Eastwood ward

It is well documented that strokes are the 3rd largest cause of death in the U.K. as such the Government and the Department of Health are investing time and money into raising awareness and increasing the specialist stroke services that are available.

Strokes are caused by a disturbance of blood supply to the brain. The world health Organisation definition of a stroke is,

'a clinical syndrome consisting of rapidly developing clinical signs of focal disturbance of cerebral function lasting more than 24 hours or leading to death with no apparent cause other than vascular origin.'

There are two main types of stroke:

Ischaemic stroke: These are the most common and occur when a clot narrows or blocks a blood vessel reducing the oxygen supply to the surrounding cells resulting in the death of those cells.

Haemorrhagic stroke: These occur when a blood vessel bursts and blood leaks into the brain causing damage.

Transient Ischaemic Attacks (TIA): also known as a mini stokes are a major warning sign of stroke. The signs and symptoms of a TIA (Facial droop, weakness to arms and legs, slurred speech) are the same as these for a stroke but last for less than 24 hours. With the correct prophylactic treatment many people suffering from a TIA can be prevented from experiencing a full stroke.

Learning Opportunities

  • Care of the acute stroke patient

  • Care of the rehabilitation patient

  • NG/PEG insertion and care

  • Working within the multi-disciplinary team

  • Discharge planning

  • Stroke Clinic

  • Early Supportive Discharge Team

  • CT/MRI/Ultrasound scans

  • Thrombolysis

  • Working alongside Stroke Psychologist

  • Working alongside Research nurses

  • Family meetings/Discharge planning meetings

  • Assessing patients in the Emergency Department

  • NIHSS/ABCD2 assessments

Shift times:

Long Days (LD)     07:00 - 19:30

Mornings                07:00 - 14:30

Afternoons             13:30 - 21:00

Long Nights (LN)  19:00 - 07:30

The Students rota is planned in conjunction with their mentors shifts. You need to work a minimum of 40 % with your mentor. Nights are subject to negotiation. Only one student can be allocated onto nights at any one time.

Specific requests should be identified as early as possible as the rota is usually completed at least 4 weeks in advance. Any changes must be approved by the LEM or Matron.

LEM (Learning Environment Manager), Nicola Booth nicola.booth9@nhs.net or 01246 512344. Should you be absent for any reason please contact the ward and ask to speak to the nurse in charge. You must report your reason for absence and anticipated return date as well as contacting university. 

Information 

Total Anterior Circulation Strokes (TACS): Patients with this type of stroke exhibit 3 of the following features;

  • Unilateral weakness (and/or sensory deficit) of face, arms and legs.

  • Homonymous hemianopia

  • Higher cerebral dysfunction (Dysphasia, visuospatial disorder)

Partial Anterior Circulation Stroke (PACS): patients with this type of stroke exhibit 2 out 3 of the following;

  • Unilateral weakness (and/or sensory deficit) of face, arms and legs.

  • Homonymous hemianopia

  • Higher cerebral dysfunction (Dysphasia, visuospatial disorder)

Lacunar Stroke (LACS): patients with this type of stroke only exhibit one of the following features:

  • Unilateral weakness (and/or sensory deficit) of face, arms and legs.

  • Homonymous hemianopia

  • Ataxic hemiparesis

  • No evidence of higher cerebral dysfunction

Posterior Circulation Stroke (POCS):

  • Cerebellar or brain stem syndromes

  • Loss of consciousness

  • Isolated homonymous hemianopia

Staff you will work with on Eastwood ward;

Matron                 Sisters                 Nurses                   Healthcare Assistants                  Ward receptionists                      Nursing Associates

Social Workers           Physiotherapists             Dietitians               Occupational Therapists               Clinical Psychologists              Doctors

Research Nurses             Activities Coordinator             Infection Control               Speech and Language Therapists                 Pharmacists

The ward can facilitate 36 patients at any one time.

2 Hyper acute beds.                       14 Acute beds                              20 Rehabilitation beds.

The following graphic represents the nursing procedures that will be encountered in this placement area, according to the Annexe B section of the Future Nurse: Standards of proficiency for registered nurses (2018).

 

Green: Encountered frequently/daily

Amber: Encountered occasionally/rarely

Red: Never encountered

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