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Canadian Journal of Neuroscience Nursing

Susan Alcock, Jo-Ann V Sawatzky
Time is brain has been heard echoing in the world of acute stroke since the early nineties. At that time, the use of intravenous recombinant tissue plasminogen activator (rt-PA) revolutionized the approach to treating acute ischemic stroke. However, the use of rt-PA is strongly time dependant, with a narrow window of opportunity of only 4.5 hours. There is also convincing scientific evidence of a significant relationship between time to rt-PA treatment and patient outcomes. Similar to rt-PA in the '90s, time sensitive endovascular therapy has transformed the treatment of acute stroke...
October 2016: Canadian Journal of Neuroscience Nursing
Clémence Dallaire, Martine Dallaire, Lucille Juneau, Sandrine Hegg-Deloye
INTRODUCTION: This study originated from patients' demands that they be better informed and that their meningioma diagnosis be considered serious. Meningioma are brain tumours that represent about 30% of all primary brain tumours. In 90% of the cases, they are non-cancerous. The objective was to identify whether educational intervention by nurses would have a positive impact on transition. METHOD: The study lasted 12 months and included two groups: intervention and control...
2016: Canadian Journal of Neuroscience Nursing
Wilma J Koopman, Nicole LeBlanc, Sue Fowler, Michael W Nicolle, Denise Hulley
UNLABELLED: Myasthenia gravis significantly impacts quality of life. However, the relationship between hope, coping, and quality of life (QOL)in myasthenia patients has not been studied (Kulkantrakorn & Jarungkiatkul, 2009; Raggi et al., 2010). OBJECTIVE: The aim of this study was to explore the relationship between hope, coping, and quality of life in adults with myasthenia gravis. DATA COLLECTION: Subjects with MG (n = 100) completed six questionnaires, including a demographic profile, the Myasthenia Gravis Activities of Daily Living Scale (MG-ADL), Herth Hope Index (HHI), Jalowiec Coping Scale (JCS), Myasthenia Gravis Quality-of-Life Scale (MG-QOL15), and Short Form Health Survey (SF-36v2)...
2016: Canadian Journal of Neuroscience Nursing
Brenda Sabo, Grace Johnston
UNLABELLED: Reports highlight the growing unmet need for palliative care as it applies to all cancers, yet the system and health care professionals (HCP) appear slow to respond. The following discussion paper highlights the current state of palliative care within the context of the primary malignant brain tumour (PMBT) population and argues for a shift in the current health care system's approach, which continues to place greater emphasis on cure over care. METHODS: An exploration of extant literature over the past 10 years...
2016: Canadian Journal of Neuroscience Nursing
Cheryl Ross, Cath Rogers, Diane Duff
Critical ethnography is a qualitative research method that endeavours to explore and understand dominant discourses that are seen as being the 'right' way to think, see, talk about or enact a particular 'action' or situation in society and recommend ways to re-dress social power inequities. In health care, vulnerable populations, including many individuals who have experienced neurological illnesses or injuries that leave them susceptible to the influence of others, would be suitable groups for study using critical ethnography methodology...
2016: Canadian Journal of Neuroscience Nursing
Antonio Galán Cabrera, Milagrosa Casares Peña, Khaled Mahmoud Abd Elaziz, Mohamed Farouk Allam
BACKGROUND: Recently, a new test (Cuetos-Vega) was developed to detect patients with early symptoms of Alzheimer's disease (AD). This test is rapid, simple and could diagnose patients at early phases of cognitive disorders. The aim of our follow-up study is to evaluate the sensitivity, specificity and predictive values of this test in primary health care (PHC) facilities. METHODS: We obtained from our database of La Rambla (village with +/- 8,000 habitants at South Cordoba Health District) the list of asymptomatic independent patients between 66 and 75 years old...
2015: Canadian Journal of Neuroscience Nursing
Catherine-Anne Miller
Glioblastoma Multiforme (GBM) is the most common primary brain malignancy in humans and has a limited survival (median of 14.6 months). The goal of treatment is supportive rather than curative. Patients with a GBM struggle with uncertainty related to the illness trajectory. This uncertainty is compounded when possible progression is noted on imaging. Pseudoprogression (PsP) is an early treatment-related effect where there are apparent imaging changes suggesting progression, which then improve or stabilize through time...
2015: Canadian Journal of Neuroscience Nursing
Diane Duff
This article focuses on working as a collaborative in conducting research. A common recommendation for those who want to get started in scholarly work is to collaborate with a team of like-minded individuals as part of an interest group. As researchers, we all have personal agendas in undertaking research. We need to reflect on the following: our own agendas; being honest with ourselves, and our research teammates; ensuring that our aims are not mutually exclusive or detrimental to the aspirations of our colleagues and students; and on the ethical conduct of the research work itself...
2015: Canadian Journal of Neuroscience Nursing
Jessie Johnson, Gilly Smith, Anne Wilkinson
This study explored the culture of one interdisciplinary rehabilitation team in British Columbia (BC), Canada, to identify the specific client, clinical, and family factors considered by team members when determining post-hospital discharge placement. The study took the form of an ethnography of a health care team on a stroke unit of a Canadian hospital using observations of the interdisciplinary rehabilitation team meetings and follow-up interviews with team members. The findings from the study indicate post-hospital discharge destination decisions were influenced by specific social, economic, and policy factors; specific types of interactions among members of the team; and the condition of stroke survivors, and the ability and willingness of the patient's family to contribute to home care...
2015: Canadian Journal of Neuroscience Nursing
Theresa Green, Andrew Demchuk, Nancy Newcommon
INTRODUCTION: Decompressive hemicraniectomy, clot evacuation, and aneurysmal interventions are considered aggressive surgical therapeutic options for treatment of massive cerebral artery infarction (MCA), intracerebral hemorrhage (ICH), and severe subarachnoid hemorrhage (SAH) respectively. Although these procedures are saving lives, little is actually known about the impact on outcomes other than short-term survival and functional status. The purpose of this study was to gain a better understanding of personal and social consequences of surviving these aggressive surgical interventions in order to aid acute care clinicians in helping family members make difficult decisions about undertaking such interventions...
2015: Canadian Journal of Neuroscience Nursing
Mina Singh, Michaela Hynie, Tiziana Rivera, Laura Macisaac, Annie Gladman, Abel Cheng
INTRODUCTION: Strokes will become an increasing burden on the Canadian health care and social systems in coming years. Caring for people who have experienced a stroke is a challenging issue. The Registered Nurses Association of Ontario (RNAO) developed Stroke Assessment Across the Continuum Best Practice Guidelines (BPGs) to support the best possible care for this population. This article reports the findings of an evaluation of the implementation of recommendations from the stroke BPGs using a Knowledge Transfer Team (KTT) at Mackenzie Health's Integrated Stroke Unit in Richmond Hill, Ontario...
2015: Canadian Journal of Neuroscience Nursing
Anny Laforme, Suzie Jubinville, Micheline Gravel, Patrick Cossette, Dang K Nguyen
We undertook a retrospective study of 5,189 telephone calls made between January 2004 and June 2011 through our adult epilepsy clinic hotline to a single epileptologist initially and two epileptologists from June 2010 onwards. The majority of calls were made by patients themselves (72%), followed by family members (16%) and health care providers (11%). Half of the calls originated from outside the city limits. Most were related to medication (25%), notification of seizures (23%), appointments or tests (12%), and side effects (9%)...
2014: Canadian Journal of Neuroscience Nursing
Brenda Clayton
The purpose of this paper is to explore the nurse's role in caring for adult stroke patients, both ischemic and hemorrhagic, who are clustered on general medical units. There is evidence in the literature that having patients cared for in a dedicated stroke unit improves patient outcomes by decreasing disability and mortality rates for stroke survivors. However having a dedicated stroke unit may not be practical or feasible because of the population distribution, particularly for smaller urban and rural communities...
2014: Canadian Journal of Neuroscience Nursing
Andrea R Fisher
This study developed evidence-based clinical practice guidelines for the urinary continence care of adult stroke survivors in acute and rehabilitation settings. The research team conducted a comprehensive review of the literature on urinary continence interventions and outcomes. The team then developed a set of recommendations outlined in the resulting clinical practice guidelines titled Clinical Practice Guidelines (CPGs) for the Urinary Continence Care of Stroke Survivors in Acute and Rehabilitation Settings...
2014: Canadian Journal of Neuroscience Nursing
Brenda Sabo
From the time of diagnosis of a primary malignant brain tumour (PMBT) and throughout the illness trajectory, the patient and intimate partner face many psychosocial challenges ranging from fear and uncertainty to hope and loss (Fox & Lantz, 1998; Janda et al., 2007; Kvale, Murthy, Taylor, Lee, & Nabors, 2009). While many patients diagnosed with cancer may go on to live with cancer as a chronic illness, this may not be said of individuals diagnosed with a PMBT, in particular those diagnosed with a glioma, the most common form of brain tumour (Gupta & Sarin, 2002)...
2014: Canadian Journal of Neuroscience Nursing
Tara Bergner
Sleep and rest are fundamental for the restoration of energy needed to recuperate from illness, trauma and surgery. At present hospitals are too noisy to promote rest for patients. A literature search produced research that described how quiet time interventions addressing noise levels have met with positive patient and staff satisfaction, as well as creating a more peaceful and healing environment. In this paper, a description of the importance of quiet time and how a small butfeasible innovation was carried out in an adult neuroscience step down unit in a large tertiary health care facility in Canada is provided...
2014: Canadian Journal of Neuroscience Nursing
Lianne Longo, Serena Slater
Being diagnosed with a metastatic brain tumour can be devastating as it is characterized by very low cure rates, as well as significant morbidity and mortality. Given the poor life expectancy and progressive disability that ensues, patients and family members experience much turmoil, which includes losses that bring about changes to family roles, routines and relationships. Crisis and conflict are common during such major disruptions to a family system, as individual members attempt to make sense of the illness experience based on cultural and spiritual beliefs, past experiences and personal philosophies...
2014: Canadian Journal of Neuroscience Nursing
Cindy Hartley
No abstract text is available yet for this article.
2014: Canadian Journal of Neuroscience Nursing
Patrice Lindsay, Theresa Green
No abstract text is available yet for this article.
2014: Canadian Journal of Neuroscience Nursing
Emily Bell, Eric Racine
BACKGROUND: The acquisition of knowledge and application of critical thinking skills are required to tackle the clinical and ethical dimensions of new approaches and technologies. Health care trainees rely partly on their training to manage, reason and reflect on the ethical uncertainties of innovations and new technologies. Deep brain stimulation (DBS) is neurosurgery involving the implantation of electrodes into deep brain nuclei and is approved for Parkinson's disease and other motor disorders...
2013: Canadian Journal of Neuroscience Nursing
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