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

presented by Barbara Lutz

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Disclosure Statement:

Financial: Barbra Lutz is funded as a co-investigator through patient-centered outcomes research institute (PCORI) and national institutes of health.


 Non-Financial: Barbra Lutz 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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Accreditation Check:
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.

Meet Your Instructor

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

Dr. Barbara Lutz is the McNeill Distinguished Professor at the University of North Carolina-Wilmington School of Nursing. Her 30+ year career as a rehabilitation and public health nurse spans practice, research, education, and service. Her research focuses on understanding the needs and experiences of patients with stroke and other chronic illnesses and their family caregivers…

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Chapters & Learning Objectives

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1. Prevalence and Causes of Stroke in Young and Middle-Aged Adults

Stroke is often viewed as a condition that occurs in older populations, i.e., those 65 and older. However, stroke is increasingly occurring in young adults (under the age of 65). In this chapter, the prevalence and causes of “young stroke” are described. Implications of the increases in this demographic are discussed.

2. Needs and Concerns of Younger Adult Stroke Survivors and Their Family Members

Young stroke survivors’ needs and concerns are often different from those of older stroke survivors. In this chapter, the needs and concerns of young stroke survivors and their family members are described. Research exploring these varying needs is discussed, and special areas of concern are highlighted.

3. Strategies for Addressing Needs of Younger Adult Stroke Survivors

This chapter includes strategies for addressing the unique needs of younger stroke survivors. Recommendations for addressing concerns about returning to work and driving are highlighted. Examples of novel programs developed to address the needs of this population are provided.

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

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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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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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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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Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
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.

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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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