Stroke Care: A Practical Manual

by Rowan H. Harwood, Farhad Umer Huwez, Paul Guyler, Sajid Alam, Catherine Gaynor

Overview

Stroke is common, complicated to manage, and a major health concern worldwide. However, evidence shows that thorough and organized care from teams of health professionals on stroke units leads to substantially fewer deaths and better recovery than other types of care.

For all the members of the stroke team, including doctors, nurses, stroke co-ordinators, physiotherapists, occupational therapists, and speech and language therapy members, this handbook provides a holistic approach to the care of patients with transient ischemic attacks (TIA) and stroke. It covers the wide range of knowledge and skills needed to tackle problems that may lead up to, or follow on from a stroke, and follows the course of a patient's 'journey' from diagnosis to life at home, incorporating recent changes in the field of stroke medicine, including the latest clinical trials.

For this new edition, practice recommendations have been fully updated in light of the evidence supporting prevention (including early intervention and DOACs), acute care (in particular, thrombectomy and the role of hyperacute stroke units), rehabilitation, and long-term care. Chapter 5 'Neuroimaging in stroke' has been expanded to include new technical developments and the book includes a brand new chapter on cognitive impairment.

Product Details

ISBN-13:	9780198796565
Publisher:	Oxford University Press
Publication date:	06/23/2023
Series:	Oxford Care Manuals
Edition description:	3rd ed.
Pages:	400
Product dimensions:	6.60(w) x 3.90(h) x 1.10(d)

About the Author

Rowan H. Harwood, Consultant Physician, Nottingham University Hospitals, Nottingham, UK,Farhad Umer Huwez, Consultant Stroke Physician, Hyper-acute Stroke Unit, Royal London Hospital, London, UK,Paul Guyler, Clinical Director; Consultant in Stroke Medicine, East of England Regional Stroke Network; Mid and South Essex University Hospitals Group, Southend University Hospital, Essex, UK,Sajid Alam, Consultant in Stroke Medicine, East Suffolk and North Essex NHS Foundation Trust, Ipswich Hospital, UK,Catherine Gaynor, Consultant Geriatrician, Nottingham University Hospitals NHS Trust, Nottingham, UK

Rowan H Harwood is a Consultant Geriatrician and Professor in geriatric medicine at the University of Nottingham. Particular interests include stroke, delirium, dementia, clinical ethics and end-of-life care. He is Editor-in-Chief of the journal 'Age and Ageing', and co-chairs the WHO Technical Advisory Group for monitoring the UN Decade of Healthy Ageing.

Dr Farhad Huwez (PhD, FRCP, FRCPG) is a Consultant Stroke Physician at Hyperacute Stroke unit of Royal London Hospital where a large number of Mechanical Thrombectomy procedures are done regularly. Previously he led Stroke Service in Basildon. Initially, he trained in Cardiology and obtained a PhD from Glasgow University. He subsequently completed specialist training in General and Geriatrics Medicine and is visiting Professor of
Geriatrics in New Vision University at Tbilisi Georgia.

Dr Paul Guyler is a Consultant in Stroke Medicine and Clinical Director for the East of England Regional Stroke Network. He is Deputy Associate Dean for Undergraduate Education at Southend Hospital and an Honorary Visiting Senior Clinical Lecturer with Anglia Ruskin University. He has also been Principal Investigator in many NIHR trials of stroke research. He has been awarded multiple awards, including two Health Service Journal Awards for Delivering Quality and Value and Service Redesign.

Sajid Alam trained at the Barts and London School of Medicine. He is the clinical lead for stroke services at Ipswich Hospital. He has championed the use for remote technology in stroke with the Mobile Stroke Unit and virtual stroke consultations.

Dr Catherine Gaynor is a Consultant Geriatrician and Nottingham University Hospitals NHS Trust, Nottingham, UK.

Table of Contents

1. Is it a stroke? 2. What to do in the first few days3. The first two weeks4. Subarachnoid haemorrhage5. Neuroimaging in stroke6. Making difficult decisions7. End-of-life care8. Rehabilitation9. Hospital discharge10. Preventing strokes and other vascular events11. Outcomes and prognosis12. Longer-term problems and their management13. Cognitive impairment after stroke

Editorial Reviews

Reviewer: Madeline Russell, MD (Thomas Jefferson University)
Description: This pocket-sized book is an accessible guide to the diagnosis and management of patients with ischemic and hemorrhagic strokes. It is clearly organized to address the typical course of post-stroke care and provide guidance on how to navigate challenging scenarios, such as complicated thrombolytic decisions or end-of-life conversations after large strokes.
Purpose: The purpose of the book is to serve as a practical cross-reference manual for health practitioners caring for stroke patients in hyperacute, acute, rehabilitative, and outpatient settings. For ease of on-demand reference, the book is succinct, but still includes relevant evidence to support its recommendations.
Audience: The audience is broad and includes anyone who cares for stroke patients at any point in the acute or post-acute setting, particularly those who work on a designated stroke unit. It also outlines key features of stroke units and rehabilitation centers helpful for healthcare settings that specifically lack the expertise or are seeking to expand their offerings for stroke patients. Published by authors in the U.K., the book notes that there are some differences in legality and governing bodies that are apparent, though not obtrusive.
Features: The book chronicles stroke care from early presentation through diagnosis, treatment, workup, rehabilitation, and follow up. The section on presentation includes a list of red flag symptoms that would direct one away from a stroke diagnosis, as well as a table of common stroke mimics with key differentiating features. Similar succinct and informative tables are scattered throughout the book and address other important topics, including key history and exam features for stroke, such as various brainstem strokes, when thrombolytics are and are not indicated in certain borderline lab/history situations, the role of patent foramen ovales in stroke and utility in their closure, and the likelihood of long-term recovery for various stroke symptoms. In addition to these easily referenceable graphics, the sections that specifically address acute nursing care and rehabilitative needs of patients make this book unique and useful to different healthcare providers.
Assessment: This stroke manual clearly meets its goal of serving as a reference for healthcare providers of variable experience who care for stroke patients, in addition to being well organized and designed. It is useful and compact enough to carry in a white coat pocket and will easily become a staple among individuals specializing in stroke care or those who want to further improve their care of stroke patients, especially (but not limited to) providers in the U.K.

Doody's Review Service

"This stroke manual clearly meets its goal of serving as a reference for healthcare providers of variable experience who care for stroke patients, in addition to being well organized and designed. It is useful and compact enough to carry in a white coat pocket and should easily become a staple among individuals specializing in stroke care or those who want to further improve their care of stroke patients, especially (but not limited to) providers in the U.K." — Madeline Russell, MD (Thomas Jefferson University)

From the Publisher