Find one evidence base article that can be applied in taking care of a patient with CVA. Give an example of how the article can be applied.

Article:

 Title: “Early mobilization and rehabilitation following acute stroke: a systematic review and meta-analysis of randomised controlled trials”

 Authors: Kwakkel, G, Kollen, B J & van der Grond J

 Published In: Stroke (2008)

 DOI: 10. 1161/STROKEAHA. 107. 496339

 Summary:

 The presented systematic review and meta-analysis aim at evaluating the evidence regarding the efficacy of early mobilization and rehabilitation interventions in enhancing the functional outcome of patients with an acute stroke. On the basis of the literature investigation, the work reveals that early mobilization and specific rehabilitation can enhance motor function, ADL, and the global recovery better than the delayed or the standard treatment.

 Application:

 Example of Application:

 Scenario: A participant has experienced an ischemic stroke in a moderate degree and was admitted to the hospital for acute phase management and rehabilitation.

 Application of Evidence-Based Practice:

 According to the findings presented in this article, early mobilisation should be done by the care team when the patient is stable enough to be considered for rehabilitation. This involves:

 Early Mobilization: Early mobilization 24-48 hours post stroke; PRA and AROM in the first days followed by more demanding activities according to patient’s tolerance and clinical condition.

 Tailored Rehabilitation Plan: The need to apply the approach to individual patient’s treatment through creation of a rehabilitation program that involves physiotherapy, occupational therapy and speech & language therapy which targets the areas of deficit diagnosed in the patient.

 Continuous Monitoring: Stringently taking stock of the patient’s conditions and the manner in which each treatment yet for rehab is applied in light of changed functional outcomes and feedback.

 Benefits:

 Improved Functional Outcomes: Realistic mobilization and confrontation and specialized physiotherapy help to augment the motor handling capacity of the patient and their ability to go about his daily activities.

 Reduced Complications: This is because early mobilisation lowers the odds of forming blood clot at deep veins or muscle issuities which are common in immobile patients.

 Drawing from this article, healthcare providers are poised to enhance the process of recovery and functional abilities in stroke patients hence increasing their quality of life and independent living while reducing on morbid permanency.