presented by Barbara Lutz
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.
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 as they move through the continuum of care, from acute care to home. The goal of her work is to engage patients and their family caregivers in developing person and family-centered, community-based interventions for people with stroke and other chronic illnesses. She is a Co-Investigator on a PCORI-funded research study to test a person-centered, community-based Emergency Department (ED) to Home transitional care intervention developed in partnership with a research team that includes former patients, family caregivers, social workers, ED physicians, staff of two local Area Agencies on Aging, and health services researchers. Dr. Lutz is a Fellow in the American Academy of Nursing, American Heart Association (AHA), and National Academies of Practice. She is a board member of the Association of Rehabilitation Nurses and is a co-author on a position paper on the transitional care needs for patients needing rehabilitation services and on AHA scientific statements on palliative care in stroke, risk adjustment for stroke, and best evidence on stroke caregiver interventions. She has also served as a member of the ANA Care Coordination Quality Measures Steering Committee and as a rehabilitation expert on the Joint Commission Technical Advisory Panel for Comprehensive Stroke Center Certification.
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.
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.
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.