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NR451: Caregiver Mediated Exercise In Stroke Patients (Essay Sample)


You are to create a Design for Change proposal. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. In the event you are not currently working as a nurse, please use a hypothetical clinical situation you experienced in nursing school, or nursing education issue you identified in your nursing program.


Caregiver Mediated Exercise in Stroke Patients
Your Name
Chamberlain College of Nursing
Term and Year
Caregiver Mediated Exercise in Stroke Patients
Stroke is one of the causes of the rising numbers of hospital readmission. As much as patient readmission is necessary for the health of the patient, there are other times when patient readmission becomes a challenge. Due to the long period that one stays at the facility, their treatment costs will also increase putting a financial strain on the family of the patient. In addition, the number of patients at the rehabilitation facility is large and it is difficult for the therapist or the nurse to pay attention to the needs of each of the patients. In his article, Petterson (2002) highlights that 32% of people who suffer from stroke and stay at home were inactive in terms of extended ADL. That means that the patient is at a higher risk of being readmitted to the hospital. Anderson also reveals that 25-30% of the total number of people who suffer from stroke die within the first year of the diagnosis while 60-70% die within 5 years after diagnosis. I propose the use of caregiver mediated exercises as a means of rehabilitating stroke patient since it is time-saving and cost-efficient.
Change Model Overview
The ACE Star Model of Knowledge Transformation is a tool that can be used in understanding the various types of knowledge that are utilized during evidence-based practice (EBP). The model also recognizes the various concepts in the field of healthcare that can be used in the improvement of healthcare in the world. As a nurse, it is important to use the model in bringing change to clinical practice since it recognizes the concepts that already exist in the field that you want to bring change as such, you can easily combine your ideas and evaluate the information that is available before coming up with the best strategy to change healthcare practices.
Define the Scope of the EBP
Stroke patients spend most of their time in rehabilitation centers. Spending more time in the rehabilitation centers increases the cost of treatment and hinders recovery of the patient. In a research done by the Journal of the American Geriatrics Society, it was discovered that at 6 months, patients who were put under inpatient rehabilitation facility took a longer period of time to show functional recovery (Kane, Q. Chen, Blewett, Burns, & Moscowitz, 1998).
The issue causes congestion in the healthcare facilities since the number of nurses that are available to take care of the patients is limited. Due to the slowed recovery of the patient, it can also lead to a rise in the number of death cases.
There will be different people who will help in the evaluation of the use of caregiver- mediated exercises as a recovery measure for patients who are suffering from a stroke. Each of the team members will play their role.
The team will be made up of a head nurse, the therapist, nutritionist, caregiver, and the stroke patient.
Responsibilities of Team Members
1 Head Nurse
Since the project is an idea of one of the nurses, then they will be in charge of the project. As the head nurse, all the team members will be reporting to you and you will also receive information on the progress of the patient.
At the end of the project, the head nurse will have to decide whether the mechanism was effective or not. If successive, then they will spread the Medicare service to the health facilities so as it can be implemented.
The team leader will also choose a team of staff who will help them and assign them roles. All the resources that are needed in the whole process are provided by the team leader.

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