Nursing care of the hemiplegic stroke patient / Freda Myco.

Bibliography: p246-251. _ Includes index.

Introduction:- The size of the problem--What is stroke?--Clinical manifestations--Hemisphere-related minifestations--1. Nursing Management during the Acute Phase:- Introduction--Maintaining vital bodily processes--Observations and recordings--Minimizing functional loss--Minimizing sensory loss and psycho-social deprivation--Preliminary nursing assessment--2. The Rehabilitation Phase:- Introduction--Mental barriers to rehabilitation--Home or hospital--3. Nursing Management of posture and mobility:- Some aspects of kinnesiology--The concept of exercise therapy--The environment and mobility--Transferring the patient from bed to chair--Standing--Subluxation of the shoulder joint--Walking--Stairs and stand-up exercises--The role of occupational therapist--Dressing--Travel and social contact--4. Nursing Management of Nutrition:- Assessing food requirements--Assessing the patient's appetite--Important nutrients in the stroke patient's diet--Problems associated with obtaining, cooking and presenting food--Feeding the patient--Food and socialization--5. Nursing Management of Elimination:-Introduction--Nursing assessment--Micturition--Incontinence--Defaecation and constipation--Nursing management of the incontinent patient--6. Nursing Management of Personal Hygiene:-Introduction--Care of the skin--Care of the hair and nails--7. Nursing Management of sleep and rest:-Introduction--What are circadian rhythms?--The stages of sleep--The effects of sleep deprivation--Insomnia--Nursing assessment of sleep disorders--Nursing management for the promotion of sleep--8. Nursing Management of Communication:- Introduction--Some aspects of communication--Language disturbance in stroke--Historical aspects of speech disorder--Classification of aphasia--Nursing assessment of aphasia--Management of therapy--9. Religion and mystical experience--The concept of suffering--Sharing and spiritual dependency--The role of the chaplain--10. Nursing Management of Leisure and Employment:- Concepts of leisure and free time--Promoting social activity-- Employment--11. Nursing Management of Sexuality:- Sexuality and ageing--Counselling.

This book details the nurse's role in caring for the stroke patient, both in hospital and the community. It deals with the basic epidemiology, aetiology and clinical manifestations of stroke, stroke recovery and long-term rehabiliative care.