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Published on: January 15, 2017
Implementing a stroke system of care in a rural hospital: a case report from Granite Falls
Dan Hoody1, Sandra Hanson, Darrell Carter
1University of Minnesota, Rural Physician Associate Program, Granite Falls, USA.
Abstract:
Acute stroke is a leading cause of morbidity and mortality. Both time-sensitive treatment and telemedicine are being used to improve the care of stroke patients in rural areas. This article highlights the case of a 62-year-old male patient with sudden onset of right-sided hemiparesis and a family history of vascular disease and how he was treated at a rural hospital that was connected by telemedicine technology to an urban tertiary care center. It also reviews protocols for acute treatment of stroke and systems of stroke care in rural areas.
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The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.