Stroke Rehabilitation Unit Orientation Module 3: Monitoring for Vascular Risk Factors 1

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1. http://rnao.ca/bpg/guidelines/nursing-management-hypertension

Essential Resources

Stroke Network

Stroke Rehabilitation Unit OrientationModule 3: Monitoring for Vascular Risk Factors2

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LEARN THE SIGNS OF STROKE

is it drooping?

can you raise both?

is it slurred or jumbled?

to call 9-1-1 right away.

ACT BECAUSE THE QUICKER YOU ACT, THE MORE OF THE PERSON YOU SAVE.

© Heart and Stroke Foundation of Canada, 2014

Nursing Assessment

Core Knowledge

Stroke Rehabilitation Unit Orientation Module 3: Monitoring for Vascular Risk Factors 3

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Nursing Intervention

Self-Management

Stroke Rehabilitation Unit OrientationModule 3: Monitoring for Vascular Risk Factors4

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Core Knowledge

Nursing Assessment

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Non-modifiable Modifiable Lifestyle and behavioural• • •

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Nursing Intervention

Self-Management

Core Knowledge

Stroke Rehabilitation Unit OrientationModule 3: Monitoring for Vascular Risk Factors6

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Nursing Assessment

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Canadian Physical Activity & Sedentary Behaviour Guidelines

Stroke Rehabilitation Unit OrientationModule 3: Monitoring for Vascular Risk Factors8

Nursing Assessment

Nursing Assessment

Core Knowledge

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Self-Management

Core Knowledge

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Nursing Assessment

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Self-Management

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Core Knowledge

Nursing Assessment

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Core Knowledge

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Reflection

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Self-Management

Stroke Rehabilitation Unit OrientationModule 3: Monitoring for Vascular Risk Factors14

Beck, J., Raabe, A., Szelenyi, A., Berkefeld, J., Gerlach, R., Setzer, M., & Seifert, V. (2006). Sentinel headache and the risk of rebleeding after aneurysmal subarachnoid hemorrhage. Stroke Journal of the American Heart Association, 37, 2733-2737.

Brain Aneurysm Foundation. (n.d.). Understanding: Aneurysm complications. Retrieved from http://www.bafound.org/aneurysm-complications

Canadian Society for Exercise Physiology. (2012). Canadian Physical Activity & Sedentary Behaviour Guidelines. Retrieved from http://www.csep.ca/CMFiles/Guidelines/CSEP_Guidelines_Handbook.pdf

Coutts, S. & Wein,T., on behalf of the Prevention of Stroke Writing Group. (2014). Prevention of stroke. In M.P. Lindsay, G. Gubitz, M. Bayley, & E.E. Smith (Eds.) on behalf of the Canadian Stroke Best Practices and Advisory Committee. Canadian stroke best practice recommendations (Chapter 2). Ottawa, ON: Heart and Stroke Foundation. Retrieved from http://www.strokebestpractices.ca/index.php/prevention-of-stroke/

Hanger, H., Wilkinson, T., Fayez-Iskander, N., & Sainsbury, R. (2007). The risk of recurrent stroke after intracerebral haemorrhage. Journal of Neurology, Neurosurgery & Psychiatry with Practical Neurology, 836-840.

Harvard University (2013). 8 things you can do to prevent a stroke. Retrieved from http://www.health.harvard.edu/womens-health/8-things-you-can-do-to-prevent-a-stroke

Heart and Stroke Foundation. (2015). Chapter 2 – Body Structure (Physical) . In Taking Action for Optimal Community and Long-Term Stroke Care: A Resource for Heatlhcare Providers. Toronto, ON: . Retrieved from http://www.strokebestpractices.ca/wp-content/uploads/2016/01/TACLS- Chapter-2-Body-Structure.pdf

Heart and Stroke Foundation (2014). Stroke signs. Retrieved from http://www.heartandstroke.com/ site/c.ikIQLcMWJtE/b.3483937/k.86D8/Stroke__Stroke_signs.htm?utm_ campaign=offline&utm_source=fast&utm_medium=vanity

Hopper, D. (n.d.). Cardiac emergencies. Retrieved from http://www.hopperinstitute.com/cardiac-emergenc-emt/

Huff, J. S. (2014). Stroke differential diagnosis - Mimics and chameleons. [Lecture notes]. Retrieved from http://www.uic.edu/com/ferne/pdf2/aaem_sanfransisco_0302/huff_mimic_aaem_ sanfransisco_0302.pdf

Jausch, E. & Stettler, B. (2015, July 30). Ischemic stroke differential diagnoses. Retrieved from http://emedicine.medscape.com/article/1916852-differential

National Heart Lung and Blood Institue. (2014, Sept. 18). What is atrial fibrillation? Retrieved from http://www.nhlbi.nih.gov/health/health-topics/topics/af/

Registered Nurses’ Association of Ontario. (2004). Best practice guideline for the subcutaneous administration of insulin in adults with type 2 diabetes [Revised 2009 supplement enclosed]. Toronto, ON: Author. Retrieved from http://rnao.ca/sites/rnao-ca/files/BPG_for_the_ Subcutaneous_Administration_of_Insulin_in_Adults_with_Type_2_Diabetes.pdf

Stroke Rehabilitation Unit Orientation Module 3: Monitoring for Vascular Risk Factors 15

Registered Nurses’ Association of Ontario. (2005a). Nursing management of hypertension [Revised 2009 supplement enclosed]. Toronto, ON: Author. Retrieved from http://rnao.ca/bpg/guidelines/nursing-management-hypertension

Registered Nurses’ Association of Ontario. (2005b). Stroke assessment across the continuum. Toronto, ON: Author. Retrieved from http://rnao.ca/sites/rnao-ca/files/Stroke_Assessment_Across_the_Continuum_of_Care.pdf

Registered Nurses’ Association of Ontario. (2011). Stroke assessment across the continuum: Guideline supplement. Toronto, ON: Author. Retrieved from http://rnao.ca/sites/rnao-ca/files/storage/related/7708_STROKE_Supplement_FA.PDF

Stone, J.A., Fitchett, D., Grover, S., Lewanczuk, R., & Lin, P. Vascular protection in people with diabetes. In Canadian Diabetes Association Clinical Practice Guidelines Expert Committee. (2013). Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada (Chapter 22). Canadian Journal of Diabetes, 37(suppl 1):S100-S104. Retrieved from http://guidelines.diabetes.ca/browse/Chapter22

Tang, C., Zhang, T.S., & Zhou, L.F. (2014, June 9). Risk factors for rebleeding of aneurysmal subarachnoid hemorrhage: A meta-analysis. PLOS ONE, 9 (6), 1-6. Retrieved from http://www.plosone.org/ article/fetchObject.action?uri=info:doi/10.1371/journal.pone.0099536&representation=PDF

Turschner, O., Ritshcer, G., Simon, H., Rittger, H., Brachmann, J., & Sinha, A.M. (2010). Criteria for patient selection in cardiac resynchronization therapy. Future Cardiologist, 6(6), 871-880.