Stroke Management

Capstone Proposal Johnathan ArteagaGrand Canyon University
TOC \h \z \c "Figure"
Contents TOC \o "1-3" \h \z \u Background PAGEREF _Toc536740585 \h 3Problem statement PAGEREF _Toc536740586 \h 3Purpose of the change proposal PAGEREF _Toc536740587 \h 3PICOT Question PAGEREF _Toc536740588 \h 3Literature search strategy employed PAGEREF _Toc536740589 \h 3Evaluation of the literature PAGEREF _Toc536740590 \h 4Applicable change or nursing theory utilized PAGEREF _Toc536740591 \h 5A proposed implementation plan with outcome measures PAGEREF _Toc536740592 \h 6Identification of potential barriers to plan implementation PAGEREF _Toc536740593 \h 7Overcoming potential implementation Barriers PAGEREF _Toc536740594 \h 7
Background
Stroke is one of the leading causes of disability among patients in the United States. In most cases when the patients have had a stroke, they will be left with functional impairment or a severe disability that can affect their lives in different ways. In the world, there are 4.8 million stroke survivors, and about 1.1 million suffer lasting functional limitations (Hande & Ozgur, 2018. Various recovery and rehabilitation procedures have been put in place to make sure that the patients have recovered after they have had a stroke. As seen the severity of a stroke and its complications will play a role in determining the amount of time that the person will take to recover from the stroke. Stroke rehabilitation can help one to gain their independence and improve their quality of life.
Problem statement
Stroke is known to cause death or disability effects to its victims. This proposal raises the need to create solutions that eliminate fatalities resulting from stroke.
Purpose of the change proposal
The fact that stroke is known to cause death or adverse effects to the affected patients, then it creates the need to look for solutions to eradicate it. If not possible, then hospitals need to come up with ways of dealing with the associated side effects.
PICOT Question
Can the improvement of the healthcare accorded to stroke patients’ help in the reduction of the number of deaths associated with stroke within six months?
Literature search strategy employed
Various studies have shown that engaging in cardiovascular exercises improve the ability of thinking and muscle functioning. One of the common ways of approaching stroke rehabilitation is high-intensity interval training (HIIT). It is carried out by engaging in various cardiovascular activities which are then followed by rest. It aims to maximize the exercise intensity and also decreases the time that is spent on each of the training sessions. There are three types of HIIT. There is Short Interval HIIT that lasts for about 15-60 seconds and the rest time also lasts the same time. Low volume HIIT lasts for 10 to 60 seconds and an active recovery that is 2-4 times longer than the work period. Long interval HIIT is designed in such a way that patients spend much time on high-intensity bursts that last for 3-4 minutes and an active recovery period that lasts the same time as the work time (Winstein, Stein, & Arena, 2016).
Each of the trainers should spend adequate time with each of the patients and offer appropriate guidance. All the a...