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Management of Catastrophic Stroke Marie Rusnak, RNEC, MSN-NHS-GNG Site Cami D’Uva ACNP-HHSC-HGH Site Johanne Hayes,Nurse Educator GIM St. Joseph’s Leigh Barr, Speech-Language Pathologist BA M.Sc  HHSC-HGH Site
What is Catastrophic Stroke? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Management Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Indicators of Poor Outcome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MCA Sign
Normal/Effacement
Clinical Indicators of Poor Outcome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Brain Swelling ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Indicators of Poor Outcome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Indicators of Poor Outcome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Indicators of Poor Outcome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Indicators of Poor Outcome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Indicators of Poor Outcome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thalamic/Subdural Hemorrhage
Clinical Indicators of Poor Outcome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Indicators of Poor Outcome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Indicators of Poor Outcome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Research-Clinical Indicators ,[object Object],[object Object]
ISSUES THINGS TO CONSIDER ….. ,[object Object],[object Object],[object Object],[object Object]
Decisions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Decision Making Bias ,[object Object],[object Object],[object Object],[object Object],[object Object]
Suggestions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Feeding ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Aspiration pneumonia and the tube ,[object Object],[object Object],[object Object],[object Object],[object Object]
Secretion management and the tube ,[object Object],[object Object],[object Object],[object Object]
Infections ,[object Object],[object Object],[object Object]
Tubes for Palliative Care ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Working Through It………
Recognizing your Values ,[object Object],[object Object],[object Object],[object Object]
What are your values? ,[object Object],[object Object],[object Object]
But the family values……? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why can’t the family  understand what we are saying? ,[object Object],[object Object],[object Object],[object Object]
Delivering bad news ,[object Object],[object Object],[object Object],[object Object],[object Object]
The return of primitive reflexes after neurological damage ,[object Object],[object Object],[object Object],[object Object],[object Object]
Caring for the Grieving Family ,[object Object],[object Object],[object Object],[object Object],[object Object]
How do I help them decide ,[object Object],[object Object],[object Object],[object Object],[object Object]
Other Points to Help With Managing the Situation….  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Developing a Plan of Care Inclusions and Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FINI ,[object Object]
References ,[object Object]

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  • 1. Management of Catastrophic Stroke Marie Rusnak, RNEC, MSN-NHS-GNG Site Cami D’Uva ACNP-HHSC-HGH Site Johanne Hayes,Nurse Educator GIM St. Joseph’s Leigh Barr, Speech-Language Pathologist BA M.Sc HHSC-HGH Site
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