encountered in stroke rehabilitation. Consequences of diseases, e.g. impairments and activity limitations, are addressed in rehabilitation with the overall goal to reduce disability and promote participation. Based on the available best external evidence, clinical pathways are described for stroke rehabilitation bridging the gap between clinical evidence and clinical decision-making. The clinical pathways answer the questions which rehabilitation treatment options are beneficial to overcome specific impairment constellations and activity limitations and are well acceptable to stroke survivors, as well as when and in which settings to provide rehabilitation over the course of recovery post stroke. Each chapter starts with a description of the clinical problem encountered. This is followed by a systematic, but concise review of the evidence (RCTs, systematic reviews and meta-analyses) that is relevant for clinical decision-making, and comments on assessment, therapy (training, technology, medication), and the use of technical aids as appropriate. Based on these summaries, clinical algorithms / pathways are provided and the main clinical-decision situations are portrayed. The book is invaluable for all neurorehabilitation team members, clinicians, nurses, and therapists in neurology, physical medicine and rehabilitation, and related fields. It is a World Federation for NeuroRehabilitation (WFNR) educational initiative, bridging the gap between the rapidly expanding clinical research in stroke rehabilitation and clinical practice across societies and continents. It can be used for both clinical decision-making for individuals and as well as clinical background knowledge for stroke rehabilitation service development initiatives.
Author: R. Gilberto González Publisher: Springer Science & Business Media ISBN: 3642127517 Category : Medical Languages : en Pages : 299
Book Description
This updated second edition of Acute Ischemic Stroke: Imaging and Intervention provides a comprehensive account of the state of the art in the diagnosis and treatment of acute ischemic stroke. The basic format of the first edition has been retained, with sections on fundamentals such as pathophysiology and causes, imaging techniques and interventions. However, each chapter has been revised to reflect the important recent progress in advanced neuroimaging and the use of interventional tools. In addition, a new chapter is included on the classification instruments for ischemic stroke and their use in predicting outcomes and therapeutic triage. All of the authors are internationally recognized experts and members of the interdisciplinary stroke team at the Massachusetts General Hospital and Harvard Medical School. The text is supported by numerous informative illustrations, and ease of reference is ensured through the inclusion of suitable tables. This book will serve as a unique source of up-to-date information for neurologists, emergency physicians, radiologists and other health care providers who care for the patient with acute ischemic stroke.
Author: Quinette Louw Publisher: AOSIS ISBN: 1928523862 Category : Medical Languages : en Pages : 536
Book Description
This scholarly book focuses on stroke in Africa. Stroke is a leading cause of disability among adults of all ages, contributing significantly to health care costs related to long term implications, particularly if rehabilitation is sub-optimal. Given the burden of stroke in Africa, there is a need for a book that focuses on functioning African stroke survivors and the implications for rehabilitation within the African context. In addition, there is a need to progress with contextualised, person-centred, evidence-based guidance for the rehabilitation of people with stroke in Africa, thereby enabling them to lead socially and economically meaningful lives. The research incorporated in the book used a range of primary and secondary methodological approaches (scoping reviews, systematic reviews, meta-analyses, descriptive studies, surveys, health economics, and clinical practice guideline methodology) to shed new insights into African-centred issues and strategies to optimise function post-stroke.
Author: Great Britain: National Audit Office
Author: Great Britain: National Audit Office
Author: NATIONAL AUDIT OFFICE.
Author: Great Britain: Parliament: House of Commons: Committee of Public Accounts
Author: Great Britain. National Audit Office
Author: Jess Hudson
Author: Joanne V. Hickey
Author: Peter Langhorne
Author: Thomas Platz
Author: R. Gilberto González
Author: Quinette Louw