Nutritional Aspects of Stroke Care

Perry, Lin; Boaden, Elizabeth

doi:10.1002/9781119581161.ch5

Cited by 3 publications

(2 citation statements)

References 118 publications

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“…Aynı zamanda disfaji bir hemşirelik tanısıdır. Disfajinin yönetiminde multidisipliner ekip içerisinde hastaya 24 saat kesintisiz bakım veren hemşireler koordinasyondan sorumludurlar (25). Disfaji yönetimi beş bileşenden oluşur (4,8,9,24-26);…”

Section: Yönetimunclassified

Development of Evidence-Based Care Guidelines for the Management of Dysphagia in Patients with Stroke

ÖZER KÜÇÜK,

KAPUCU

2023

Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi

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Amaç: Bu çalışmanın amacı, inme sonrası disfaji yönetiminde hemşirelere yönelik kanıta dayalı bakım rehberi geliştirmektir. Yöntem: İnme sonrası disfaji yönetiminde hemşirelere yönelik kanıta dayalı De Novo rehber, 1 Ocak -30 Aralık 2017 tarihleri arasında kanıta dayalı rehber süreç geliştirme yaklaşımı kullanılarak geliştirildi. Bulgular: Literatür incelenerek 2000-2017 tarihleri arasında yayınlanan çalışmalar derlendikten sonra, bunların kanıtla ilişkileri yönünden araştırmalar sınıflandırıldı. Kanıt kalitesinin değerlendirilmesi ve analizi yapılarak kanıt tabloları oluşturuldu. Rehberde yer alan kanıta dayalı öneriler 17 çalışmanın ve 10 rehberin gözden geçirilmesinden elde edildi. Elde edilen kanıtlar belirlenen altı alana (Tarama, Değerlendirme, İzlem, Tedavi, Konsültasyon ve Eğitim) ayrıldı. Sonuç: İnme sonrası gelişen disfajinin erken dönemde saptanması ve komplikasyonlarının azaltılmasında, geliştirdiğimiz rehberin hasta bakım kalitesini artırmaya ve komplikasyonların önlenmesine önemli katkı sağlanması beklenmektedir.

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Section: Yönetimunclassified

Development of Evidence-Based Care Guidelines for the Management of Dysphagia in Patients with Stroke

ÖZER KÜÇÜK,

KAPUCU

2023

Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi

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“…The wide range of physical, psychological, and social difficulties experienced post-stroke can affect patients' ability to eat and drink independently. Factors that can affect eating and drinking include an inability to maintain head control; loss of upper limb motor control; difficulties chewing and swallowing; communication problems; and visual, perceptual, and attention deficits [5]. Consequently, many patients require assistance from others to eat and drink, further increasing their risk of inadequate fluid and food intake, and the development of associated complications [6].…”

Section: Introductionmentioning

confidence: 99%

Hydration and nutrition care practices in stroke: findings from the UK and Australia

Miller,

Jones,

Bangee

et al. 2023

BMC Nurs

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Background Dehydration and malnutrition are common in hospitalised patients following stroke leading to poor outcomes including increased mortality. Little is known about hydration and nutrition care practices in hospital to avoid dehydration or malnutrition, and how these practices vary in different countries. This study sought to capture how the hydration and nutrition needs of patients’ post-stroke are assessed and managed in the United Kingdom (UK) and Australia (AUS). Aim To examine and compare current in-hospital hydration and nutrition care practice for patients with stroke in the UK and Australia. Methods A cross-sectional survey was conducted between April and November 2019. Questionnaires were mailed to stroke specialist nurses in UK and Australian hospitals providing post-stroke inpatient acute care or rehabilitation. Non-respondents were contacted up to five times. Results We received 150/174 (86%) completed surveys from hospitals in the UK, and 120/162 (74%) in Australia. Of the 270 responding hospitals, 96% reported undertaking assessment of hydration status during an admission, with nurses most likely to complete assessments (85%). The most common methods of admission assessment were visual assessment of the patient (UK 62%; AUS 58%), weight (UK 52%; AUS 52%), and body mass index (UK 47%; AUS 42%). Almost all (99%) sites reported that nutrition status was assessed at some point during admission, and these were mainly completed by nurses (91%). Use of standardised nutrition screening tools were more common in the UK (91%) than Australia (60%). Similar proportions of hydration management decisions were made by physicians (UK 84%; AUS 83%), and nutrition management decisions by dietitians (UK 98%; AUS 97%). Conclusion Despite broadly similar hydration and nutrition care practices after stroke in the UK and Australia, some variability was identified. Although nutrition assessment was more often informed by structured screening tools, the routine assessment of hydration was generally not. Nurses were responsible for assessment and monitoring, while dietitians and physicians undertook decision-making regarding management. Hydration care could be improved through the development of standardised assessment tools. This study highlights the need for increased implementation and use of evidence-based protocols in stroke hydration and nutrition care to improve patient outcomes.

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The impacts of a healthy lifestyle on the physical and mental health status of female stroke survivors in Australia

Rahman,

Adams,

Peng

et al. 2024

Topics in Stroke Rehabilitation

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Nutritional Aspects of Stroke Care

Cited by 3 publications

References 118 publications

Development of Evidence-Based Care Guidelines for the Management of Dysphagia in Patients with Stroke

Development of Evidence-Based Care Guidelines for the Management of Dysphagia in Patients with Stroke

Hydration and nutrition care practices in stroke: findings from the UK and Australia

The impacts of a healthy lifestyle on the physical and mental health status of female stroke survivors in Australia

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