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Topic:

Stroke research critique. Literature & Language Essay

Essay Instructions:

Details:

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.



PICOT Statement



Revise the PICOT statement you wrote in the Topic 1 assignment.



The final PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).



Research Critiques



In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.



The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.



Refer to "Research Critique Guidelines." Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Essay Sample Content Preview:

Stroke Research
Name
Institution
Stroke Research
Cerebral vascular accident or stroke is one of the major causes of debilitating diseases and death across the world. Stroke occurs as a result of the interruption of the brain's blood supply. Even though certain people may be able to survive this disease, they may never be able to function normally in certain areas such as: difficulty with speech, seeing, the capacity of memory function and/or eating and passing their food. The best intervention for stroke patients that can help them regain their full bodily functions include prompt recovery based rehabilitation and “usual care therapy (Laver et al., 2013)”. There is a need to determine the best way to initiate rehabilitation for those with stroke. The study sought to determine the best intervention methods that could be used for people that have stroke between early rehabilitation impairment-based therapy and the usual care (UC) therapy.
The goal of the study was to provide active interventions for people that have had a stroke to result in an improvement in body, cognitive, and communication functions. The study also aimed at influencing how to eradicate concerns associated with tandem obstructions in people who experienced an ischemic stroke, in addition to appraising the satisfaction of people with outpatient recovery techniques. The resources that were used to achieve these goals comprise of: the systematic assessments used for cardiovascular disease being more operational than the adaptable risk assessment.
Literature Review
Among the patients with “acute ischemic stroke”, tandem occlusion is their greatest challenge (Mbabuike et al., 2017). However, the authors argue that the best approach for managing tandem occlusion among “acute ischemic stroke” patients is the anterograde approach with proximal to distal revascularization and retrograde approach with distal to proximal revascularization. In a separate study conducted by Rangel-Castilla et al., 2017), the researchers established that it is possible to achieve better recanalization rates in treatments of tandem occlusion especially by mechanical thrombectomy and several acute carotid artery concurrently. Further the authors argued that most people use aspiration and “proximal-to-distal” approaches because they are feasible, efficacious, and safe.
Dababneh et al. (2012) established that tandem occlusion of the “cervical internal carotid artery (ICA)” and the “middle cerebral artery (MCA)” are possible to treat successfully using “multimodality approach of intravenous thrombolysis followed by extracranial ICA angioplasty and intracranial mechanical thrombectomy”. Rice et al. (2017), argue that goal-setting can impact stroke recovery positively during rehabilitation. When patients have the chance to participate in the formulation of gaols, they can ensure that the goals that are set for them are relevant to their situation and the results can be better and amazing. As a result, they can have better stroke recovery. Dyakova et al. (2015) argue stroke events can happen suddenly, especially among those in the middle ages and without medical care, they can be fatal. The researchers further argue that CVD is the largest cause of premature deaths.
Tererehabilitation as an Intervention Mechanism
Laver et al. (2012) developed unsystematic measured trials to help the telerehabilitation of a people that were carefully chosen from the “Cochrane Stroke Group Trials Register” amongst other scientific databases on the stroke illness. They incorporated a contrast of the effectiveness of telerehabilitation and in person recovery to be able to conclude which was most effective. The usage of the two distinct autonomous assessors confirmed the eradication of prejudice in the research by concentrating on the information that was extracted and the conditions for including the studies that were held in the assessment. Laver et al. (2012) have also guaranteed that the studies consistency and legitimacy are maintained through the application of other previous studies that were conducted on the identical subject within the last five years.
Relying on significant data from older research, they placed emphasis on ensuring that the resources delivered the fundamental frameworks used to have an answer for the study question. Additionally, Laver et al. (2012) delivered their assessment of literature through the usage of examination that compared and inspected differences and similarities concerning the weaknesses through observed information. This method of trusting appropriate principles for choosing the references for this study includes the portrayal of the measurements and processes of decisions to be able to accomplish the kind of outcome that they did. These principles heightened the operational worth of the “Cochrane Collaboration tool” for protecting against any prejudice in any research.
Laver et al. (2012) initiated a majority of the research assessed by the team and found that they were limited in their approach to assessing the contrast concerning the effectiveness of telerehabilitation and face to face recovery of people that had suffered through a stroke. What was also found was that a significant portion enclosed outcomes that were selective, which led to a inconsistency in the studies comparisons and interventions. The allegation of this type of concealment of allocation is that it made them unsuitable for annexation in this research study on the effectiveness of telerehabilitation and it being cost effective in the treatment of an acute ischemic stroke. Laver et al. (2012) clarified that discoveries were made in most studies which were limited to people in the long-lasting stage after their occurrence of a stroke. The insinuations of this type of research to the nursing field are that its conclusion would add to the ...
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