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The Resource Management of Post-Stroke Complications

Management of Post-Stroke Complications

Label
Management of Post-Stroke Complications
Title
Management of Post-Stroke Complications
Creator
Contributor
Subject
Language
eng
Summary
This book highlights the underlying importance of post-stroke complications during recovery, allowing healthcare professionals managing stroke patients to understand their frequency and identify which patients are at risk of developing such complications. Complications are categorised into neurological and non-neurological, and the time-frame for these complications both in the short-term and long-term are discussed. The common practices in managing post-stroke complications and the skills required in their prevention are described, as is the evidence base from clinical trials around their management. The book concludes with a discussion of new developments and research priorities for the future. Management of Post-Stroke Complications is aimed at members of the multidisciplinary stroke team, stroke physicians, neurologists, general practitioners, stroke specialists in training, and medical students
Cataloging source
MiAaPQ
Literary form
non fiction
Nature of contents
dictionaries
Management of Post-Stroke Complications
Label
Management of Post-Stroke Complications
Link
http://libproxy.rpi.edu/login?url=https://ebookcentral.proquest.com/lib/rpi/detail.action?docID=2094777
Publication
Copyright
Related Contributor
Related Location
Related Agents
Related Authorities
Related Subjects
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Color
multicolored
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Contents
  • Foreword -- Contents -- Contributors -- Chapter 1: Introduction -- Complications Post-stroke -- Prevention -- References -- Chapter 2: Early Neurological Deterioration -- Introduction -- Neurological Causes of Early Deterioration Post-stroke -- Haemorrhagic Transformation -- Cerebral Oedema -- Re-occlusion and Clot Progression -- Impairment of Collateral Supply -- Non-neurological Causes of Early Deterioration -- Hypoxia -- Hydration -- Glucose Control -- Blood Pressure -- Temperature Control -- Conclusion -- Patient Questions -- References -- Chapter 3: Post-stroke Cardiac Complications -- Introduction -- Cardiac Complications -- Myocardial Infarction -- Cardiac Failure -- Cardiac Arrhythmias -- Conclusion -- Patient Questions -- References -- Chapter 4: Post-stroke Seizures -- Seizure Classification -- Epilepsy -- Epidemiology -- Early and Late Seizures -- Development of Epilepsy -- Predictors of Post-stroke Epilepsy -- Clinical Manifestations and Relevance in Stroke -- Focal Seizures -- Generalised Tonic-Clonic Seizures and Status Epilepticus -- Investigating Post-stroke Seizures -- Bedside and Blood Investigations, Imaging and Neurophysiology -- Treatment, Adverse Effects, and Monitoring -- Prophylaxis of Seizures -- Status Epilepticus -- Approach to Epilepsy Therapy -- First-Line Treatment Options -- Adverse Effects -- Duration of Treatment -- Prognosis -- Patient Questions -- References -- Chapter 5: Infections After Stroke -- Introduction -- Prevalence of Post-stroke Infection -- Factors Associated with Post-stroke Infection -- Risk Factors Associated with Pneumonia After Stroke -- Risk Factors Associated with Urinary Tract Infection -- Immunosuppression After Stroke -- Organisms Causing Infection After Stroke -- Stroke Outcome and Post-stroke Infection -- Clinical Assessment and Investigations
  • Potential Strategies to Minimise Post-stroke Infection -- Urinary Tract Infection -- Chest Infection (Pneumonia) -- Infections Associated with Stroke -- Conclusion -- Patient Questions -- References -- Chapter 6: Venous Thromboembolism -- Introduction -- Incidence of VTE -- Intracerebral Haemorrhage -- Below-Knee, Distal, or Calf DVT -- Pelvic and Inferior Vena Cava DVT -- Upper-Extremity DVT -- Impact of VTE in Stroke (Clinical and Subclinical) -- Prevention of VTE -- Early Mobilisation -- Hydration -- Heparin, Heparinoids, and Low-Molecular-Weight Heparin in Ischaemic Stroke -- Heparin, Heparinoids, and Low-Molecular-Weight Heparin in Primary Intracerebral Haemorrhage -- The Novel Oral Anticoagulation Agents as Prophylaxis in Acute Stroke -- Graduated Compression Stockings -- Intermittent Pneumatic Compression -- Diagnosis of VTE -- d-dimer -- Imaging Techniques for the Diagnosis of DVT -- Contrast Venography -- Fibrinogen Uptake Test -- Plethysmography -- Impedance Plethysmography -- Ultrasound -- Magnetic Resonance Imaging -- MR Direct Thrombus Imaging (MRDTI) for DVT -- Diagnosis of PE -- Pulmonary Angiography -- Ventilation/Perfusion Scan -- CT Pulmonary Angiography -- MRI for Diagnosis of PE -- MR Direct Thrombus Imaging of PE -- Treatment of VTE -- Cerebral Infarcts -- Cerebral Haemorrhage -- Patient Questions -- References -- Chapter 7: Swallowing and Nutritional Complications -- Introduction -- Definitions -- Malnutrition -- Overweight and Obesity -- Dysphagia -- Malnutrition -- Epidemiology -- Aetiology -- Detection -- Assessment -- Anthropometry -- Biochemistry -- Clinical -- Dietary -- Environmental -- Management -- Goals of Treatment -- Nutritional Requirements -- Feeding Route -- Nutritional Interventions -- Dietary Counselling -- Food Fortification -- Oral Nutritional Supplements (ONS) -- Texture-Modified Diets -- Tube Feeding
  • Mealtime Improvements and Optimising Nutritional Care -- Monitoring and Evaluation -- Overweight and Obesity -- Epidemiology -- Aetiology -- Detection -- Assessment -- Management -- Lifestyle Modification Programmes -- Dietary Intake -- Physical Activity -- Behavioural Interventions -- Pharmacological Interventions -- Surgical Interventions -- Monitoring and Evaluation -- The Obesity "Paradox" -- Dysphagia -- Swallowing -- Bolus Preparation/Oral Phase -- Passage Through the Pharynx -- Airway Protection -- Commencement of the Pharyngeal Swallow -- Neural Control of Swallowing -- Swallowing Following Stroke -- Lesion Site -- Epidemiology -- Aetiology of Dysphagia Following Stroke -- Detection -- Assessment -- Complications of Aspiration -- Management -- Oral Nutrition -- Bolus Modification -- Taste -- Rheology -- Modified-Texture Diets -- Tube Feeding -- Nasogastric Tube -- Complications of Nasogastric Tube Placement -- Percutaneous Endoscopic Gastrostomy (PEG) -- Timing of Placement -- Behavioural Techniques -- Tongue Exercises -- Shaker Exercises -- McNeill Dysphagia Training Program (MDTP) -- Surface Electromyography (sEMG) -- Faucial Stimulation -- Neuromuscular Electrical Stimulation (NMES) -- Pharyngeal Stimulation -- Pharmacological Interventions -- Acupuncture -- Orthoses -- Surgery -- Outcome Measures -- Long-Term Outcome -- Ethical Issues -- Conclusion -- Patient Questions -- References -- Chapter 8: Urinary and Bowel Complications After Stroke -- Introduction -- National Standards for Continence Care -- Post-stroke Urinary Incontinence -- Epidemiology -- Natural History of Post-stroke Urinary Incontinence -- Effects of Urinary Incontinence on Stroke Outcomes -- Neural Control of Micturition -- Bladder-Filling Cycle -- Bladder-Voiding Cycle -- Voluntary Control -- Types of Post-stroke Urinary Incontinence
  • Direct Damage to the Neuromicturition Pathways: Urge Incontinence -- Detrusor Hyporeflexia with Overflow Incontinence -- Impaired-Awareness Urinary Incontinence -- Functional Incontinence -- Stress Incontinence -- Transient Causes of Urinary Incontinence -- Assessment of Post-stroke Urinary Incontinence -- Initial Assessment at Admission -- Comprehensive Assessment of Continence -- Detailed Bladder History -- Clinical Assessment -- Functional Assessment of Toileting Skills -- Frequency and Volume Charting (Bladder Diaries) -- Investigations -- Urinalysis -- Bladder Scan -- Treatment Strategies to Promote Continence -- Evidence-Based Interventions -- Scheduled Voiding Regimens -- Management of Urge Incontinence and Detrusor Overactivity -- Bladder Training -- Medications -- Lifestyle Changes -- Management of Functional Incontinence -- Management of Detrusor Hyporeflexia with Overflow Incontinence -- Intermittent Catheterisation -- Long-Term Catheterisation -- Management of Stress Incontinence -- Containment Devices -- Implications for Further Research -- Bowel Complications -- Epidemiology -- Causes of Bowel Problems Following Stroke -- Assessment of Post-stroke Bowel Problems -- Detailed History of Bowel Habits -- Clinical Assessment -- Bowel Habit Diary -- Treatment Strategies -- Faecal Incontinence -- Constipation -- Conclusion -- Patient Questions -- References -- Chapter 9: Positioning and Pressure Care -- Introduction -- Positioning Post-stroke -- Benefits of Correct Positioning -- Complications of Incorrect Positioning -- Positioning in Bed -- Supine (Fig. 9.2) -- Side Lying: Lying on the Affected Side (Fig. 9.3) -- Lying on the Non-affected Side (Fig. 9.4) -- Sitting Upright in Bed (Fig. 9.5) -- Positioning and Seating -- Typical Sitting Posture Post-stroke -- Optimal Seating Posture -- Seating Options -- Standard Armchair -- Wheelchairs
  • Complex Seating Systems -- Powered Wheelchairs -- Common Challenges to Seating After Stroke -- Pusher Syndrome -- Cognition and Behaviour -- Pressure Care -- What Are Pressure Sores? -- Pressure -- Shear -- Friction -- Grading of Pressure Sores -- Pressure Sores in Stroke Patients -- Risk Scoring -- Strategies to Prevent Pressure Sores in Stroke Patients -- Interventions to Prevent Pressure Sores -- Interventions for Impaired Mobility -- Interventions for Impaired Nutrition -- Interventions for Impaired Skin Health -- Management of Pressure Sores in Stroke Patients -- Summary -- Conclusion -- Patient Questions -- References -- Chapter 10: Management of Spasticity -- Introduction -- Pathophysiology of Spasticity -- Effect on Lifestyle -- Assessment -- Purpose of Treatment -- Non-pharmacological Approaches -- Prevention of Aggravating Factors -- Education and Psychological Support -- Involvement of Physiotherapy/Occupational Therapy -- Pharmacological Treatments -- Oral Medication for Treatment of Global Spasticity -- Baclofen -- Tizanidine -- Diazepam -- Dantrolene -- Gabapentin -- Focal Treatments, Intrathecal Baclofen, and Surgical Techniques -- Focal Treatments -- Botulinum Toxin -- Phenol Nerve Block -- Intrathecal Baclofen Therapy -- Surgery -- Conclusion -- Patient Questions -- References -- Chapter 11: Falls and Osteoporosis Post-Stroke -- Incidence of Falls After Stroke -- Epidemiology -- Circumstances of Falling -- Why Strokes Lead to Falls -- Anterior Circulation Strokes -- Posterior Circulation Strokes -- Muscle Tone -- Environment -- Psychological Factors -- Drugs -- Incontinence -- Assessment of Falls Risk -- Mitigating Falls Risk -- Physical Therapy and Exercises -- Medications -- Interventions for Visual Impairment -- Environmental Interventions and Equipment -- Social Environment -- Urinary Incontinence -- Summary
  • Consequences of Falls
http://library.link/vocab/cover_art
https://contentcafe2.btol.com/ContentCafe/Jacket.aspx?Return=1&Type=S&Value=9783319178554&userID=ebsco-test&password=ebsco-test
Dimensions
unknown
http://library.link/vocab/discovery_link
{'f': 'http://opac.lib.rpi.edu/record=b4383072'}
Extent
1 online resource (393 pages)
Form of item
online
Isbn
9783319178554
Media category
computer
Media MARC source
rdamedia
Media type code
c
Sound
unknown sound
Specific material designation
remote

Library Locations

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      110 8th St, Troy, NY, 12180, US
      42.729766 -73.682577
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