presented by Barbara Lutz
Each year an estimated 970,000 people in the U.S., and 15 million people globally, have a stroke. Stroke is a major cause of life-long disability. In order to address the needs of stroke survivors and their family caregivers it is critical to implement a family-centered approach to care. This course focuses on understanding the issues and concerns of stroke survivors and their family caregivers during stroke recovery and rehabilitation, from acute care to home. Dr. Barbara Lutz discusses examples of evidence-based models of stroke recovery. She describes health care system gaps that contribute to these issues and potential interventions. Evidence-based strategies for assessing and addressing the needs of stroke survivors and their family caregivers 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.
In the first chapter of this course, Dr. Barbara Lutz describes the prevalence of stroke in the U.S. and globally, and its impact on stroke survivors and family caregivers. Participants will understand the significance of stroke as a life-changing illness.
This chapter compares and contrasts different models of stroke recovery and identifies salient components in each model. Dr. Barbara Lutz highlights critical decision points in the recovery trajectory and discusses application of the models to practice.
This chapter explores the needs of stroke survivors and their family caregivers. Dr. Barbara Lutz identifies common post-discharge needs of stroke patients and caregivers, including the “post-discharge crisis” and complications of the transition home.
The final chapter of this course covers future intervention strategies. Dr. Barbara Lutz describes interventions that promote the well being of the stroke survivor and family caregiver across the continuum of care. She presents recent evidence that suggests interventions can improve stroke survivors longer than six months after their stroke, and leaves the participant with final thoughts regarding the needs of family members.