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This document summarizes a study investigating early predictors of functional outcomes in acute stroke patients at Mosul Teaching Hospital. The study aims to identify variables predictive of functional outcome after stroke. It reviews standardized clinical measurements used to assess impairment and disability after stroke. Specifically, the study seeks to obtain biomechanical parameters and assessment scores from the early post-stroke phase that best predict long-term functional outcome, and to evaluate how changes in these values over the first week relate to predictive ability. The literature review covers definitions of stroke, epidemiology, pathophysiology, types of stroke, risk factors and prevention, diagnostic studies, interprofessional care, and nursing management of stroke patients.
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A stroke, also known as a brain attack, occurs when blood flow to the brain is interrupted, depriving brain cells of oxygen and nutrients. There are two main types of stroke - ischemic, caused by a blood clot blocking an artery, and hemorrhagic, caused by a burst blood vessel in the brain. Symptoms vary depending on the affected brain region but may include weakness, numbness, trouble speaking, and vision issues. Stroke is a leading cause of death and disability worldwide.
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- Stroke is a leading cause of disability and impacts functions like mobility, speech, and cognition.
- Exercise can help improve outcomes after stroke by increasing fitness, mobility, and brain function.
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Finally, the document discusses using both methods together in a single study to gain a more comprehensive understanding of a problem. It provides examples of nursing issues that could be addressed through these research approaches.
lecture_4_3.ppt
The document outlines the key steps in the scientific research process, including identifying a research question, forming a hypothesis, conducting research, analyzing results, and drawing conclusions. It discusses 12 specific steps that guide research, including identifying the research question, reviewing literature, formulating a hypothesis, collecting and analyzing data. The research question is the foundation, and can be descriptive, examine relationships, or test for differences. Variables, including independent, dependent, and extraneous variables, are also defined.
عرض تقديمي بلا عنوان914148697071446156.pptx
This document discusses hypotheses in research studies. It defines a hypothesis and explains their purposes, including guiding research design and statistical analysis. Hypotheses can be classified in various ways, such as simple vs complex, directional vs nondirectional, and causal vs associative. The null hypothesis predicts no relationship while the research hypothesis states an expected relationship. Guidelines are provided for developing testable hypotheses and critiquing them in research reports.
coma-160807185638.pdf
This document discusses the evaluation and management of comatose patients. It emphasizes performing ABCs (airway, breathing, circulation) initially and evaluating for life-threatening issues. It describes assessing pupils, blood pressure, glucose, and using the Glasgow Coma Scale to evaluate level of consciousness. Causes of coma like head injuries, liver failure, diabetes, and renal failure are reviewed. Treatment focuses on addressing the underlying cause and supporting vital functions.
coma-160120004419.pdf
This document discusses the neural basis of consciousness and provides definitions for different levels of altered mental status including coma. It describes the anatomy related to mental status including the ascending reticular activating system, cerebral hemispheres, and their interaction. Coma is defined as a state of unconsciousness with absent sleep-wake cycles. The Glasgow Coma Scale is used to assess the severity of impaired consciousness. Various approaches for differential diagnosis of an unresponsive patient are outlined. Causes of coma including cerebrovascular disease, subarachnoid hemorrhage, brain tumors, hypotension, and raised intracranial pressure are described. A detailed neurological examination of a comatose patient is also discussed.
coma-141120124411-conversion-gate02.pdf
This document discusses the approach to patients presenting in a coma. It defines coma as a state of unresponsiveness where patients cannot be aroused even with vigorous stimulation. It describes various stages between alertness and coma. Coma is caused by dysfunction of the brainstem or both hemispheres of the brain. A thorough assessment is needed to determine the cause and guide management, including a neurological exam to identify any focal signs. Key aspects of the exam include vital signs, pupil response, eye movements, motor response and reflexes. Different patterns on exam can localize the lesion causing the coma. Immediate life-saving interventions are also often needed.
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- 1. Introducti on Rational Objectiv es Literature view Literature view Thank you Early Predictors Functional Outcomes in Acute Stroke Patient’s at Mosul Teaching Hospital Supervised by :- Dr. Saad Hussein Murad Assistant Professor Prepared by :- Mustafa Ismaeel Saadoon Postgraduate Students
- 2. Introduction Rational Objectiv es Literature view Literature view Thank you Stroke occurs every 40 seconds in the United States and is the leading cause of long-term adult disability. Severity of stroke can vary depending both on the stroke subtypes and the individual patients. According to the World Health Organization, 15 million people suffer strokes each year, the second leading cause of death (5.8 million) and the third leading cause of disability worldwide.
- 3. Introduction Rational Objectiv es Literature view Literature view Thank you The World Health Organization (WHO) definition of stroke from the 1970s is the following: “Rapidly developing clinical signs of focal or global disturbance of cerebral function, lasting more than 24 hours or leading to death, with no apparent cause other than of vascular origin”. Patients with symptoms resolving within 24h are denoted as suffering from a transient ischemic attack (TIA).
- 4. Introducti Rational Objectiv es Literature view Literature view Thank you This study investigates the methodological quality of prognostic studies in the early poststroke phase for functional outcome to identify variables that are predictive or not predictive for functional outcome after stroke in Nineveh province.
- 5. Introducti Rational Objectiv es Literature view Literature view Thank you To obtain biomechanical parameters and assessment scores applied at a very early stage after stroke that predict best the functional outcome after stroke. To evaluate the predictive value of changes (i.e., increase or decrease) of these parameters during the first week in relation to the predictive value of their absolute scores. Review the available standardized clinical measurements for assessing impairment and/or disability following stroke. Identify predictive factors in functional outcomes of stroke patients.
- 7. Introducti Rational Objectiv es Literature view Literature view Thank you Risk Factors & Prevention Diagnostic Studies Interprofessi onal Care Nursing Management Previous Study