10/27/2024
Michigan Department of Health and Human Services
Michigan Department of Attorney General
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2018 Jan 1.
Rethinking Recovery: Incorporating Holistic Nursing Perspectives in Post-Stroke Care
Abstract
Stroke is a life changing experience. Current treatments focus on treating the condition, rather than the whole person.
The goal of this report is to communicate the benefits of a holistic approach to the treatment and recovery of stroke.
Our intent is to begin a conversation to transform our approach to stroke care to focus on the whole person, body, mind and spirit.
Wellness approaches are fiscally responsible ways of providing holistic care for patients and their family members to help them achieve optimal individualized recovery.
Very few multidimensional programs for wellness exist for stroke and brain injury patients.
Given the changes in healthcare and the call to action set forth in the Institute of Medicine's 2010 report, it would behoove us to consider holistic approaches to stroke care and research programs.
Nurses are uniquely positioned to implement multidisciplinary, innovative holistic approaches to address solutions for issues in stroke care.
WELLNESS is a critically important area of stroke care and an opportunity for research.
As both patient advocates and nurses with personal experiences, we hope this commentary stimulates conversation around developing and testing multi-dimensional holistic programs of wellness for stroke prevention, treatment, and recovery.
NURSE are uniquely positioned to implement multidisciplinary, innovative holistic approaches to address solutions for issues in stroke care.
Wellness is a critically important area of stroke care and an opportunity for research.
As both patient advocates and nurses with personal experiences, we hope this commentary stimulates conversation around developing and testing multi-dimensional holistic programs of wellness for stroke prevention, treatment, and recovery.
Keywords: stroke recovery, clinical science, rehabilitation, wellness
Brief Description of the Challenge
Stroke, also known as cerebrovascular accident (CVA) can have lasting, debilitating effects. Although stroke mortality rates are declining, the incidence of stroke is steadily increasing, with a projected doubling by 2030 as Baby Boomers enter their older adult years.1, 2 Since more people are surviving their stroke, efforts to reduce stroke-related disability will become increasingly more important to offset the associated rise in medical costs. Few medical conditions are capable of drastically impacting everyday life alterations as an acute stroke, and therefore the current model of recovery primarily focuses on medical stabilization.
Although healthcare and research teams have addressed the physical implications of stroke, few initiatives have incorporated a holistic, individualized interdisciplinary perspective of post-stroke recovery and wellness care for survivors and their caregivers. The current healthcare model often leaves bewildered patients and their caregivers in a vulnerable position as they try to cope with the unfamiliar, multifaceted, and often isolating realities of post-stroke life. Once the patient has returned home, stroke patients and their families are often burdened by a complete restructuring of their daily lives. Therefore, it is imperative the healthcare team consider a broader model of care to optimize stroke recovery and wellness.
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