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Acute Stroke Nursing

Jane Williams (Editor), Lin Perry (Editor), Caroline Watkins (Editor)
ISBN: 978-1-4051-6104-6
368 pages
March 2010, Wiley-Blackwell
Acute Stroke Nursing (1405161043) cover image


Stroke is a medical emergency that requires immediate medical attention. With active and efficient nursing management in the initial hours after stroke onset and throughout subsequent care, effective recovery and rehabilitation is increased. Acute Stroke Nursing provides an evidence-based, practical text facilitating the provision of optimal stroke care during the primary prevention, acute and continuing care phases.

This timely and comprehensive text is structured to follow the acute stroke pathway experienced by patients. It explores the causes, symptoms and effects of stroke, and provides guidance on issues such as nutrition, continence, positioning, mobility and carer support. The text also considers rehabilitation, discharge planning, palliative care and the role of the nurse within the multi-professional team. Acute Stroke Nursing is the definitive reference on acute stroke for all nurses and healthcare professionals wishing to extend their knowledge of stroke nursing.

  • Evidence-based and practical in style, with case studies and practice examples throughout
  • Edited and authored by recognised stroke nursing experts, clinicians and leaders in the field of nursing practice, research and education
  • The first text to explore stroke management from UK and international perspectives, and with a nursing focus
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Table of Contents


Editors and Contributors

1 Setting the scene(Caroline Watkins and Michael Leathley)


Stroke epidemiology

Stroke policy

Stroke management strategies

Research and education



2 Developing stroke services: a key role for nursing and nurses (Christopher R. Burton)


Service development

The nursing contribution to stroke services

The political agenda shaping stroke service development



3 What is a stroke? (Anne W. Alexandrov)


Stroke development processes

Risk factors for stroke

Anatomy, physiology and related stroke clinical findings

Standardised instruments for acute neurological assessment



4 Acute stroke nursing management (Anne W. Alexandrov)


Priorities in acute stroke management

Hyperacute stroke management

Acute stroke management



5 Nutritional aspects of stroke care (Lin Perry and Elizabeth Boaden)


Do stroke patients experience nutritional problems pre-stroke?

How does stroke affect dietary intake?

How can stroke patients be helped to maintain adequate

dietary intake?



6 Promoting continence (Kathryn Getliffe and Wendy Brooks)


Bladder problems and urinary incontinence

Bowel problems and bowel care



7 Management of physical impairments post-stroke (Cherry Kilbride and Rosie Kneafsey)



Moving and handling people with stroke

Therapeutic positioning and seating in the acute phase

Promoting early mobilisation

Falls prevention

Restoration and re-education of movement

Management of the upper limb

Further rehabilitation strategies and novel developments

Patients’ perspective on mobility rehabilitation



8 Communication (Jane Marshall, Katerina Hilari and Madeline Cruice)


Communication impairments caused by stroke

Language minorities

The role of the speech and language therapist in acute stroke care

Psychosocial issues and quality of life



9 Mood and behavioural changes (Peter Knapp)


Psychological reactions to the onset of stroke



10 Minimally responsive stroke patients (Elaine Pierce and Aeron Ginnelly)


Definitions and identification

Minimally responsive state

‘Locked-in’ syndrome



11 Rehabilitation and recovery processes (Jane Williams and Julie Pryor)


Initiation of rehabilitation

Outcomes of rehabilitation

Recovery processes

Transfer to rehabilitation

Rehabilitation provision



12 Stroke and palliative care: a difficult combination? (Christopher R. Burton and Sheila Payne)


Palliative care

Relevance of palliative care to stroke

Organisational challenges



13 Reducing the risk of stroke (Peter Humphrey, Jo Gibson and Stephanie Jones)


Primary prevention

Secondary prevention: identifying those at risk of stroke

Public awareness and access to services

Secondary prevention of stroke in less common aetiologies

and patient groups



14 Longer-term support for survivors and supporters (Louise Brereton and Jill Manthorpe)


Leaving hospital

What is required longer term?

What do carers want?



15 Stroke resources for professionals, patients and carers (Graham Williamson)

National associations

Resources for patients and carers

Other resources and organisations

Specialist international journals

Non-specialist journals’ stroke collections

Clinical practice guidelines

Finding current stroke research

Evidence-based practice resources

Chapter links


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Author Information

Jane Williams is Consultant Nurse in Stroke Care, based in Portsmouth Hospitals NHS Trust, UK. She has been involved in many national working parties, including the National Stroke Strategy, UK Forum for Stroke Training, and UK Stroke Forum. Jane is member of The Stroke Association research awards committee. A founder member of the National Stroke Nursing Forum, Jane undertook a term of office as chair.

Lin Perry is Professor of Nursing Research and Practice Development, University of Technology, Sydney and the Northern Hospitals Network, South Eastern Sydney and Illawarra Area Health Service. A member of the Intercollegiate Stroke Working Party in the UK, the National Stroke Foundation Guidelines Working Party and Stroke Services New South Wales in Australia, she has extensive experience with national guideline development, benchmarking, service review and evaluation.

Caroline Watkins is Professor of Stroke and Older People's Care at the University of Central Lancashire, UK. As a member of the Vascular Team at the Department of Health, she is working to implement the National Stroke Strategy, and leads the development of the new UK Forum for Stroke Training. Caroline is the president of the Society for Research in Rehabilitation and on the Steering Group of the National Stroke Nursing Forum.

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The Wiley Advantage

  • Evidence-based and practical in style, with case studies and practice examples throughout

  • Edited and authored by experienced and expert clinicians and leaders in the field of nursing practice, research and education

  • The first UK text to explore stroke management from a nursing perspective
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"Although aimed at acute stroke services, this book provides a good basis for members of the multidisciplinary team, especially all medical and neuroscience nurses . . . This book will be applicable to healthcare professionals for many years." (Primary Health Care, 1 July 2011)

"This will certainly be the first place I turn for future stroke-related technique." (Nursing Older People, 1 November 2010)

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