Nursing care to patients with stroke: an integrative review

Profile Of Hypertensive Patients Registered In A Basic Health Unit

“…Regarding the age, data from this study show that the highest incidence of the population was found between 40 and 59 years old on average, according to the study related to CVA [9], also observing a higher prevalence of the disease in this age group. This fact possibly shows the reflection of the bad lifestyle habits of today´s society, leading to precocity of the first episode of CVA [10].…”

Nursing care of vascular accident victim ischemic brain: clinical evidence

“…These scales are useful to follow the course of the disease and to determine the prognosis, the preventive actions of iatrogenies, as well as rehabilitators. 2 Since confirmation of the diagnosis of stroke only occurs after the performance of a CT scan, nursing performance can begin in the prehospital care, following the guideline of care recommended by the manual of routines and the care line in AVE12. In this sense, to detect the disease, the pre-hospital stroke scale can be applied to recognize the most frequent signs, such as: loss of muscle strength on one side of the body, radiating from the face to the upper and lower limbs; difficulty speaking and facial expression.…”

“…Other studies confirm and complement some nursing care for the acute phase of stroke, such as: straight bed maintenance with raised grades for patient safety; maintenance of a quiet, poorly lit environment; intracranial pressure monitoring (ICP), with medical recommendation, and to avoid maneuvers that may elevate ICP, such as aspiration of the airways; assessment of neurological status by applying the Glasgow Coma Scale; attention to changes in heartbeat in the patient that may indicate risk of worsening of hypoxia beyond other possible respiratory irregularities; also verify hydration status, glycemic index and, above all, monitoring of vital signs, especially blood pressure. 2,11 Although nursing practice is crucial in obrevida patient victim of stroke, and numerous are the interventions in emergency time and hospital stay, the function of this goes beyond medical treatment, extending the process of rehabilitation of the bodily functions of the individual , Lifestyle readjustment and guidance and support to both the person, the family and the caregiver shortly after discharge from hospital, in addition, care in the prevention of risk factors prove to be of fundamental importance in order to avoid the disease and, Mainly, its recurrence.…”

“…Many studies have shown also the nursing care provided for rehabilitation of people with stroke, and also that there are many guidelines and essential care in the prevention of risk factors. 2,9,20,21 Dysfunctions generated by the disease are very common, such as depression, anxiety, insomnia, sexual dysfunction, motor dysfunction, sensory, cognitive, among other problems. The nursing interventions become, accordingly, the treatment tool and improved clinical outcomes and reduced dry them, present in 90% of cases.…”

“…The cerebrovascular accident (CVA) is characterized by neurological symptoms that last more than 24 hours, with abrupt onset or in the form of crisis, caused by interruption of the blood supply to the encephalon, and can be formed in two ways, by obstruction of the vessels cerebral blood corresponding to ischemic stroke (ischemic stroke) occurs in 85% of cases these vessels break or corresponding to hemorrhagic stroke, prevalent in 15% of cases. 1,2 The AVE has been touted since the 1960s as the leading cause of death and hospitalization in the national scene and as the third cause of death worldwide, affecting mainly the elderly population, and overcoming chronic diseases such as heart disease and cancer, constituent-if as a serious public health problem. [3][4][5] The impact of chronic diseases on society is growing, especially when progress to degree of disability of the affected population, reflecting the global economic scenario, noting that one third of cases of stroke reaches the economically active portion of the population.…”