Establishment of stroke treatment plans: one hospital's experience

S M Manzella1, K Galante

  • 1Winthrop University Hospital, Division of Neurology, 200 Old Country Road, Suite 125, Mineola, NY 11501, USA.

Insights

Stroke care needs improvement, with only 20-30% of hospitals having stroke teams. Educating the public and healthcare professionals on stroke management is crucial for better patient outcomes.

Area of Science:

  • Neurology
  • Public Health

Background:

  • Stroke is a leading cause of death and disability in the US, affecting 700,000 annually.
  • The economic burden of stroke exceeds $40 billion yearly.
  • Recombinant tissue-type plasminogen activator (t-PA) has improved acute stroke care pathways.

Purpose of the Study:

  • To highlight the critical need for enhanced public and healthcare provider education regarding stroke care.
  • To address the deficiency in hospital stroke team implementation.
  • To advocate for the approval of additional stroke treatment agents, such as neuroprotective medications.

Main Methods:

  • Review of current stroke statistics and treatment modalities.
  • Analysis of hospital preparedness for acute stroke management.
  • Identification of gaps in stroke care protocols and treatment options.

Main Results:

  • Only 20-30% of US hospitals have dedicated stroke teams.
  • Significant gaps exist in public and healthcare professional education on stroke.
  • Limited availability of advanced treatment agents like neuroprotective medications.

Conclusions:

  • Urgent improvement in stroke care is necessary, focusing on education and infrastructure.
  • Increased implementation of hospital stroke teams is essential.
  • Further research and approval of novel stroke therapies are required.

Related Concept Videos

Planning Nursing Care I01:21

Planning Nursing Care I

The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Atherosclerosis IV: Nursing Management01:23

Atherosclerosis IV: Nursing Management

Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...