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Related Concept Videos

Discharge Summary Forms01:31

Discharge Summary Forms

The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
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...
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...
Ischemic Stroke l: Introduction01:15

Ischemic Stroke l: Introduction

Ischemic stroke is an acute cerebrovascular condition in which blood flow to a brain region is suddenly interrupted, leading to tissue infarction. Neurons depend on continuous oxygen and glucose supply, so even brief reductions in perfusion cause energy failure, ionic imbalance, and irreversible injury. Ischemic strokes are classified into thrombotic and embolic types based on their underlying mechanisms.Thrombotic MechanismsThrombotic stroke develops when a clot forms within a cerebral artery.
Ischemic Stroke ll: Pathophysiology01:15

Ischemic Stroke ll: Pathophysiology

An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...
Hemorrhagic Stroke l: Introduction01:17

Hemorrhagic Stroke l: Introduction

A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...

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Updated: Jun 3, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

A consensus on stroke: early supported discharge.

Rebecca J Fisher1, Catherine Gaynor, Micky Kerr

  • 1CLAHRC NDL, Stroke Rehabilitation Theme, 9 Triumph Road, Jubilee Campus, University of Nottingham, Nottingham NG7 2GT, UK. rebecca.fisher@nottingham.ac.uk

Stroke
|March 29, 2011
PubMed
Summary
This summary is machine-generated.

Early Supported Discharge (ESD) services, involving multidisciplinary teams, effectively reduce hospital stays and long-term dependency for stroke patients. Consensus among trialists ensures optimal implementation for improved patient outcomes and community rehabilitation.

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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

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Last Updated: Jun 3, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Health Services Research

Background:

  • Early Supported Discharge (ESD) services are supported by robust evidence, demonstrating reduced long-term dependency and institutionalization.
  • Previous trials indicate ESD services shorten hospital stays without adverse effects on patient or carer well-being.
  • National and international stroke initiatives highlight the need for consensus on ESD implementation.

Framework:

  • A modified Delphi approach was employed with 10 Early Supported Discharge (ESD) trialists.
  • Statements regarding ESD team composition, work models, interventions, and success metrics were developed and refined.
  • Three rounds of consultation ensured comprehensive input from trialists.

Implementation:

  • Consensus reached on 47 of 56 statements, guiding ESD service delivery.
  • Multidisciplinary, specialist stroke ESD teams should manage hospital discharge and community rehabilitation.
  • Eligibility criteria focusing on safety, practicality, medical stability, and disability are crucial for mild to moderate stroke patients.

Implications:

  • A consensus document is available for commissioners and service providers to implement ESD services.
  • Recommendations derived from research findings aim to facilitate successful stroke service implementation.
  • Standardized auditing of hospital length of stay, patient/carer outcomes, and costs is recommended.