In the united states who are vulnerable to stroke

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in the United States who are vulnerable to stroke attacks and its potentially life-threatening consequences and sequelae. Stroke has been identified as the 5 th prominent disorder leading numerous death cases and severe disability in adults in the US. These disabilities can render people unable to work, with multiple bills from medications and health services. It has been assessed that stroke costs the United States around $34 billion every year (CDC 2017). In Miami-Dade County, the rate of stroke related deaths from 2014 to 2016 for all adults aged thirty-five were 72.22 per every 100000 (CDC stroke statistics 2017) or almost 1 in every 1000. With an estimation of 30,000 to 70,000 cases of in-hospital strokes in America annually, the lifespan direct and indirect costs of these ailments would be around $5 to $11 billion (Siegler & Martin-Schild 2015).
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Uhealth Towers (a division of University of Miami Health System) was cited for issues of non-compliance and inadequate documentation and assessment procedures for stroke patients (Fig.1). Although the nurses’ documentation doing a neurological assessment for their patients had been improved to 100% completed in the computer EHR (Fig.2), the patient outcomes and actual physical assessments were not congruent with the documentation. During a recent visit from The Joint Commission (TJC), the current documentation of Glasgow coma scales and extremity strength was deemed not up to standard of care for stroke assessment. Furthermore, there is no formal education or training in place at UHealth Towers for nurses to meet current TJC and American Stroke Association (ASA) recommendations for assessment and monitoring. Additionally, the lack of an appropriate scale for evaluation has made it difficult for Nurses to effectively assess for and recognize in-hospital stroke. Consequently, In-hospital stroke mortality rate is higher than top 10% of all hospitals and length of stay is also increased in comparison (Fig.3).
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  • Summer '16
  • Me
  • ischemic stroke, term in-hospital stroke, InHospital Ischemic Stroke

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