Stroke continues to be a leading cause of acquired disability, especially among older people, and can have a major effect on independent living. Stroke is one of the leading causes of death and disability in India. The estimated adjusted prevalence rate of stroke range, 84-262/100,000 in rural and 334-424/100,000 in urban areas. The incidence rate is 119-145/100,000 based on the recent population based studies. There is also a wide variation in case fatality rates with the highest being 42% in Kolkata.
The concept of pain and its management was not at all a priority till the recent past. Pain was just a part of some pathological conditions or trauma. But after the development of medicine and research evidences pain is no more a less important aspect. The new concept is to consider pain as the fifth vital sign. Knowing and documenting the level and intensity of pain in a patient is helpful for the healthcare providers to detect any signs of abnormality or deterioration at the earliest and thereby treat it to attain the patient safety and comfort to the fullest.
Well, we all know that Nurses are not just “ Nurses”, doing their routine nursing procedures like dressing, administering medications, giving bed bath, performing venepuncture but they have multiple roles such as counselor, teacher, advocate, translator and many more. They have to communicate with everyone whom so ever they deal with in relation with patients. Thus, it is very significant for Nurses to be the best communicators.
Nursing Science is an identifiable discrete body of knowledge comprising paradigms, frameworks and theories. The integration of nursing theories into practice demonstrates an evolutionary pathway for introducing a paradigm shift in the essence of the science of nursing. Patient safety and quality initiatives as well as magnet status continue to mandate that nurses practice from a framework of professionalism. A sound evidence based practice advances the overall nursing administration too. Nurse leaders guided by a conceptualized practice have an opportunity to transform health care.
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