SciCombinator

Discover the most talked about and latest scientific content & concepts.

Journal: The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses

27

Stroke has increased among young adults. In addition, the accuracy by which African Americans perceive their risk of stroke is unclear. The purpose of the study was to examine the accuracy of perceived stroke risk of African Americans aged 19-54 years. A descriptive-correlational design was used. Accuracy of perceived stroke risk was determined by comparing perceived risk with actual risk. Participants (N = 66) had a mean age of 43.3 (SD = 9.4) years and were mostly female, high school graduates, and unemployed. Most (66%) perceived themselves as having no/low risk of future stroke. However, actual risk factors averaged 2.98 + 1.63 of 8, placing 59% of the sample in the moderate-high category of actual stroke risk. Comparisons of perceived and actual risk showed that 44% underestimated their risk, 47% were accurate, and 9% overestimated their risk. Strategies to address risk misperceptions should be explored to improve accuracy of perceived stroke risk and culturally relevant interventions to reduce stroke among African Americans.

Concepts: Risk, High school, Southern United States, Jim Crow laws, Democratic Party

27

The following case report discusses a 21-year-old Hispanic woman who was brought to the emergency room for evaluation because of experiencing acute left-sided hemiparesis with anosognosia. Upon further assessment, the patient was found to have a positive blood test for methamphetamines, positive human chorionic gonadotropin for pregnancy, and a history of patent foramen ovale. Neurological examination of the patient revealed left hemiparesis, dysarthria, and homonymous hemianopsia of the left side with a National Institutes of Health Stroke Scale of 12. Given the patient’s assessment and positive radiological findings of a clot located within the right M1 segmental branch of the middle cerebral artery territory through the use of computed tomography angiography, deployment of intra-arterial thrombolytics within 6 hours of symptom onset was utilized. The patient’s clinical course was complicated by brain swelling requiring intubation. Return of neurological function was assessed with noninvasive and invasive neurological evaluation, which showed full cognitive and physical return of the functional baseline level at discharge.

Concepts: Blood, Myocardial infarction, Medical terms, Stroke, Thrombosis, Human chorionic gonadotropin, Tissue plasminogen activator, Thrombolysis

22

Early neurological deterioration (END) is common after stroke and represents a poor prognostic marker. Manual pupillary assessment to detect END is subjective and has poor interrater reliability. Novel methods of automated pupillometry may be more reliable and accurate. This study aims to evaluate the acceptability and feasibility of automated pupillometry in patients with acute stroke and healthy volunteers and compare its interrater reliability with that of the traditional manual method.

3

This study was developed to explore the efficacy of introducing the Amharic phrase “Ye-Angol Tikat,” which translates to “brain attack” in English, as a mechanism to enhance stroke education among the Amharic-speaking Ethiopian community.

2

Post-intensive care syndrome (PICS) is a constellation of cognitive, physical, emotional, or psychiatric impairments that begins during or immediately after intensive care unit (ICU) hospitalization and persists beyond discharge. This executive review summarizes literature on PICS in the general ICU population and identifies gaps in the literature specific to the neurocritical care patient.

2

The aims of this study were to determine the prevalence and describe the importance of alcohol screening for all patients with traumatic brain injury (TBI) and examine the relationship between gender, age, Abbreviated Injury Scale (AIS), emergent decompressive craniectomy, Glasgow Coma Scale (GCS) from the emergency department (ED), and the length of stay with alcohol screening.

Concepts: Stroke, Traumatic brain injury, Intensive care medicine, Intracranial pressure, Neurosurgery, Glasgow Coma Scale, Coma, Decompressive craniectomy

1

Patients' perceptions of healthcare quality have become an important part of quality measurement. We explored patients' and family’s lived experiences during acute stroke hospitalization to develop a quantitative instrument.

1

Thirty-day hospital readmissions have been shown to be a measure of quality and result in higher mortality and increased costs. Readmissions are a target for hospitals and payers; thus, several centers have developed predictive readmission scores to identify high-risk patients. The purpose of this study was to evaluate the current hospital-wide readmission risk calculator and the ability of this tool to predict 30-day readmissions in the neurocritical care population.

1

This study investigated the level of cortisol under different stressful situations and its relationship with sleep and anxiety in female college students.

1

To enhance nursing staff retention and ensure a consistently high standard of care, a study was conducted to determine an appropriate nurse staffing model for a neurocritical care unit. In addition to being critically ill, these patients often require extensive diagnostic testing to determine treatment. Nurses traveling with patients leave higher nurse-patient ratios remaining on the unit.