Stroke Management
In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.
Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:
Background
Problem statement
Purpose of the change proposal
PICOT
Literature search strategy employed
Evaluation of the literature
Applicable change or nursing theory utilized
Proposed implementation plan with outcome measures
Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
Appendix section, if tables, graphs, surveys, educational materials, etc. are created
Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
TOC \h \z \c "Figure"
Contents TOC \o "1-3" \h \z \u Background PAGEREF _Toc536740585 \h 3Problem statement PAGEREF _Toc536740586 \h 3Purpose of the change proposal PAGEREF _Toc536740587 \h 3PICOT Question PAGEREF _Toc536740588 \h 3Literature search strategy employed PAGEREF _Toc536740589 \h 3Evaluation of the literature PAGEREF _Toc536740590 \h 4Applicable change or nursing theory utilized PAGEREF _Toc536740591 \h 5A proposed implementation plan with outcome measures PAGEREF _Toc536740592 \h 6Identification of potential barriers to plan implementation PAGEREF _Toc536740593 \h 7Overcoming potential implementation Barriers PAGEREF _Toc536740594 \h 7
Background
Stroke is one of the leading causes of disability among patients in the United States. In most cases when the patients have had a stroke, they will be left with functional impairment or a severe disability that can affect their lives in different ways. In the world, there are 4.8 million stroke survivors, and about 1.1 million suffer lasting functional limitations (Hande & Ozgur, 2018. Various recovery and rehabilitation procedures have been put in place to make sure that the patients have recovered after they have had a stroke. As seen the severity of a stroke and its complications will play a role in determining the amount of time that the person will take to recover from the stroke. Stroke rehabilitation can help one to gain their independence and improve their quality of life.
Problem statement
Stroke is known to cause death or disability effects to its victims. This proposal raises the need to create solutions that eliminate fatalities resulting from stroke.
Purpose of the change proposal
The fact that stroke is known to cause death or adverse effects to the affected patients, then it creates the need to look for solutions to eradicate it. If not possible, then hospitals need to come up with ways of dealing with the associated side effects.
PICOT Question
Can the improvement of the healthcare accorded to stroke patients’ help in the reduction of the number of deaths associated with stroke within six months?
Literature search strategy employed
Various studies have shown that engaging in cardiovascular exercises improve the ability of thinking and muscle functioning. One of the common ways of approaching stroke rehabilitation is high-intensity interval training (HIIT). It is carried out by engaging in various cardiovascular activities which are then followed by rest. It aims to maximize the exercise intensity and also decreases the time that is spent on each of the training sessions. There are three types of HIIT. There is Short Interval HIIT that lasts for about 15-60 seconds and the rest time also lasts the same time. Low volume HIIT lasts for 10 to 60 seconds and an active recovery that is 2-4 times longer than the work period. Long interval HIIT is designed in such a way that patients spend much time on high-intensity bursts that last for 3-4 minutes and an active recovery period that lasts the same time as the work time (Winstein, Stein, & Arena, 2016).
Each of the trainers should spend adequate time with each of the patients and offer appropriate guidance. All the above HIIT procedures should be carried out by a trainer. One of the conventional approaches to achieving this is by scheduling the sessions at different times. The schedules should not be against the preference of the patient as it may affect the outcome. Patients should also be told appropriate times of their training depending on their health condition (Jennifer, Marc, & Janice, 2018). The trainers should also assess the performance of the patient with a healthcare professional at the facility and learn whether they are improving. In most cases, there is poor communication between the trainer and the doctor hence desired results may fail to be achieved. Consultation with the doctor will ensure the exercises are in line with the treatment procedure (Hornby, Moore, & Lovell, 2016).
Evaluation of the literature
Research from the field of exercise physiology and motor learning indicate that skilled task performance can be greatly manipulated by the various training parameters involved in the physical rehabilitation process. Therefore, the study sought to identify the training rationale of some of the variables and the manner in which they are used in some of the studies that focus on the improvement of walking on patients that have been affected by a stroke (Hornby, Moore & Lovell, 2016). The study aimed to test the effectiveness of the virtual reality application for neuropsychological rehabilitation. This was done through the application of a cognitive training program to stroke patients using virtual reality (Gamito, Oliveira & Coelho, 2017).
The above issues focus on the given intervention measures that can be used to reduce the impacts of ...