1. Nursing Standards for Adult Stroke Patients
Jane Greene
Nurse Consultant for Older People
Southern Health and Social Care Trust
N. Ireland

2. Background NIMAST 1998 NIMAST Lead Nurses 2002
RCP Evidences Based Guidelines
Scottish Stroke Competencies
Skills for Health
Stroke Units-evolved without planning
Skilled AHPs/Medics

3. NSF Older People 2001
Standard 5 tasks Trusts to develop stroke services in line with best evidence. With the aim : “To reduce the incidence of stroke in the population and ensure that those who have had a stroke have prompt access to integrated stroke care services”.

4. Process
18 Lead Nurses
3 facilitated consensus workshops held during spring/summer 2006 to agree the following:
The format and layout of the standards
The different types and levels of evidence to be used
The responsibilities of individual group members
Consultation process
Next steps

5. Standards
3 Key Areas
Skills and knowledge required to provide skilled nursing care for patients following stroke
Nursing care specific to stroke: meeting physical care needs
Nursing care specific to stroke: meeting psychological, emotional and communication needs.

6. Section 1 Skills and Knowledge
Common Effects of Stroke
Specialist Care for Patients Following Stroke
Immediate Effects of Stroke
Nursing Management of the Adult Patient Following Stroke
Reducing The Risk of Stroke
Rehabilitation

7. Section 2 Meeting Physical Care Needs
Moving and Handling the Patient Following Stroke
Care of the Stroke Affected Side
Loss of Consciousness
Care of the Dying
Promoting Urinary Continence
Promoting Urinary Continence: the use of urinary catheters
Promoting Faecal Continence
Care of the Patient Wearing Anti Embolism Stockings
Prevention of Pressure Ulcers
Dysphagia
Nutrition
Oral Hygiene

8. Section 3 Psychological, emotional and communication needs.
Visual Changes
Communication
Safety
Thinking Processes
Emotions
Behavioural Changes

9. Consultation 6 weeks Nursing in 5 countries Stroke nursing Education
Commissioning at Board and Dept level
Lobbying at Dept level

10. Responses ”highly relevant to nurse clinicians”
“this is a great piece of work”
“could be used as an educational
resource”
“I think you all have to be congratulated”

11. Consultation Phase 2 Multidisciplinary colleagues in stroke RQIA
User Rep
NICHS
Departmental Standards and Guidelines Unit

12. Next Steps Amend following phase 2 consultation-July 2007 Publication
Partnership with RCN re learning resource
Implementation Plan
Performance Management

13. Nursing Standards for Adult Stroke Patients
Jane Greene
Nurse Consultant for Older People
Southern Health and Social Care Trust
N.Ireland