Stroke: Achieving Better Outcomes
- : Sunshine Coast QLD
Attend this two day seminar and gain knowledge about contemporary and evidence based stroke management. Become up to date on:
- How should the latest knowledge of brain function and diagnostics be applied to practice?
- How are sophisticated imaging techniques contributing to more effective treatments?
- Strategies to assist with the prevention of stroke
- Assessment of a person having a stroke including area of the brain affected
- Immediate and long term nursing care strategies that improve patient outcomes
This practical update will assist you to immediately apply modern principles of stroke prevention and management to your practice.
Need for Program
Stroke now kills more women than breast cancer. Early identification and rapid intervention is a cornerstone of treatment. It has been identified that appropriate and timely care of a person experiencing a stroke is likely to drastically reduce death and disability. This has lead to the Australian Commission on Safety and Quality in Healthcare launching an Acute Stroke Clinical Care Standard.
As more is known about brain function, diagnostics, and treatment, practices change. This indicates ongoing education about timely and appropriate evidence-based care is vitally important for the outcomes of people who experience a stroke.
Purpose of Program
The purpose of this program is to provide nurses with knowledge of contemporary and practical evidence-based stroke management and prevention relevant to a wide range of nursing settings and demonstrate how to integrate this knowledge into practice.
At the conclusion of this program it is expected that the participants will be able to:
- Correlate signs and symptoms to brain injury caused by stroke
- Develop a care plan that provides realistic long term goals to improve and maintain good quality of life
- Discriminate between restorative and rehabilitative care, and understand the implications for nursing care
- Integrate strategies into your nursing care that could assist with prevention, early identification and management of depressive illnesses in stroke patients
- Schedule Day One
8:30am - Registration and Refreshments
9:00amA Stroke of Bad Luck?
In this introductory session you will be given a brief overview of stroke, its epidemiology and why it is such a modern concern. The main causes or contributing factors of the condition will also be included and related to preventative measures.
9:30amWhen Mission Control Goes Down
As the brain controls all that we do, our nursing care needs to reflect a deeper understanding of the pathophysiology of the injury related to stroke. This session reviews brain function and correlates injury caused by stroke to the related symptoms, recovery and potential outcomes.
- Overview of brain function, anatomy, physiology and pathophysiology
- Injury or insult leading to impaired word perception and recognition, and control of verbal inhibition
- Testing for visual memory to determine injury and advanced assessment tips
- Brain hemispheres and functions: which hemisphere governs logic and linear reasoning and which hemisphere controls remembering and understanding past events?
10:30am - Morning Tea and Coffee
11:00amRisk Factors and Diagnosis
There are many causes of stroke. This session will consider what these causes are and identify who may be most at risk in your nursing community of care.
- What are the known risk factors for stroke?
- Reversible and non-reversible risk factors
- How can people who are at risk be identified before they have a stroke?
- Bio-psychosocial nursing considerations associated with stroke risk
- Developing a risk prevention education program for your community of care
Test your learning so far.
12:30pm - Lunch Break and Networking
1:30pmPlanning Care for Best Outcomes
Skilled, effective and holistic assessment is always the cornerstone of good care planning.
- Patient assessment and head-to-toe assessment
- Psychosocial needs
- How to deal with anxiety relating to the situational crisis and the change in physical and emotional wellbeing
- How to generate a truly holistic care plan
- Extending the care plan for the long term
2:00pmGroup Exercise: Holistic Nursing Care
Develop a Nursing Care Plan that incorporates the physiological, psychological, social, spiritual and cultural aspects of care for the stroke patient and their family members for the first three days after stroke.
3:00pm - Afternoon Tea and Coffee
Stroke can be treated in a number of ways. This session looks at some of the latest treatments available.
- Medications that are used to prevent ischaemic stroke
- Medications used for immediate emergency care and following an ischaemic stroke
- Invasive treatments available, including endarterectomy, angioplasty, thrombolysis and coils
- Non-invasive treatment options, including nutritional and lifestyle changes for the long term
4:00pm - Close of Day One of ProgramDay Two
9:00am - Commencement of Day Two
Refresh your memory of yesterday afternoon’s sessions.
9:45amGroup exercise: Holistic Nursing Care
Share your Nursing Care Plans from day one that incorporate the physiological, psychological, social, spiritual and cultural aspects of care for the stroke patient and their family members for the first three days after stroke.
10:15am - Morning Tea and Coffee
10:45amLong-Term Follow-up: Restorative and Rehabilitative Care
It is important to make short- and long-term plans for the care of a person who has experienced stroke. In this session we will consider the importance of long-term follow-up care in the nursing context.
- How to identify the difference between restorative and rehabilitative care
- Determining long-term care priorities
- How to select the multidisciplinary team members to achieve the best patient outcomes i.e. physiotherapist, occupational and speech therapists
- Group exercises – the 'Get Up and Go' test, generating possible nursing diagnoses for a physiotherapy need, an occupational therapy need and a swallowing disorder
11:45amThe Big Four: Incontinence, Skin Breakdown, Falls and Depression
Stroke can lead to long-term residual problems for a person. If these are managed well from the outset, the likelihood is that their effects will be less devastating. In this session, we will look at each of these risk factors and identify ways in which they can be prevented or managed.
- What types of incontinence are associated with stroke and what are the risk factors?
- How to identify skin breakdown risk factors that exist and prevent associated tissue damage
- Which preventative strategies must be put in place if a person is at risk of falling? Includes group exercise on preventing falls
- A brief look at the association between depressive illness and chronic ill health and disability
12:45pm - Lunch Break and Networking
1:45pmOngoing Holistic Care Priorities
The devastating effect that stroke has on a person and, by extension, their family, can be profound and lifelong. This session takes an in-depth look at the cognitive assessment of a person after a stroke. It includes details of how to understand the ramifications of the assessment in order to plan care to meet the social needs of the person and their family members in the long term.
- If aphasia is present, what impact is it having?
- Does the person have judgement deficits and what can be done about this?
- How are the person's thought processes?
- Are there any perceptual problems (e.g. delusions or paranoia)?
2:30pmPlanning Care to Meet the Person's Cognitive Needs
Nurses play a significant role in meeting the psychological needs of a person after a stroke. This includes acknowledging the grief and loss associated with the condition.
- Psychological needs of the patient
- Identification of common areas of family stress
- Grief and loss, financial stressors, communication problems, mood swings and family dysfunctions
3:00pm - Afternoon Tea and Coffee
3:15pmBringing it all Together
This final session reviews the two days and asks the question: How will your nursing care change as a result of your learning? You will be given a short multiple-choice questionnaire to test your knowledge. The session concludes with a discussion of available resources that will assist you to care better for those who experience stroke.
4:00pm - Close of Seminar and Evaluations
Kathryn O'Toole is the Director of the Cardiovascular Prevention & Rehabilitation Service (CPRsa) her private practice which she commenced in January 2014 after a long career in the public hospital system. Kath’s CPRsa service is committed to providing comprehensive cardiovascular risk factor identification and management strategies to assist patients diagnosed with cardiovascular disease (CVD) and those at risk of CVD. Kath is also very proactive in bridging the transition from acute illness to cardiovascular health and wellness. Kathryn is a strong patient advocate and her service coordinates optimal and individualised care for her cardiac patients from admission through to the rehabilitation process and enables her to empower her clients with the appropriate knowledge and management plans to assist them with managing their cardiovascular disease in the community. Kath is regularly invited to participate as a speaker in many aspects of cardiovascular prevention and rehabilitation including the role of nurses in the management of those with Acute Coronary Syndrome. Kath is passionate about the role nursing has in the best practice management of cardiac conditions and has contributed to public health initiatives by participating is various working parties within the State-wide Cardiology Clinical Networks.
Tracy is a Nurse Practitioner working in the Emergency Department at Modbury Public Hospital in South Australia. In this role, she works in a “see and treat” model of care and also works with the Rapid Assessment Team, where she is required to fulfil both clinical and educational duties. Tracy has experience as a Practice Nurse and has held other management positions including Acting Quality and Clinical Risk Manager. Tracy is particularly interested in vascular health and has run several extra vocational programs focused on prevention of cardiovascular disease. Tracy was a finalist in the Future Leader category, South Australian Nursing and Midwifery Awards 2011, and won a South Australian Premiers Travelling Scholarship in 2011/12.