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

This reflections article provides insight toward nursing innovations to reduce the overuse of personal protective equipment while maintaining a safe environment for staff taking care of COVID-19 patients. The secondary aim of this paper to capitalize on recent advances in mass electronic communication through social media to encourage nurses across the globe to share their knowledge and expertise during this pandemic.The many innovations that have been implemented fall into 3 categories of: reducing unnecessary use of personal protective equipment (PPE), promoting staff safety and readiness, and reducing foot traffic.

2

External ventricular drain (EVD) is a standard approach for both monitoring intracranial pressure (ICP) and draining cerebrospinal fluid (CSF) for patients with subarachnoid hemorrhage. Documenting an accurate ICP value is important to assess the status of the brain, which would require the EVD system to be leveled properly and closed to CSF drainage for an adequate period. It is suggested that a minimum period of 5-minute EVD closure is needed before documenting a true ICP; however, there is no commonly agreed upon standard for documenting ICP. To obtain an insight into how well the intermittent EVD clamping procedure is performed for ICP documentation, we conducted a retrospective analysis of ICP recordings obtained through EVD from 107 patients with subarachnoid hemorrhage.

2

Exertional heat stroke (EHS) is defined by a core body temperature that exceeds 40°C with associated central nervous system dysfunction, skeletal muscle injury, and multiple organ damage. The most important initial focus of treatment involves reduction of patient temperature. First approaches to achieve temperature reduction often include ice packs, water blankets, and cold intravenous fluid administration. When these measures fail, more advanced temperature management methods may be deployed but often require surgical expertise. Esophageal temperature management (ETM) has recently emerged as a new temperature management modality in which an esophageal heat transfer device replaces the standard orogastric tube routinely placed after endotracheal intubation and adds a temperature modulation capability. The objective of this case study is to report the first known use of ETM driven by bedside nursing staff in the treatment of EHS.

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.