ontario stroke network professional stroke ......01/04/2013 overview the ontario stroke network’s...
TRANSCRIPT
ONTARIO STROKE NETWORK PROFESSIONAL
STROKE EDUCATION INVENTORY
April 1st, 2013
TABLE OF CONTENTS
Page
1.0 Overview of OSN’s Professional Stroke Education Inventory……………………....5
2.0 Acute Neurological Assessment………………………………………………………………………6
2.1 NIHSS Workshop Toolkit
2.2 CNS Teaching Package
2.3 Stroke RN Pocket Guide
3.0 Aerobic Exercise………………………………………………………………………………………………7
3.1 FAME
3.2 Guidelines for Community-Based Exercise Programs
4.0 Aphasia…………………………………………………………………………………………………………….8
4.1 Communication Poster
4.2 Video on Communication
4.3 Communication Tools: Communicative Access and SCA™
4.4 Aphasia Institute’s Health Care Resources
4.5 Aphasia Institute’s Health Care Professional Development
5.0 Cognition………………………………………………………………………………………………………….11
5.1 Cognition & Perception Poster
5.2 Educational Video on Cognition
6.3 Tips & Tools for Everyday Living: section 5
6.4 Cognitive disorders on EBRSR
6.5 Montreal Cognitive Assessment (MoCA©) website
6.6 Montreal Cognitive Assessment (MoCA©) Training DVD
6.7 MoCA© Review on StrokEngine Assess
6.0 Community Reintegration………………………………………………………………………………14
6.1 Brain, Body & You Workshop Series
6.2 Heart and Stroke Living with Stroke Program ™
6.3 “Let’s Talk about Stroke” Guide
6.4 Timing it Right Framework
6.5 MOST: Moving on after Stroke Program
6.6 “Getting on with the Rest of Your Life” booklet
6.7 Tips & Tools for Everyday Living: Leisure and Recreation chapter
6.8 Meaningful Activity Poster
7.0 Depression……………………………………………………………………………………………………..18
7.1 Patient Health Questionnaires (PHQ-2) (PHQ-9)
7.2 Depression Assessment Tool for Older Adults
7.3 Post-Stroke Depression Poster
8.0 Driving…………………………………………………………………………………………………………….20
8.1 Driving After Stroke: Patient/Family Information
9.0 Dysphagia………………………………………………………………………………………………….…..21
9.1 Heart and Stroke Foundations variety of Resources
9.2 Screening Tools: a review
9.3 Making Feeding Safer Poster
9.4 Educational Video: Meal Assistance and Hydration
10.0 Hemiplegic Arm and Hand………………………………………………………………………….….23
10.1 SCORE recommendations: Management of Arm and Hand
10.2 SCORE recommendations: Management of Shoulder Pain
10.3 SCORE recommendations: Range of Motion and Spasticity
10.4 Constraint Induced Movement Therapy (CIMT)
10.5 GRASP: Graded Repetitive Arm and Hand Supplementary Program
10.6 Hemiplegic Arm Protocol
11.0 INTRO to STROKE Resources……………………………………………………………….……….26
11.1 Stroke Nursing Training Modules
11.2 Hemispheres Stroke Competency Series – e-learning
11.3 Educational Video: Recognize and React to Signs and Symptoms
11.4 Stroke Prevention and Care Poster
12.0 Interdisciplinary Learning Resources…………………………………………………….………28
12.1 Interprofessional Learning Objectives for Stroke
13.0 Mobility, Lower Extremity and Balance…………………………………………………………29
13.1 SCORE recommendations for Lower Limb and Gait: Gait
13.2 SCORE recommendations for Lower Limb and Gait: Mobility and
Transfer Skills
13.3 SCORE recommendations for Lower Limb and Gait: Spasticity
13.4 Strength Training on StrokEngine website
13.5 Safe Seating Poster
13.6 Educational Video: Mobility
14.0 Pediatric Resources…………………………………………………………………………………….…32
14.1 Family Guide to Paediatric Stroke
14.2 Parenting Fact Sheets
15.0 Perception/Neglect…………………………………………………………………………….……….…33
15.1 Perception Assessments described at Stroke Engine Assess
15.2 Educational Resources on Stroke Engine Intervention
15.3 Sunnybrook Neglect Assessment Protocol (SNAP)
15.4 Cognition & Perception Poster
15.5 Educational Video: Cognition, Perception & Behaviour
16.0 Stroke Prevention and Health Promotion……………………………………………………37
16.1 Self Management Toolkit: A Resource for Health Care Providers
16.2 Stroke Prevention Best Practice Toolkit
16.3 Blood Pressure Poster
16.4 CHEP Recommendations
16.5 DASH Diet
16.6 Sodium 101
16.7 Secondary Stroke Prevention Model
16.8 Blood Pressure Toolkit
16.9 Recommendations for the Management of Hypertension - Assessment
17.0 “Stroke Units”……………………………………………………………………………………….……42
17.1 A Guide to Organizing Acute Stroke Care
18.0 TIA………………………………………………………………………………………………………………43
18.1 TIA section on Heart and Stroke Foundation website
18.2 Triage Tool: Assessment of Patients Presenting with TIA
19.0 Telestroke……………………………………………………………………………………………………44
19.1 Telestroke Referring Site Toolkit
20.0 Transitions……………………………………………………………………..………………………....44
20.1 Managing Stroke Care Transitions
21.0 Recommended Websites ……………………………………………………………………………45
01/04/2013
OVERVIEW The Ontario Stroke Network’s (OSN) Professional Stroke Education Inventory is a repository of tools, resources and programs that support
health care professionals working in stroke care.
There are many sources of information related to stroke care. This Inventory organizes resources in alphabetical order in a pdf–formatted
document. It is hoped that this list can transition into a web-based document to enable more frequent updates, changes, additions and be
user-friendly at the same time.
OSN’s Ontario Regional Education Group (OREG) developed this new Inventory during 2011-12 after a review of the previous edition (Heart
and Stroke Foundation’s Prof Ed Atlas previously available on the HSF
website). OREG acknowledges the collaborative input from the Heart and Stroke Foundation (HSF) that was received during this process.
Items on the new Inventory are recognized resources, tools and
programs that are in line with the Canadian Best Practice Recommendations for Stroke Care which are published at
www.strokebestpractices.ca. OREG recognizes that many regions have valuable tools, resources and programs that may deserve to be
included in the Inventory and, as such, we expect the list to grow in 2012-13 and beyond. As more resources become available for certain
aspects of stroke care, the Inventory will also become more comprehensive.
The Inventory is not expected to be a fait accomplis but rather a “work
in progress”. OREG will review suggested additions to the Inventory on
a regular basis. OREG will continue to identify gaps and find and/or develop resources to fill those gaps for select stroke care topics.
Expected users of the Professional Stroke Education Inventory include
planners, administrators, educators, and direct providers of stroke care across the continuum, within the Ontario Stroke System.
Access the Inventory by visiting www.ontariostrokenetwork.ca
Acute Neurological Assessment
NIHSS: National Institute of Health Stroke Scale Workshop Resources
Description/Date Developer/Owner Access and Target User/Learner
National Institute of Health Stroke Scale Workshop TOOLKIT (Online, 2008) This is a three-hour workshop package developed to train front line staff to perform the National Institute of Health Stroke Scale. It will provide practice with simulated patients and you are able to use simulations on the training DVD to assess interrated reliability. Resources include the NIH Stroke Scale Booklet, NIH Stroke Scale Pocket Cards, Documentation Forms, NIHSS Coordinator’s Package, NIHSS Speaker’s Package and a Powerpoint presentation.
Heart and Stroke Foundation Ontario Stroke Network Canadian Stroke Network
Access: Heart and Stroke Foundation
http://www.heartandstroke.on.ca/site/c.pvI3IeNWJwE/b.5385175/k.C9B7/HCP__National_Institutes_of_Health_Stroke_Scale_Workshop_2008.htm Target: Front-line health care professionals involved in hyper-acute and acute stroke care.
CNS: Canadian Neurological Scale Workshop Resources
Description/Date Developer/Owner Access and Target User/Learner
Canadian Neurological Scale Teaching Package (Online, 2004) This package contains tools to help offer a half day CNS workshop. Tools include a CNS reference card and CNS coordinator and speaker packages (sample agenda, powerpoint, etc).
Heart and Stroke Foundation Ontario Stroke System
Access: Heart and Stroke Foundation http://www.heartandstroke.on.ca/site/c.pvI3IeNWJwE/b.5385163/k.5CDC/HCP__Canadian_Neurological_Scale_CNS.htm Target: Front-line care providers involved in hyper-acute and acute stroke care.
Aerobic Exercise
Stroke Nurse Pocket Guide
Description/Date Developer/Owner Access and Target User/Learner
Stroke Nurse Pocket Guide (Print, 2010) A booklet of resources including Stroke Symptoms, Functions of the Brain, Cranial Nerves, Canadian Neurological Scale and National Institute of Health Stroke Scale.
Heart and Stroke Foundation Ontario Stroke System
Access: Order online, free of charge, in English and French at Heart and Stroke Foundation http://www.heartandstroke.on.ca/site/c.pvI3IeNWJwE/b.5852913/k.AC4B/Order_Resources/apps/ka/ct/contactcustom.asp Target: Front-line health care professionals involved in stroke care across the continuum.
FAME: Fitness and Mobility Exercise Program
Description/Date Developer/Owner Access and Target User/Learner
FAME (2008) This is a community-based exercise program developed for people with stroke and who have some standing and walking ability. It has been shown that this program improves mobility, cardiovascular fitness and arm and hand function. A physical therapist or occupational therapist instructs the patient in the program to then complete independently. It is important to note that better outcomes
Developed in Vancouver, Canada by Janice Eng (PhD, PT/OT) with invaluable assistance from Andrew Dawson (MD, FRCP), Daniel Marigold (PhD) and Marco Pang (PhD, PT). Funding was provided from the Heart and Stroke Foundation of BC and Yukon.
Access: An instruction manual can be downloaded from the University of British Columbia website at: http://neurorehab.med.ubc.ca/fame/ Target: PT, OT, Assistant Staff, Nurses and other care providers.
Aphasia
are achieved if the patient has family, friends or a caregiver who can assist with the program.
Guidelines for Community Based Exercise Programs for People with Stroke Description/Date Developer/Owner Access and Target
User/Learner
This document is intended to help exercise providers deliver safe and effective exercise programs to stroke survivors in a variety of community settings.
Developed by the Guidelines for Community Based Exercise Programs for People with Stroke Working Group and endorsed by the Ontario Stroke Network (October 2010) Website: http://www.ontariostrokenetwork.ca/landing.php
Access: http://www.ontariostrokenetwork.ca/pdf/Stroke_Guidelines_-_October14_2010_final.pdf Target: Exercise providers working with stroke survivors in a variety of community settings.
Communication Poster Description/Date Developer/Owner Access and Target
User/Learner
A 3-panel poster is based on the Communication section of the Tips & Tools for Everyday Living: A Guide for Stroke Caregivers (Heart and Stroke 2010). This poster provides the opportunity to review critical learning points in a highly visual way.
Stroke Network of Southeastern Ontario (2011)
Access: http://strokenetworkseo.ca/public/uploadedfiles/Communication_v3%20final%20Jan%202011.pdf Target: Front-line care providers caring for stroke survivors and other complex patient populations with cognitive and perceptual challenges.
Educational Video: Communication
Description/Date Developer/Owner Access and Target User/Learner
This is video #2 of a 6-part video series designed to complement the popular sections of the Tips & Tools for Everyday Living: A Guide for Stroke Caregivers (Heart and Stroke, 2010). This video focuses on communication.
Stroke Network of Southeastern Ontario (2006)
Access: http://strokenetworkseo.ca/profedvideos Target: Front-line providers caring for stroke survivors across the continuum of care.
Communication Tools: Communicative Access and SCA™
Description/Date Developer/Owner Access and Target User/Learner
Programs and tools that are designed to provide health care professionals with the essentials of Supported Conversation for Adults with Aphasia (SCA™).
Aphasia Institute Ph: (416) 226-3636 Email: [email protected] Website: www.aphasia.ca
Access: http://www.aphasia.ca/health-care-professionals/communicative-acceess-sca/ Target: Health Care Professionals working with stroke survivors across the continuum of care.
Aphasia Institute’s HCP Resources
Description/Date Developer/Owner Access and Target User/Learner
The Aphasia Institute offers resource materials such as manuals, workbooks, videos and books to help people with aphasia communicate more effectively with those around them.
Aphasia Institute Ph: (416) 226-3636 Email: [email protected] Website: www.aphasia.ca
Access: http://www.aphasia.ca/health-care-professionals/hcp-resources/ Target: Health Care Professionals working with stroke survivors across the continuum of care.
Aphasia Institute’s Health Care Professional Development
Description/Date Developer/Owner Access and Target User/Learner
The Aphasia Institute offers training workshops for health care professionals on how to apply SCA™ techniques in clinical situations.
Aphasia Institute Ph: (416) 226-3636 Email: [email protected] Website: www.aphasia.ca
Access: http://www.aphasia.ca/health-care-professionals/ai-training/ Target: Health Care Professionals working with stroke survivors across the continuum of care.
Cognition
Cognition and Perception Poster
Description/Date Developer/Owner Access and Target User/Learner
This 3-panel poster is based on the “Cognition and Perception” sections of the tips & Tools for Everyday Living: A Guide for Stroke Caregivers (Heart and Stroke 2010). This poster provides the opportunity to review the possible effects a stroke can have on cognition and perception and what the health care provider can do to help.
Stroke Network of Southeastern Ontario (2012)
Access: http://strokenetworkseo.ca/public/uploadedfiles/Cognitive%20Perception%202012%20PD%20mar%2015%20FINAL.pdf Target: Front-line care providers caring for stroke survivors and other complex patient populations with cognitive and perceptual challenges.
Educational Video: Cognition, Perception and Behaviour Problems
Description/Date Developer/Owner Access and Target User/Learner
This is video #4 of a 6-part video series designed to complement the popular sections of the Tips & Tools for Everyday Living: A Guide for Stroke Caregivers (Heart and Stroke, 2010). This video focuses on cognition, perception and behaviour changes related to stroke.
Stroke Network of Southeastern Ontario (2006)
Access: http://strokenetworkseo.ca/profedvideos Target: Front-line providers caring for stroke survivors across the continuum of care.
Tips & Tools for Everyday Living (2010)
Description/Date Developer/Owner Access and Target User/Learner
Tips & Tools for Everyday Living: A Guide for Stroke Caregivers (2010) is designed to provide the practical knowledge and skills needed by the people who provide daily care to stroke survivors. This includes care providers who visit people in their homes, provide care in long-term care facilities and others working in day programs and other community settings. The program is designed to be taught as a whole or in individual sections, depending on the need.
Heart and Stroke Foundation
Access: http://www.heartandstroke.on.ca/site/c.pvl3leNWJwE/b.6194819/k.FEB1/Tips_and_Tools_2010.htm Manuals are available to order, free of charge, in English and French. Power Point slides are available for each chapter. Target: Front-line stroke care providers in a variety of settings.
Cognitive Disorders at Evidence-Based Review of Stroke Rehabilitation
Description/Date Developer/Owner Access and Target User/Learner
The Evidence-Based Review of Stroke Rehabilitation (2010) is a comprehensive and up-to-date review examining both therapy-based and pharmacological interventions associated with stroke rehabilitation.
Dr. Robert Teasell (MD, FRCPC) and team
Access: http://www.ebrsr.com/reviews_details.php?Cognitive-Disorders-and-Apraxia-5 Target: Rehabilitation Professionals
Montreal Cognitive Assessment (MoCA©) Website
Description/Date Developer/Owner Access and Target User/Learner
The MoCA© is a cognitive screening test designed to assist Health Care Professionals for detection of mild cognitive impairment. Access the test, instructions, MoCA© news, normative data and references at this website.
Dr. Z. Nasreddine Email: [email protected]
Access: http://www.mocatest.org Target: Health Care Professionals working with stroke survivors across the continuum of care.
Montreal Cognitive Assessment (MoCA©) Training DVD
Description/Date Developer/Owner Access and Target User/Learner
Dr. Nasreddine and Pfizer Canada Inc. developed a training DVD/Package for the MoCA©.
Dr. Z. Nasreddine Email: [email protected] Contact your local Pfizer Representative
Access: Contact your local Pfizer Representative Target: Health Care Professionals working with stroke survivors across the continuum of care.
Community Reintegration
StrokEngine Assess: Montreal Cognitive Assessment (MoCA©) Review
Description/Date Developer/Owner Access and Target User/Learner
StrokEngine Assess is for clinicians and offers a detailed review of over 60 assessment tools useful in stroke rehabilitation. StrokEngine Assess has been created by a group of experts in stroke rehabilitation. Information is provided from quality scientific articles, websites and systematic reviews.
MoCA© Review Authors: Lisa Zeltzer (MSc, OT), Katie Marvin (MSc, PT Candidate) MoCA© Review Editors: Nicol Korner-Bitensky (PhD, OT), Elissa Sitcoff (BA, BSc)
Access: http://strokengine.ca/assess/module_moca_intro-en.html Target: Health Care Professionals working with stroke survivors across the continuum of care.
Brain Body & You Workshop Series
Description/Date Developer/Owner Access and Target User/Learner
This 5-session interprofessional, continuing education workshop series is based on the "Tips & Tools for Everyday Living: A Guide for Stroke Caregivers" (Heart and Stroke, 2010).
This continuing education program can be easily individualized by selecting the particular module(s) needed to meet the identified learning needs. It may be offered within existing academic settings or in other educational settings such as the workplace. Each of the 5 modules are 4 hours in length. The module topics include:
St. Lawrence College Stroke Network of Southeastern Ontario (2008)
Access: http://www.heartandstroke.on.ca/site/c.pvI3IeNWJwE/b.5385233/k.18A1/HCP__The_Brain_Body_and_You_Workshop_Series.htm Target: Regulated and unregulated frontline care providers caring for stroke survivors and other complex client populations in the community, long-term care and other care settings.
1. Stroke Care - Prevention to Life After a Stroke
2. Continence Care 3. Mobility 4. Nutrition, Swallowing,
Feeding and Hydration
5. Communication and Behaviour
Heart and Stroke Living With Stroke Program ™
Description/Date Developer/Owner Access and Target User/Learner
Living with Stroke Program ™ is a community-based support and educational program where by participants gain confidence in managing the challenges of living with stroke. It is offered in many locations across the province as an 8 week program. Last reviewed Nov 2010
Heart and Stroke Foundation, Canada
Access: http://www.heartandstroke.on.ca/site/c.pvI3IeNWJwE/b.4356259/k.DDE6/Stroke__Living_with_StrokeTM.htm Target: Stroke survivor (s) and their family member(s) living in the community, once their active rehabilitation is completed.
“Let’s Talk about Stroke” guide
Description/Date Developer/Owner Access and Target User/Learner
Let’s Talk About Stroke is a guide to assist those who have had a stroke and their family members. Last modified May 2012, it is based on scientific evidence and contains stroke facts and advice.
Heart and Stroke Foundation, Canada
Access: http://www.heartandstroke.com/site/c.ikIQLcMWJtE/b.3882223/k.3FC6/Stroke__Lets_Talk_about_Stroke.htm Target: Stroke survivors and families.
Timing it Right Framework
Description/Date Developer/Owner Access and Target User/Learner
“Timing It Right’’ is a conceptual framework for addressing the support needs of family caregivers and stroke survivors from the hospital to the home. (2008)
Dr. Jill Cameron (PhD, BScOT) University of Toronto
Access: http://strokestrategy.ab.ca/Cameron_PEC_2008.pdf Target: All health care providers across the continuum of care.
MOST: Moving On after STroke Program
Description/Date Developer/Owner Access and Target User/Learner
The Moving on after STroke (MOST) program focuses on helping stroke survivors adjust to life after stroke. There are 18 sessions over 9 weeks which are based on self-management concepts and adult learning principles. Participants learn safe ways of engaging in exercise and physical activity. They learn and practice goal setting. The program is facilitated by a health care provider and can be offered at other organizations.
Developed at Baycrest in Toronto
There is a fee for the program (private health insurance may cover cost). Access: Self-referral Doctor’s approval required for exercise component www.baycrest.org/MOSTprogram Target: PT, OT, Assistant Staff, Nurses and other care providers can inform appropriate clients of this program.
“Getting on with the Rest of Your Life” booklet
Description/Date Developer/Owner Access and Target User/Learner
Getting on with the “Rest of your Life” (Vol #9) is a 68 page booklet covering physical activity, leisure and social interaction and includes goal-setting exercises and promotes creativity.
Canadian Stroke Network with key contributors Dr. Nancy Mayo and Dr. Mark Bayley
Access: http://www.canadianstrokenetwork.ca/wp-content/uploads/2011/09/GettingOn2-EN.pdf To order free hard copies, see inside cover of booklet Target: Stroke Survivors and family members.
Tips & Tools for Everyday Living: A Guide for Stroke Caregivers (Leisure and Recreation Chapter) Description/Date Developer/Owner Access and Target
User/Learner
Revised in 2010, Tips & Tools for Everyday Living: A Guide for Stroke Caregivers is a comprehensive resource with 16 sections that cover key topics related to stroke care and recovery. Section 15 is on Leisure.
Heart and Stroke Foundation with contribution provided by Ontario Stroke Network
Access: http://www.heartandstroke.on.ca/site/c.pvI3IeNWJwE/b.6194819/k.FEB1/Tips_and_Tools__2010.htm Available for free as hard cover booklet in English and French and also as power point slide presentations. Target: Frontline health care providers such as personal support occupations and for caregivers, families.
Depression
Meaningful Activity Poster
Description/Date Developer/Owner Access and Target User/Learner
Based on the Leisure section #15 of the Tips & Tools for Everyday Living: A Guide for Stroke Caregivers (H&S, 2010) this poster provides the opportunity to review the importance of engaging in meaningful activity following a stroke for mental, physical, and emotional recovery and what the health care provider can do to help.
Stroke Network of Southeastern Ontario (2013)
Access: http://strokenetworkseo.ca/public/uploadedfiles/Meaningful%20Activity%20Jan%2028%202013.pdf Target: This poster has been developed for the education of frontline care providers caring for stroke survivors and other complex patient populations.
Patient Health Questionnaire (PHQ-2)
Description/Date Developer/Owner Access and Target User/Learner
Patient Health Questionnaire 2 (PHQ-2) A two-item questionnaire that serves as a first step approach to screening for depression. The PHQ-2 does not establish a final diagnosis. Further evaluation with the PHQ-9 is required.
Pfizer Inc.
Access: Pfizer Inc. All rights reserved. Used with permission. Target: Clinicians working in stroke care.
Patient Health Questionnaire (PHQ-9)
Description/Date Developer/Owner Access and Target User/Learner
Personal Health Questionnaire (PHQ-9) A multi-purpose instrument for screening, diagnosing, monitoring and measuring the severity of depression.
Pfizer Inc.
Access: Pfizer Inc. All rights reserved. Used with permission. Target: Clinicians working in stroke care.
Depression Assessment Tool for Older Adults
Description/Date Developer/Owner Access and Target User/Learner
Depression Assessment Tool for Older Adults Assessment and treatment of depression based on the National Guidelines for Seniors Mental Health.
National Institute of Care of the Elderly (NICE)
Access: Tool is available on line www.ccsmh.ca Target: Clinicians working in stroke care.
Driving
Post-Stroke Depression Poster
Description/Date Developer/Owner Access and Target User/Learner
This 3 panel poster is based on the “Depression” section of the Tips & Tools for Everyday Living: A Guide for Stroke Caregivers (Heart and Stroke, 2010). This poster provides the opportunity to review critical learning points in a highly visual way.
Stroke Network of Southeastern Ontario (2011)
Access: This poster is available at http://strokenetworkseo.ca/public/uploadedfiles/Depression%20Poste_pd_v5%20new%20logo_hi-res%20FINAL%20Feb%202012(1).pdf Target: For the education of frontline care providers caring for stroke survivors and other complex patient populations.
Driving After Stroke—Family/Patient Information (PDF, Date unknown)
Description/Date Developer/Owner Access and Target User/Audience
A fact sheet for stroke survivors that outlines the rules and guidelines for driving after stroke
Access: http://strokengine.ca/intervention/index.php?page=topic&subpage=patient&id=55 http://www.heartandstroke.on.ca/atf/cf/%7B33C6FA68-B56B-4760-ABC6-D85B2D02EE71%7D/Driving_After_Stroke_Survivors_June_2007_FINAL.pdf http://www.heartandstroke.on.ca/atf/cf/%7B33C6FA68-B56B-4760-ABC6-D85B2D02EE71%7D/DrivingFactSheetJune2007FINAL[1].pdf
Dysphagia
Target: Stroke survivors and their families / caregivers. Useful for HCPs
Management of Dysphagia in Acute Stroke
Description/Date Developer/Owner Access and Target User/Learner
A variety of resources on dysphagia and nutrition screening and management in acute stroke.
Best Practice Guidelines for Managing Dysphagia (2002) Management of Dysphagia in Acute Stroke. An Educational Manual for the Dysphagia Screening Professional (2006. Supplementary Training Module for Swallowing Screening Teams based on the booklet titled "Management of Dysphagia In Acute Stroke: An Educational Manual for the Dysphagia Screening Professional" (Presentation slides and Facilitator’s guide) Nutrition Screening for Stroke Survivors. An Educational Manual for the Dysphagia Screening Professional (2006) Improving Recognition and Management of Dysphagia in Acute Stroke (2005) Implementing a Regional
Heart and Stroke Foundation
All Access: http://www.heartandstroke.on.ca/site/c.pvI3IeNWJwE/b.5385167/k.E9C7/HCP__Management_of_Dysphagia_in_Acute_Stroke.htm
Only “Management of Dysphagia in Acute Stroke” booklet is available to order in hard copy in English.
Target: Some of these resources are for speech and language pathologists, some for swallowing screening professionals (RN, RPN), some for administrators considering dysphagia management programming.
Dysphagia Management Strategy: Practical Considerations (2005)
Dysphagia Screening Tools: a review
Description/Date Developer/Owner Access and Target User/Learner
Dysphagia Screening Tools: A Review (June 2008) This review was designed to provide information on evidence-based dysphagia screening to regions in the Ontario Stroke System. This report does not purport to be a comprehensive scholarly study.
Ontario Stroke Network’s Ontario Regional Educator Group (OREG)
Access: http://www.heartandstroke.on.ca/atf/cf/%7B33C6FA68-B56B-4760-ABC6-D85B2D02EE71%7D/Dysphagia__FINAL_2008.pdf Target: Health care professionals involved with dysphagia management.
Making Feeding Safer Poster
Description/Date Developer/Owner Access and Target User/Learner
This 3 panel poster is based on the “Meal Assistance” section of the Tips & Tools for Everyday Living: A Guide for Stroke Caregivers (Heart and Stroke, 2010). This poster provides the opportunity to review critical learning points in a highly visual way.
Stroke Network of Southeastern Ontario (2010)
Access: This poster is available at http://strokenetworkseo.ca/public/uploadedfiles/dysphagia_v4_hi_res%20rev%20new%20logo%20FINAL%20Feb%202012_pd(1).pdf Target: For the education of frontline care providers caring for stroke survivors and other complex patient populations.
Hemiplegic Arm and Hand
Educational Video: Meal Assistance and Hydration
Description/Date Developer/Owner Access and Target User/Learner
This is video #2 of a 6-part video series designed to complement the popular sections of the Tips & Tools for Everyday Living: A Guide for Stroke Caregivers (Heart and Stroke, 2010). This video focuses on meal assistance and hydration.
Stroke Network of Southeastern Ontario (2006)
Access: http://strokenetworkseo.ca/profedvideos Target: Front-line providers caring for stroke survivors across the continuum of care.
SCORE Recommendations for the Upper Limb & Hand: Management of Arm and Hand
Description/Date Developer/Owner Access and Target User/Learner
**SCORE recommendations include the best evidence - based interventions for the post-stroke upper extremity that were determined through a thorough search, review and critical evaluation of published clinical practice guidelines. Report released in 2007. Management of Shoulder pain section includes joint protection, gentle movement, FES, medications etc ** SCORE is Stroke Canada Optimization of Rehabilitation through Evidence
Sponsored by Canadian Stroke Network, the SCORE Project was lead by Dr. Mark Bayley and Jennifer Mokry, Toronto Rehab Institute
Access: http://www.strokebestpractices.ca/index.php/stroke-rehabilitation/score-recommendations-for-upper-limb-and-shoulder-new-for-2010/management-of-shoulder-pain-following-stroke-new-for-2010/ Target: PT, OT, Assistant Staff, Nurses and other care providers.
SCORE Recommendations for the Upper Limb & Hand: Management of Shoulder Pain Description/Date Developer/Owner Access and Target
User/Learner
**SCORE recommendations include the best evidence - based interventions for the post-stroke upper extremity that were determined through a thorough search, review and critical evaluation of published clinical practice guidelines. Report released in 2007. Management of Shoulder pain section includes joint protection, gentle movement, FES, medications etc ** SCORE is Stroke Canada Optimization of Rehabilitation through Evidence
Sponsored by Canadian Stroke Network, the SCORE Project was lead by Dr. Mark Bayley and Jennifer Mokry, Toronto Rehab Institute
Access: http://www.strokebestpractices.ca/index.php/stroke-rehabilitation/score-recommendations-for-upper-limb-and-shoulder-new-for-2010/management-of-shoulder-pain-following-stroke-new-for-2010/ Target: PT, OT, Assistant Staff, Nurses and other care providers.
SCORE Recommendations for the Upper Limb & Hand: Range of Motion and Spasticity Management Description/Date Developer/Owner Access and Target
User/Learner
**SCORE recommendations include the best evidence - based interventions for the post-stroke upper extremity that were determined through a thorough search, review and critical evaluation of published clinical practice guidelines. Report released in 2007. Range of Motion and Spasticity Management includes use of
Botox, ROM, positioning, splinting, medications etc.
** SCORE is Stroke Canada
Sponsored by Canadian Stroke Network, the SCORE Project was lead by Dr. Mark Bayley and Jennifer Mokry, Toronto Rehab Institute
Access: http://www.strokebestpractices.ca/index.php/stroke-rehabilitation/score-recommendations-for-upper-limb-and-shoulder-new-for-2010/range-of-motion-and-spasticity-in-the-shoulder-arm-and-hand-new-for-2010/ Target:
PT, OT, Assistant Staff, Nurses and other care providers.
Optimization of Rehabilitation through Evidence
Constraint – Induced Movement Therapy (CIMT)
Description/Date Developer/Owner Access and Target User/Learner
CIMT as an upper extremity intervention is described on Strokengine website.
CIMT is listed in SCORE Recommendations.
Supported by Canadian Stroke Network, Nicol Korner-Bitensky (PhD OT(c)) is Stroke Engine Project Leader, McGill University
Access: http://strokengine.ca/intervention/index.php?page=topic&id=52 http://www.strokebestpractices.ca/index.php/stroke-rehabilitation/score-recommendations-for-upper-limb-and-shoulder-new-for-2010/management-of-the-arm-and-hand-new-for-2010/ Target: OT, PT
GRASP: Graded Repetitive Arm and hand Supplementary Program
Description/Date Developer/Owner Access and Target User/Learner
GRASP is an arm and hand exercise program that was developed in 2009 for stroke patients with upper extremity impairments. Available for use are: detailed description of program; evidence supporting it; exercise guides; manuals; patient books; training videos; equipment list for kits.
Vancouver, Canada at University of British Columbia Developers: Dr. Janice Eng (PhD PT/OT) Jocelyn Harris (PhD OT)
Access: http://neurorehab.med.ubc.ca/grasp/ Target: Program usually rolled out by OTs, PTs, Rehab Assistants.
INTRO to STROKE Resources
Hemiplegic Arm Protocol
Description/Date Developer/Owner Access and Target User/Learner
Hemiplegic Arm Protocol was developed by a multi-disciplinary team with Southwestern Ontario Stroke Network in 2009. Tools Include:
Right Arm Sling Guide
Left Arm Sling Guide
Positioning Hemiplegic Arm pictures
Hemiplegic Arm educational slide deck
Revised 2012-13
London Health Sciences Centre with Southwestern Ontario Stroke Network
Access: Southwestern Ontario Stroke Network website http://swostroke.ca/hemi-arm-protocol/ Target: Multi-disciplinary professionals and front-line care providers. These tools may also assist families.
Stroke Nursing Training Modules
Description/Date Developer/Owner Access and Target User/Learner
“Stroke Nursing Training Modules” are 4 interactive training modules addressing a component of the stroke care continuum. Each module contains a power point slide deck, a Facilitators Guide and a Participant Workbook. An additional module, “Stroke 101” provides a basic overview of stroke pathophysiology and the “Stroke Reverse Jeopardy”
Canadian Stroke Network National Stroke Nursing Council
Access: http://www.canadianstrokenetwork.ca/index.php/tools/stroke-nursing-training-modules/ Target: Nurses working across the continuum of stroke care.
module facilitates knowledge transfer. Developed in 2010.
Hemispheres® Stroke Competency Series – e-learning
Description/Date Developer/Owner Access and Target User/Learner
Hemispheres® Stroke Competency Series is an interactive, comprehensive, web based educational series. Series includes seven levels of stroke education and the NIH Stroke Scale Training and Certification.
Apex Innovations, USA
Access: http://www.apexinnovations.com/Hemispheres.php There is a cost associated with a “seat”. Contact a representative from your region’s Stroke Network for more information. Target: Interprofessional health care providers.
Educational Video: Recognize & React to the Signs & Symptoms of Stroke for Health Care Providers Description/Date Developer/Owner Access and Target
User/Learner
This is video #1 in a 6-part video series designed to complement popular sections of the “Tips & Tools for Everyday Living: A Guide for Stroke Caregivers (Heart and Stroke, 2010). This video gives an introduction to stroke.
Stroke Network of Southeastern Ontario (2006)
Access: http://strokenetworkseo.ca/profedvideos Target: Front-line providers caring for stroke survivors across the continuum of care.
Interdisciplinary Learning Resources
Stroke Prevention and Care Poster
Description/Date Developer/Owner Access and Target User/Learner
This 3-panel poster is based on the “Brain and Stroke” section of the Tips & Tools for Everyday Living: A Guide for Stroke Caregivers (Heart and Stroke, 2010). This poster provides the opportunity to review critical learning points in a highly visual way.
Stroke Network of Southeastern Ontario (2012)
Access: This poster is available at http://strokenetworkseo.ca/public/uploadedfiles/Stroke%20Preven%20%20Care%20Mar%2012%202012%20PD%20FINAL.pdf Target: For the education of frontline care providers caring for stroke survivors and other complex patient populations.
Interprofessional Learning Objectives for Stroke Care
Description/Date Developer/Owner Access and Target User/Learner
The Interprofessional Learning Objectives for Stroke Care Report (pdf, 2007) was developed to share discipline specific learning objectives for stroke care. Detailed description;
Interprofessional Learning Objectives Report
Interprofessional Learning Plan Template
Shared Learning Objectives Self-Evaluation Tool
Interprofessional Learning Objectives Presentation
Discipline specific self evaluation
Heart and Stroke Foundation Ontario Stroke Network
Access: Heart and Stroke Foundation http://www.heartandstroke.on.ca/site/c.pvI3IeNWJwE/b.5346921/k.349/HCP__Stroke_Interprofessional_Resource.htm Target: Speech Language Pathology, Social Work, Nursing, Occupational Therapy, Pharmacy, Physiotherapy, Registered Dietician, Respiratory Therapy, Recreation Therapy
Mobility, Lower Extremity and Balance
templates The associated resources were guided by the principles of interprofessional education and collaborative practice, self-directed learning, knowledge translation, evidence based practice, client-centered care, interdisciplinary team dynamics, and rehabilitation (2007).
SCORE Recommendations for the Lower Limb and Gait: Gait
Description/Date Developer/Owner Access and Target User/Learner
**SCORE recommendations include the best evidence - based interventions for the post-stroke lower extremity that were determined through a thorough search, review and critical evaluation of published clinical practice guidelines. Report released in 2007. Lower Limb Gait section includes recommendations for task specific training, aerobic training and body-weight support treadmill etc ** SCORE is Stroke Canada Optimization of Rehabilitation through Evidence
Sponsored by Canadian Stroke Network, the SCORE Project was lead by Dr. Mark Bayley and Jennifer Mokry, Toronto Rehab Institute
Access: http://www.strokebestpractices.ca/index.php/stroke-rehabilitation/score-recommendations-for-lower-limb-and-gait-new-for-2010/lower-limb-gait-following-stroke-new-for-2010/ Target: PT, OT, Assistant Staff, Nurses and other care providers.
SCORE Recommendations for the Lower Limb and Gait: Mobility and Transfer Skills Description/Date Developer/Owner Access and Target
User/Learner
**SCORE recommendations include the best evidence - based interventions for the post-stroke lower extremity that were determined through a thorough search, review and critical evaluation of published clinical practice guidelines. Report released in 2007. Mobility and Transfer Skills section includes recommendations on task-specific training, FES, orthosis use, etc ** SCORE is Stroke Canada Optimization of Rehabilitation through Evidence
Sponsored by Canadian Stroke Network, the SCORE Project was lead by Dr. Mark Bayley and Jennifer Mokry, Toronto Rehab Institute
Access: http://www.strokebestpractices.ca/index.php/stroke-rehabilitation/score-recommendations-for-lower-limb-and-gait-new-for-2010/lower-limb-mobility-and-transfer-skills-new-for-2010/ Target: PT, OT, Assistant Staff, Nurses and other care providers.
SCORE Recommendations for the Lower Limb and Gait: Spasticity Management Description/Date Developer/Owner Access and Target
User/Learner
**SCORE recommendations include the best evidence - based interventions for the post-stroke lower extremity that were determined through a thorough search, review and critical evaluation of published clinical practice guidelines. Report released in 2007. Spasticity Management section recommendations include prevention strategies,
Sponsored by Canadian Stroke Network, the SCORE Project was lead by Dr. Mark Bayley and Jennifer Mokry, Toronto Rehab Institute
Access: http://www.strokebestpractices.ca/index.php/stroke-rehabilitation/score-recommendations-for-lower-limb-and-gait-new-for-2010/lower-limb-spasticity-following-stroke-new-for-2010/ Target: PT, OT, Assistant Staff, Nurses and other care providers.
botox use, medications etc ** SCORE is Stroke Canada Optimization of Rehabilitation through Evidence
Strength Training on StrokEngine Website
Description/Date Developer/Owner Access and Target User/Learner
Strength Training for Lower Extremity and for Ambulation is described at StrokEngine website. Specific interventions discussed include resistance training, force feedback, functional tasks and weight bearing tasks.
Supported by Canadian Stroke Network, Nicol Korner-Bitensky (PhD OT(c)) is Stroke Engine Project Leader, McGill University
Access: http://strokengine.ca/intervention/index.php?page=topic&subpage=quick&id=50 Target: PT, OT, Assistant Staff, Nurses and other care providers.
Safe Seating Poster
Description/Date Developer/Owner Access and Target User/Learner
This 3-panel poster is based on the “Mobility” section of the Tips & Tools for Everyday Living: A Guide for Stroke Caregivers (Heart and Stroke, 2010). This poster provides the opportunity to review critical learning points in a highly visual way.
Stroke Network of Southeastern Ontario (2010)
Access: This poster is available at http://strokenetworkseo.ca/public/uploadedfiles/dysphagia_v4_hi_res%20rev%20new%20logo%20FINAL%20Feb%202012_pd(1).pdf Target: This poster has been developed for the education of frontline care providers caring for stroke survivors and other complex patient populations.
Paediatric Resources
Educational Video: Mobility
Description/Date Developer/Owner Access and Target User/Learner
This is video #5 in a 6–part video series designed to complement the popular sections of the Tips & Tools for Everyday Living: A Guide for Stroke Caregivers (Heart and Stroke 2010). This video focuses on positioning and transferring techniques.
Stroke Network of Southeastern Ontario (2006)
Access: http://strokenetworkseo.ca/profedvideos Target: Front-line providers caring for stroke survivors across the continuum of care.
Family guide to Paediatric Stroke
Description/Date Developer/Owner Access and Target User/Learner
The Family Guide to Pediatric Stroke (2011)
Canadian Stroke Network
Access: http://www.canadianstrokenetwork.ca/wp-content/uploads/2011/10/PEDSguide-en1.jpg Target: All health care providers and families of pediatric stroke survivors.
Parenting Fact Sheets
Perception/Neglect
Description/Date Developer/Owner Access and Target User/Learner
A series of three fact sheets 1) Raising Children 2) Young Carers- Children and caregivers – parents 3) Young Carers- Children and caregivers – professionals Produced 2008.
Heart and Stroke Foundation
Access: http://www.heartandstroke.on.ca/site/c.pvI3IeNWJwE/b.5385235/k.78DA/HCP__Parenting_Resources.htm Target: For families dealing with stroke in the community (professional team members may link families to these resources).
Perception Assessments described at StrokEngine Assess
Description/Date Developer/Owner Access and Target User/Learner
All assessments found on the StrokEngine website provide the user with an in-depth review, psychometric properties, a summary table and a link to access the assessment or the ability to download it.
McGill University
Access: http://strokengine.ca/assess/index-en.html Target: Stroke clinicians; typically an Occupational Therapist.
Educational Resources on StrokEngine Intervention
Description/Date Developer/Owner Access and Target User/Learner
USN e-learning module This module provides the clinician with a videotaped scenario and questions to facilitate learning about assessment and intervention for Unilateral Spatial Neglect (USN).
StrokEngine
Access: http://elearning.strokengine.org/module.php Target: Stroke clinicians; typically Occupational therapists. However the e-learning presents information that is pertinent to all healthcare providers working in stroke care.
Educational Resources on StrokEngine Intervention
Description/Date Developer/Owner Access and Target User/Learner
USN Information Pocket Card Provides the clinician with a quick review of things to consider when assessing and treating USN.
StrokEngine
Access: http://strokengine.ca/intervention/admin/vedios/USN%20Pocket%20Card.pdf Target: Stroke clinicians; typically Occupational Therapists.
Educational Resources on StrokEngine Intervention
Description/Date Developer/Owner Access and Target User/Learner
Clinician How-To FAQs Provides the clinician with written backgrounders on assessment, treatment, family/patient intervention, etc.
StrokEngine
Access: http://strokengine.ca/intervention/index.php?page=topic&subpage=clinician&id=32 Target: Stroke clinicians; typically Occupational Therapists
SNAP: Sunnybrook Neglect Assessment Protocol
Description/Date Developer/Owner Access and Target User/Learner
The SNAP is a USN assessment tool developed at Sunnybrook Health Sciences Centre. The tool consists of subtests that require copying and drawing from memory.
Dr. Sandra Black Sunnybrook Health Sciences Centre
Access: TBA Target: Stroke clinicians responsible for assessment and treatment of USN (typically Occupational Therapists).
Cognition & Perception Poster
Description/Date Developer/Owner Access and Target User/Learner
Stroke Prevention and Health Promotion
This 3-panel poster is based on the “Cognition and Perception” sections of the Tips & Tools for Everyday Living: A Guide for Stroke Caregivers (Heart and Stroke, 2010). This poster provides the opportunity to review the possible effects a stroke can have on cognition and perception and what the health care provider can do to help.
Stroke Network of Southeastern Ontario (2012)
Access: This poster is available is http://strokenetworkseo.ca/public/uploadedfiles/Cognitive%20Perception%202012%20PD%20mar%2015%20FINAL.pdf Target: For the education of frontline care providers caring for stroke survivors and other complex patient populations with cognitive and perceptual challenges.
Educational Video: Cognition, Perception & Behaviour Problems
Description/Date Developer/Owner Access and Target User/Learner
This is video #4 in the 6-part series designed to complement the popular sections of the Tips & Tools for Everyday Living: A Guide for Stroke Caregivers (Heart and Stroke, 2010). This video focuses on cognition, perception and behaviour changes related to stroke.
Stroke Network of Southeastern Ontario (2006)
Access: http://strokenetworkseo.ca/profedvideos Target: Front-line care providers caring for stroke survivors across the continuum of care.
Self Management Toolkit: A Resource for Health Care Providers
Description/Date Developer/Owner Access and Target User/Learner
The purpose of this website is to allow healthcare providers to quickly learn the basics of helping patients be better self-managers of their health care. It provides easy-to-use tools for helping patients with
self care.
Three modules that teach the healthcare provider to:
1. Assess where patients are with their self care and elicit a care issue relevant to their lives
2. Assist patients to set a behavioural goal that addresses their self care issue and design a simple action plan that helps the patient take his/her first steps toward achieving that goal
3. Assist patients with enacting their action plans and to undertake follow-up with patients to ensure their continued success
The modules are a mix of text and video-based instruction to accommodate different learning styles.
Originally developed by Gina Tomaszewski and Christina O'Callaghan. This program is offered in partnership by the South West CCAC and South West LHIN
Access: http://www.swselfmanagement.ca/smtoolkit/ Each module offers important resources for further learning as well as links to related topics and literature.
On this site, there is a link to the hardcopy tool kit - Self-Management in Theory and Practice: A Guide for Healthcare Providers
Target: All health care providers.
Stroke Prevention Best Practice Tool Kit
Description/Date Developer/Owner Access and Target User/Learner
The Stroke Prevention Best Practice Tool Kit was designed to support the implementation of the Canadian Best Practice Recommendations for Stroke Care for prevention. Using the Canadian Best Practice Recommendations for Stroke Care (2008), the Tool Kit provides members of the interprofessional health care team with the foundational knowledge required to care for patients who have recently had a stroke or TIA or have been identified as being at high risk. Includes: Workshop Coordination PowerPoint Presentations
with Speaker's Notes Participant Handouts
Heart and Stroke Foundation Ontario Stroke System Canadian Stroke Network
Access: Available at Heart and Stroke http://www.heartandstroke.on.ca/site/c.pvI3IeNWJwE/b.5882219/k.48F5/Secondary_Prevention_Tool_Kit.htm Target: Interprofessional team working with TIA/ stroke survivors and families to prevent first and recurrent stroke.
Blood Pressure Poster
Description/Date Developer/Owner Access and Target User/Learner
This 3-panel poster on Blood Pressure provides the opportunity to review critical learning points in a highly visual way (ie. What is blood pressure, hypertension, prevention and monitoring blood pressure).
Stroke Network of Southeastern Ontario (2012)
Access: This poster is available at http://strokenetworkseo.ca/public/uploadedfiles/file/Blood_Pressure_v3%20final%20Updated%20Feb%2013%202013ppt.pdf Target: For the education of frontline care providers caring for stroke survivors and other complex patient populations.
Recommendations for the management of Hypertension: CHEP 2012
Description/Date Developer/Owner Access and Target User/Learner
The Canadian Hypertension Education Program (CHEP) is Hypertension Canada’s knowledge translation program that targets various health care professionals in clinical and community settings, provides annually updated standardized recommendations and clinical practice guidelines to detect, treat and control hypertension. The program contains power point presentations on HTN guidelines and assessment, follow-up and treatment. Includes course documents and CME (2012).
Hypertension Canada
Access: Available free of charge http://www.hypertension.ca/chep-recommendations Target: All health care providers involved in Primary and Secondary prevention and health promotion.
DASH Diet
Description/Date Developer/Owner Access and Target User/Learner
Your Guide to Lowering Your Blood Pressure With DASH (Revised April 2006)
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Heart, Lung, and Blood Institute Hypertension Canada
Access: http://www.nhlbi.nih.gov/health/public/heart/hbp/dash/new_dash.pdf Target: Health Care professionals or the public.
Sodium 101
Description/Date Developer/Owner Access and Target User/Learner
Sodium 101 bilingual website provides consumers and health care providers with information re: sources of sodium and recommended intake levels.
Site includes link to apps, video, twitter, a Consumer Guide and more.
(magnets no longer produced)
Canadian Stroke Network [email protected]
Access: http://www.sodium101.ca/health-impact/ Target: Health promotion professionals, nurses, educators, any related care provider and the public.
Secondary Stroke Prevention Model
Description/Date Developer/Owner Access and Target User/Learner
Delivery of secondary stroke prevention occurs in variety of settings: hospital emergency rooms, family physicians offices, specialist's practices, and in stroke prevention clinics (SPC).
Physicians, primary health teams, and stroke prevention clinics provide a wide range of services. Some may only include the core activities while others will provide the full range of service described in the model, including risk factor management, health promotion and screening as well as education.
Heart and Stroke Foundation Ontario Stroke System
Access: http://www.heartandstroke.on.ca/site/c.pvI3IeNWJwE/b.5351141/k.C34/HCP__Secondary_Stroke_Prevention_Model.htm Target: Health Care Providers & Managers
Blood Pressure Tool Kit
Description/Date Developer/Owner Access and Target User/Learner
This toolkit is designed to support the learning of practical knowledge and skills to support blood pressure management and to build the capacity to work collaboratively with the health care team and resident/client to optimize blood pressure management. This program is meant to be individualized depending on the needs of the learner and in accordance with the employer/client’s guidelines. The Learning Plan is divided into two modules each of which can be used independently of the other (Module #1: The Basics of Blood Pressure & Supporting the Patient and Module #2: How to Take Blood Pressure).
Stroke Network of Southeastern Ontario (2012)
Access: http://strokenetworkseo.ca/profedatlas Target: Personal Support Workers (PSW) and other health care team members. It may be used by educators or used as self-learning modules.
Stroke Units
TIA (Transient Ischemic Attack)
Recommendations for the Management of Hypertension: Assessment
Description/Date Developer/Owner Access and Target User/Learner
The Expedited Assessment and Diagnosis of Patients With Hypertension
Hypertension Canada Canadian Stroke Network
Access: Available free of charge http://www.strokebestpractices.ca/wp-content/uploads/2012/09/2012-CHEP-Recs_Fig-1.pdf Target: All health care providers involved in Primary and Secondary prevention and health promotion.
A Guide to Organizing Acute Stroke Care (2001)
Description/Date Developer/Owner Access and Target User/Learner
A Guide to Organizing Acute Stroke Care (2001) is designed to assist hospitals in organizing acute stroke care as part of a regional system.
Heart and Stroke Foundation Ontario Stroke System
Access: http://www.heartandstroke.on.ca/atf/cf/%7B33C6FA68-B56B-4760-ABC6-D85B2D02EE71%7D/GuidetoOrganizingAcuteStrokeCareManual2001Final[1].pdf Target: Managers, planners and providers for planning and implementing organized stroke care for emergency and acute care.
Heart and Stroke’s description of Transient Ischemic Attact (TIA or mini-stroke)
Telestroke
Description/Date Developer/Owner Access and Target User/Learner
Heart and Stroke describes
TIA for their target audience:
Subjects covered are:
What is a TIA?
Why is TIA an
emergency?
Causes
Diagnosisis
Prevention
Risk Factors
(October 2011)
Heart and Stroke Foundation
Access: http://www.heartandstroke.com/site/c.ikIQLcMWJtE/b.4847223/k.F294/Stroke__Transient_Ischemic_Attack_TIA_or_ministroke.htm Target: Health care providers and public.
Triage Tool: Assessment of Patients Presenting with Transient Ischemic Attack or Non-Disabling Stroke Description/Date Developer/Owner Access and Target
User/Learner
A triage tool that emphasizes the need for timely action. Triaging is based on “Time Since Onset of Stroke Symptoms and Clinical Presentation.” (September 2012)
Prevention of Stroke Task Group Canadian Best Practice Recommendations for Stroke Care Working Group for the Fourth Edition (Update 2012)
Access: Information and posters available at http://www.canadianstrokenetwork.ca/wp-content/uploads/2012/10/CSN-Taking-Action-Poster_WEBFFF.pdf Target: Health care providers.
Telestroke Referring Site Toolkit
Transitions
Description/Date Developer/Owner Access and Target User/Learner
A Telestroke Referring Site Toolkit was developed in 2010 to provide a concise introduction to the Provincial Telestroke program for new and existing referring sites.
It includes workflows, processes, tools, and resources that can be adapted and integrated within one’s organization's existing policies and procedures.
Ontario Telehealth Network (OTN ) with members of OSN Telestroke Working Group
Access: Ontario Teleheath Network – password protected. Contact Emergency Services Manager of OTN for access. Target: New telestroke referring sites. It is meant to support new sites develop their systems for successful patient encounters.
Managing Stroke Care Transitions
Description/Date Developer/Owner Access and Target User/Learner
In 2010. key recommendations for ‘Managing Stroke Care Transitions’ were established to facilitate and support increasingly seamless, integrated care and improved outcomes for patients and their families and/or caregivers across the continuum of care. Areas of emphasis include:
Support through transitions
Patient and family education
Interprofessional communication
Discharge planning
Early supported discharge
Community reintegration following stroke
Canadian Best Practice Recommendations for Stroke Care (2010)
Access: www.canadianstrokenetwork.ca Target: Health care professionals
Recommended Websites
A number of implementation resources and knowledge transfer tools have been identified
Canadian Best Practice Recommendations for Stroke Care
Description/Date Developer/Owner Access and Target User/Learner
The Canadian Best Practice Recommendations for Stroke Care are intended to provide up-to-date evidence-based guidelines for the prevention and management of stroke. The goal of disseminating and implementing these recommendations is to reduce practice variations in the care of stroke patients across Canada, and to reduce the gap between knowledge and practice.
The Recommendations is a joint initiative of the Canadian Stroke Network and the Heart and Stroke Foundation of Canada. Now in its 4th edition, the 2012 -13 theme is Taking Action. Authors: Lindsay MP, Gubitz G, Bayley M, Hill MD, Davies-Schinkel C, Singh S, and Phillips S
Access: www.strokebestpractices.ca
Target: All stroke care providers
Heart and Stroke Foundation
Description/Date Developer/Owner Access and Target User/Learner
The Heart and Stroke Foundation is one of Canada’s largest and most effective health charities. Heart and Stroke Foundation is Canada’s most widely recognized and trusted authority on cardiovascular health.
The Heart and Stroke Foundation, a volunteer-based health charity, leads in eliminating heart disease and stroke and reducing their impact through:
the advancement of research and its application;
the promotion of healthy living; and
advocacy.
Access: http://www.heartandstroke.com/site/ Target: Public and stroke care professionals
StrokEngine Intervention
Description/Date Developer/Owner Access and Target User/Learner
StrokEngine Intervention (2011) is a bilingual Web site developed to provide a review of the effectiveness of stroke rehabilitation interventions.
McGill University
Access: http://strokengine.ca/intervention/index.php?page=topic&id=42 Target: Clinicians working in stroke care.
StrokEngine Assess
Description/Date Developer/Owner Access and Target User/Learner
StrokEngine Assess (2011) is a bilingual website which provides a review of assessment tools useful in stroke rehabilitation.
McGill University
Access: http://strokengine.ca/assess/index-en.html Target: Clinicians working in stroke care.
StrokEngine Family
Description/Date Developer/Owner Access and Target User/Learner
StrokEngine Family (2011) is a bilingual website which provides information about stroke, rehabilitation, transition home, and long term recovery.
McGill University
Access: http://strokengine.ca/family/ Target: Individuals with stroke and their families.
Evidence-Based Review of Stroke Rehabilitation (2010)
Description/Date Developer/Owner Access and Target User/Learner
The Evidence-Based Review of Stroke Rehabilitation or EBRSR (2010) is a comprehensive and up-to-date review examining both therapy-based and pharmacological interventions associated with stroke rehabilitation.
Dr. Robert Teasell (MD, FRCPC) and team
Access: http://www.ebrsr.com/reviews_details.php?Cognitive-Disorders-and-Apraxia-5 Target: Rehabilitation professionals
Ontario Telemedicine Network
Description/Date Developer/Owner Access and Target User/Learner
Using innovative technology, OTN streamlines the health care process, while also expanding the way knowledge is shared and how the medical community interacts with each other and with patients.
The Provincial Telestroke Program is a component of Ontario's stroke strategy and provides stroke patients in remote areas of the province with access to life-saving emergency care that they might not receive without this real-time expert neurological assessment. Telestroke uses eHealth Ontario’s Emergency Neuro Image Transfer System (ENITS), a centralized web-based picture archiving and communication system for head scans that can be accessed and viewed by participating neurologists.
OTN's Webcasting Centre broadcasts thousands of ongoing health professional events over the internet, both live and archived, extending the reach of your events beyond rooms equipped with videoconferencing equipment.
An independent, not-for-profit organization, OTN is funded by the Government of Ontario.
Access: http://otn.ca/en/programs/telestroke www.otn.ca http://webcast.otn.ca/ Target: All stroke care providers