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Stroke Care From Onset Through Post-Acute Care

presented by Michelle Camicia, PhD, RN, CRRN, CCM, NEA-BC, FARN, FAHA, FAAN

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Disclosure Statement:

Michelle Camicia is funded by the Gordon and Betty Moore Foundation and the Rehabilitation Nursing Foundation


 Non-Financial: Michelle Camicia has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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This course gives students an overview of emergent, acute, and post-acute management of stroke (also known as cerebrovascular accident or CVA) and the nurse’s role in management of patients who have survived a stroke. The epidemiology and etiology of stroke will be discussed. Participants will learn to identify the location of stroke and common deficits associated with stroke. Emergent care and nursing interventions that optimize clinical outcomes and functioning after stroke will be described.

Meet Your Instructor

Michelle Camicia, PhD, RN, CRRN, CCM, NEA-BC, FARN, FAHA, FAAN

Michelle Camicia, PhD, MSN, CRRN, CCM, NEA-BC, FAHA, FARN, FAAN, is the director of operations for Kaiser Foundation Rehabilitation Center at the Vallejo Medical Center. She is responsible for day-to-day operations of the Center as well as outreach, quality, and regulatory oversight. Michelle is a past president of the Association of Rehabilitation Nurses. She has…

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Chapters & Learning Objectives

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1. Introduction to Stroke

Stroke is the leading cause of significant disability in adults, which can have a detrimental impact on families and the society. The nurse has a role in prevention of stroke through the identification and reduction of stroke risk. This chapter covers the prevalence of stroke, stroke risk factors, and stroke prevention.

2. The Pathology of Stroke

Nurses need to understand the anatomy of the brain and how the location of stroke determines the patient’s clinical presentation. This chapter briefly reviews the anatomy of the brain and areas of control, and the different causes of stroke. The clinical presentation of stroke is described.

3. Acute Stroke Treatment

Treatment of stroke begins with emergent and acute care. Stroke management includes diagnostic, pharmacologic, surgical, and other nursing interventions. This chapter provides a brief review of emergent and acute care management of stroke.

4. Stroke Treatment Across the Post-Acute Continuum

Treatment of stroke begins with emergent and acute care. Stroke management includes diagnostic, pharmacologic, surgical, and other nursing interventions. This chapter provides a brief review of emergent and acute care management of stroke.

More Courses in this Series

Nursing’s Role in Care Transitions from Acute Care to Post-Acute Care

Presented by Michelle Camicia, PhD, RN, CRRN, CCM, NEA-BC, FARN, FAHA, FAAN and Barbara Lutz, PhD, RN, CRRN, APHN-BC, FAHA, FNAP, FAAN

Nursing’s Role in Care Transitions from Acute Care to Post-Acute Care

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This course gives students an overview of the nurse’s role in facilitating care transitions for stroke survivors from acute care to post-acute care to optimize outcomes for the patient and family. Specific risk factors associated with poor transitions are presented. Participants will learn nursing interventions to optimize care transitions for stroke survivors. A brief review of evidence-based models of care transitions across the post-acute continuum will be provided.

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Post-Stroke Resources and Community Reintegration

Presented by Michelle Camicia, PhD, RN, CRRN, CCM, NEA-BC, FARN, FAHA, FAAN and Barbara Lutz, PhD, RN, CRRN, APHN-BC, FAHA, FNAP, FAAN

Post-Stroke Resources and Community Reintegration

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Transitioning home and adapting to life after stroke is often difficult for stroke survivors and their family caregivers. Successful recovery and community reintegration is dependent on stroke survivors and their family members being able to adapt to the post-stroke changes in their lives. They often do not have working knowledge of community- or web-based resources that may be available to help them adjust to new limitations and changes in roles and responsibilities. Members of the interprofessional team can facilitate post-discharge adaptation by anticipating the needs of the stroke survivor and family members and linking them to the most appropriate resources. This course focuses on describing the post-discharge needs of stroke survivors and their family caregivers, assessing post-discharge needs, and identifying resources that can facilitate recovery and successful community reintegration post-stroke. Examples of community- and web-based resources are provided.

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Palliative Care and Advance Directives After Stroke

Presented by Barbara Lutz, PhD, RN, CRRN, APHN-BC, FAHA, FNAP, FAAN

Palliative Care and Advance Directives After Stroke

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course provides students with an overview of the palliative care needs of post-stroke patients and their family members, and provides recommendations for nurses caring for stroke patients and their families across the care continuum. The course starts with an overview of palliative care including definitions and key elements. Current research on and tools for assessing palliative care needs in stroke patients and their families are discussed. Suggestions for family-centered approaches to stroke palliative care and recommendations for nurses who are providing care for stroke patients and their family members in multiple settings are included.

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Stroke in Young & Middle-Aged Adults: Ages 18 to 64

Presented by Barbara Lutz, PhD, RN, CRRN, APHN-BC, FAHA, FNAP, FAAN

Stroke in Young & Middle-Aged Adults: Ages 18 to 64

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Approximately one-third of those hospitalized with stroke are under the age of 65. African Americans are approximately twice as likely to experience a stroke at a younger age when compared to Whites. The needs of younger stroke survivors are often very different from those of older stroke survivors. This course provides an overview of the prevalence of “young stroke.” The unique needs of young stroke survivors and their families are discussed, and recommendations for nurses and other health care providers for identifying and addressing the needs of younger stroke survivors are highlighted. Examples of novel programs for young stroke survivors are included.

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The Role of the Nurse in Care of Persons With Mild Stroke

Presented by Michelle Camicia, PhD, RN, CRRN, CCM, NEA-BC, FARN, FAHA, FAAN

The Role of the Nurse in Care of Persons With Mild Stroke

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course gives learners an overview of mild stroke and the nurse’s role in caring for this patient population. Specific deficits that are common to mild stroke are presented. Participants will learn about risk factors of stroke and how to identify the signs and symptoms of mild stroke. A brief review of the effects of mild stroke on cognition, language, mood, activities of daily living (ADL), and mobility is given, as these conditions relate to rehabilitation of the patient with a mild stroke. Psychosocial, vocational, and family issues that impact rehabilitation outcomes in patients with a mild stroke are discussed.

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