Academic literature on the topic 'Self-management of stroke'
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Journal articles on the topic "Self-management of stroke"
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Joice, Sara. "Self-management following stroke." Nursing Standard 26, no. 22 (February 2012): 39–46. http://dx.doi.org/10.7748/ns2012.02.26.22.39.c8919.
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Joice, Sara. "Self-management following stroke." Nursing Standard 26, no. 22 (February 2012): 39–46. http://dx.doi.org/10.7748/ns.26.22.39.s51.
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Boger, Emma J., Sara H. Demain, and Sue M. Latter. "Stroke self-management: A focus group study to identify the factors influencing self-management following stroke." International Journal of Nursing Studies 52, no. 1 (January 2015): 175–87. http://dx.doi.org/10.1016/j.ijnurstu.2014.05.006.
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Yuniarti, Irmina Ika, I. Made Kariasa, and Agung Waluyo. "Efektifitas Intervensi Self-Management pada Pasien Stroke." (JKG) JURNAL KEPERAWATAN GLOBAL 5, no. 1 (June 26, 2020): 6–17. http://dx.doi.org/10.37341/jkg.v5i1.94.
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Background: Stroke is a neurological change that occurs quickly caused by disruption of blood supply to parts of the brain. Stroke has a complex impact which includes bio-psycho-social and spiritual. Various complexities of problems encountered in stroke patients so that self-management is needed as a form of adaptation to new conditions after stroke. Self-management interventions are useful for improving self-management skills and behavior in stroke patients. Purpose this study is to analize effectiveness of self-management interventions in stroke patients. Methods : Narrative literature review, research analyzes published in the online databases of ProQuest, Google scholar and Scopus. The study was selected using the criteria and keywords for the 2015-2019 period. Seven studies were analyzed using the literature review process. Results: To improve self-management stroke patients self-management interventions are needed. Self-management interventions can be applied in hospitals when post acute patients are hospitalized, preparation for discharge, return and after discharge home and can be combined with rehabilitation programs in the community. Self-management interventions can improve self-efficacy, self-management behavior, activity daily living (ADL) ability, decreased re-hospitalisation and patient readiness to return to the community. Conclusion: Self-management interventions can be applied in Indonesia, with a note that among others prepared human resources, costs, supporting facilities and policies from the manager.
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Taft, Karenza, Bobbi Laing, Cynthia Wensley, Lorraine Nielsen, and Julia Slark. "Health promotion interventions post-stroke for improving self-management: A systematic review." JRSM Cardiovascular Disease 10 (January 2021): 204800402110044. http://dx.doi.org/10.1177/20480040211004416.
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Background It is well-documented that women tend to be worse off post-stroke. They are often frailer, have less independence, lower functionality, increased rates of depression, and overall a lower quality of life. People who have had strokes benefit from rehabilitative support to increase their independence and reduce the risk of stroke reoccurrence. Despite the gender differences in the effects of stroke, interventions explicitly aimed at helping women have not been identified. Purpose This systematic review aimed to summarize the effectiveness of the health promoting behavioural interventions for reducing risk factors and improved self-management in women post-stroke, compared to usual care. Method Seven databases, Medline (Ovid), CINAHL, PsychInfo, Embase, PubMed, Scopus, and Google Scholar, were reviewed for randomized controlled trials covering post-stroke interventions. The following keywords were used: health promotion, secondary prevention, woman, women, female, sex difference, gender difference, after stroke, and post-stroke. Results Ten randomised controlled trials were found. These demonstrated common successful approaches for rehabilitation, but none specifically described health promotion strategies for women. Core components of successful programs appeared to be a structured approach, tailored to clientele and formalised support systems through their carer, family networks, or community engagement. Comprehensive reminder systems were successful for stroke risk reduction. Conclusion Women are disproportionately affected by stroke and are often in the frail category. Tailored structured health promotion programs with family and caregiver support combined with a comprehensive reminder system would appear to enable women post-stroke.
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Karle, J., S. O'Brien, and J. Robinson. "Impacting stroke outcomes: Education & self-management." Journal of Stroke and Cerebrovascular Diseases 7, no. 5 (September 1998): 380. http://dx.doi.org/10.1016/s1052-3057(98)80110-9.
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Damush, Teresa M., Susan Ofner, Zhangsheng Yu, Laurie Plue, Gloria Nicholas, and Linda S. Williams. "Implementation of a stroke self-management program." Translational Behavioral Medicine 1, no. 4 (September 1, 2011): 561–72. http://dx.doi.org/10.1007/s13142-011-0070-y.
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Lo, Suzanne H. S., Anne M. Chang, and Janita P. C. Chau. "Stroke Self-Management Support Improves Survivors’ Self-Efficacy and Outcome Expectation of Self-Management Behaviors." Stroke 49, no. 3 (March 2018): 758–60. http://dx.doi.org/10.1161/strokeaha.117.019437.
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Kidd, Lisa. "Stroke self-management programmes could improve patient self-efficacy and satisfaction with self-management behaviours." Evidence Based Nursing 21, no. 3 (June 2, 2018): 81. http://dx.doi.org/10.1136/eb-2018-102932.
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Jones, Fiona, and Afsane Riazi. "Self-efficacy and self-management after stroke: a systematic review." Disability and Rehabilitation 33, no. 10 (August 27, 2010): 797–810. http://dx.doi.org/10.3109/09638288.2010.511415.
Full textDissertations / Theses on the topic "Self-management of stroke"
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Boger, Emma. "Self-management following stroke : concepts and measurement." Thesis, University of Southampton, 2014. https://eprints.soton.ac.uk/362824/.
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Stroke is a major cause of disability world-wide, representing a significant health and social burden (Feigin et al., 2009). Self-management has potential importance for reducing the personal and health service impact of illness, but is yet to be fully understood or measured in stroke (Boger et al., 2013, Jones & Riazi, 2011).This research sought to develop a new patient-reported outcome measure (PROM) of self-management following stroke. A mixed methods paradigm with three distinct phases was adopted. Focus group methodology (n=28) first explored self-management from the perspectives of people following stroke and informed the content of a preliminary PROM. Three key themes identified from the data affect stroke self-management; Individual capacity; Support for self-management and Self-management environment. Following the focus group enquiry, the preliminary PROM item pool consisted of 57 items relating to Individual Capacity. Cognitive Interviewing methodology (n=11) was next employed to refine the item pool and explore acceptability of the items. Finally, the revised PROM was subject to psychometric evaluation using responses from a nationally derived sample (n=87). Mokken scale analysis and correlations with additional outcome measures of theoretical importance were used to identify scale structure and investigate reliability and validity. The subsequent PROM, the Stroke Self-Management Questionnaire (SSMQ) forms a unidimensional Mokken scale which measures the construct of self-management competency. The SSMQ possesses excellent internal consistency reliability (Mokken r 0.89), test retest reliability (ICC 0.928) and represents a valid tool for the evaluation of stroke self-management interventions.
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McKenna, Suzanne. "Bridges stroke self-management programme for stroke survivors in the community." Thesis, University of Ulster, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.629077.
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The research presented within this thesis utilised a mixed methods research design to explore self-management practices specific to stroke within four studies: 1) a systematic literature review of trials on stroke self-management; 2) a feasibility randomised controlled trial (RCT) exploring the Bridges stroke self-management programme (SSMP) in addition to community rehabilitation versus usual rehabilitation; 3) a qualitative study conducted with participants from the feasibility RCT to explore their experiences of the Bridges SSMP and, 4) a comparative study exploring the Bridges SSMP with an alternative self-management programme currently offered within Northern Ireland. Study 1 identified relatively few published studies on stroke self-management programmes. The types of programmes explored in these studies varied and results were mixed but findings suggest some effect on functional recovery, quality of life and confidence in recovery post stroke. Study 2 established that the Bridges SSMP appeared feasible to implement within the clinical rehabilitation setting, however, further exploration of the reasons behind relatively low recruitment needs further evaluation. Study 3 found that the Bridges SSMP was acceptable to all stakeholders and helped illuminate key mechanisms of change involved in the Bridges SSMP such as the personalised nature of goal setting which resulted in the perception by participants that they were better able to manage their progress. Study 4 suggested that the Bridges SSMP was equally as acceptable and feasible to deliver as the Taking Control self-management programme currently offered by Northern Ireland Chest Heart and Stroke but highlighted key issues related to the delivery of both programmes that need further exploration. The findings of this research suggest that self-management programmes may offer potential benefit to stroke participants and indicate that it may be feasible to deliver the Bridges SSMP in both the clinical rehabilitation and voluntary sector. Further research is needed to improve the understanding of the mechanisms and context of delivery.
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Jansen, Renee. "Perceptions of healthcare professionals and stroke patients regarding self-management." University of Western Cape, 2020. http://hdl.handle.net/11394/7344.
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Magister Scientiae (Physiotherapy) - MSc(Physio)Stroke is one of the leading causes of death and disability in the world. Stroke patients often place significant cost on the health care systems, due to long periods of care. Health care professionals play a key role in self-management as they work closely with stroke patients and patients can give insight into outcomes and during and post rehabilitation.
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Clark, Ella V. "The feasibility of a novel group self-management intervention for stroke." Thesis, University College London (University of London), 2018. http://discovery.ucl.ac.uk/10055835/.
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Background: Stroke survivors consistently report long term unmet needs. Unlike other chronic conditions stroke self-management programmes have been slow to emerge. Bridges self-management is a one-to one approach used by some UK NHS stroke services and aims to increase self-efficacy and confidence to manage long term needs post stroke. However, a one-to-one delivery does not facilitate peer support, which stroke survivors report as being valuable to the self-management process. In order to evaluate the potential for a one-one programme such as Bridges to be delivered in a group setting important parameters need to be explored, such as, acceptability, fidelity and outcome measure effect sizes. The MRC calls this type of research ‘feasibility’, and labels it an essential part of complex intervention development. The aim of this thesis was to explore the feasibility of delivering a one-to-one stroke self-management intervention (Bridges) in a group setting. Method: Feasibility was explored across three phases: (1) the development phase included patient involvement activities, stroke survivor interviews, and a systematic review to inform the design of a four-week self-management intervention, (2) the implementation phase monitored intervention delivery, 60 stroke survivors were randomised to the intervention or waitlist condition, (3) the evaluation phase used a mixed methods approach to explore acceptability and potential mechanisms of change as well as the effect of the intervention on mood, self-efficacy, quality of life and activities of daily living. Results: Overall it was feasible to adapt Bridges for group delivery. The intervention had high fidelity to the protocol. Recruitment occurred at a mean rate of 6.6 per month with a 21.667% drop out rate. The intervention was found to be acceptable to stroke survivors and carers. Potential mechanisms of change included vicarious learning and supported goal setting. At six-months post-baseline, outcomes had improved in favour of the intervention group. A number of recommendations were made to further develop the intervention, and for subsequent research on this topic. Conclusion: The thesis concludes that delivering a group self-management intervention for stroke may offer some benefits to stroke survivors and suggests research progress to a definitive trial.
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Wray, Faye Danielle. "Designing a self-management intervention for stroke survivors with communication difficulties." Thesis, University of Leeds, 2017. http://etheses.whiterose.ac.uk/20839/.
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Background: Stroke survivors with communication difficulties have poor outcome in the longer-term and may benefit from the support typically offered by self-management approaches. Aim: To critically examine the suitability of self-management as an approach for stroke survivors with communication difficulties and to use this knowledge to design an intervention to support stroke survivors with communication difficulties in the longer-term. Methods: Medical Research Council guidance for the development of complex interventions provided a framework for designing the intervention (MRC, 2008). In line with this guidance the intervention was designed iteratively using a staged approach. The design of the intervention was informed by a mixed methods systematic literature review and qualitative fieldwork undertaken with key stakeholders (stroke survivors with communication difficulties, carers and speech and language therapists). The Behaviour Change Wheel (BCW) provided a theoretical framework to identify which behaviours the intervention should target and appropriate behaviour change techniques. A Delphi survey was conducted to gain an expert consensus on the design of the intervention. Results: Stroke survivors with communication difficulties need further support to manage the consequences of their condition in the longer-term. Self-management may provide a structured and clearly defined intervention to support this group of stroke survivors with the challenges they face. However, existing self-management interventions do not address the needs of stroke survivors with communication difficulties and a condition specific self-management intervention is required. A novel self-management intervention for stroke survivors with communication difficulties was designed using the BCW as a theoretical framework. Feedback from an expert panel was used to refine the design of the intervention. Discussion: To the authors knowledge this is the first theoretically informed self-management intervention designed specifically for stroke survivors with communication difficulties. Further research is needed to develop the intervention. Future plans for feasibility testing and large-scale evaluation of the approach are discussed.
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Josselin, Sylvia Marie Anaïs. "Os efeitos de um programa de ensino de autogestão em pacientes com sequelas de AVE: revisão bibliográfica." Bachelor's thesis, [s.n.], 2018. http://hdl.handle.net/10284/6736.
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Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em FisioterapiaResumo: Introdução: A reabilitação em pacientes após sequelas de AVE é importante para minimizar as incapacidades funcionais. Assim, vários estudos têm utilizados o programa de ensino de autogestão sobre pacientes com sequelas de AVE. Objetivo: Avaliar os efeitos de um programa de ensino de autogestão em pacientes com sequelas de AVE. Metodologia: Foi realizada uma pesquisa computorizada com palavras-chaves nas bases de dados PubMed e PEDro e no motor de busca B-on de modo a encontrar artigos publicados na última década, randomizados controlados, publicados em inglês, e que abordassem o tema da autogestão na recuperação dos paciente com AVE. Foram excluídos estudos sem texto integral disponível e artigos duplicados. Resultados: Foram selecionados cinco artigos randomizados controlados com qualidade de metodologia de 6,8 na escala de PEDro. Conclusão: Os resultados análisados mostram que parece existir benefícios na reabilitação com um programa de ensino de autogestão em pacientes com sequelas de AVE, pelo que poderá ser um ferramenta terapêutica a aplicar em programa de fisioterapia.
Introduction: Rehabilitation in patients following stroke sequelae is important to minimize functional disabilities. Thus, several studies have used the Self-Management Program on patients with stroke sequelae. Aim: To evaluate the effects of a Self-Management Program in patients with stroke sequelae. Methodology: A computerized search with keywords in databases of PubMed, PEDro and B-on, in order to find articles published in the last decade, randomized controlled trials, published in English and that addressed of the Self-Management Program in the recovery of stroke. Results: Five randomized controlled articles with a methodology quality of 6.8 were selected on the PEDro scale. Conclusion: The analyse results show that there are benefits in the rehabilitation with Self-Management Program in patients with stroke sequelae.
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Sit, Janet WH, Sek Ying Chair, KC Choi, Carmen WH Chan, Diana TF Lee, Aileen WK Chan, Jo LK Cheung, Siu Wai Tang, Po Shan Chan, and Ruth E. Taylor-Piliae. "Do empowered stroke patients perform better at self-management and functional recovery after a stroke? A randomized controlled trial." DOVE MEDICAL PRESS LTD, 2016. http://hdl.handle.net/10150/621999.
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Background: Self-management after a stroke is a challenge because of multifaceted care needs and complex disabling consequences that cause further hindrance to patient participation. A 13-week stroke patient empowerment intervention (Health Empowerment Intervention for Stroke Self-management [HEISS]) was developed to enhance patients' ability to participate in self-management. Purpose: To examine the effects of the empowerment intervention on stroke patients' self-efficacy, self-management behavior, and functional recovery. Methods: This is a single-blind randomized controlled trial with stroke survivors assigned to either a control group (CG) receiving usual ambulatory rehabilitation care or the HEISS in addition to usual care (intervention group [IG]). Outcome data were collected at baseline (T0), 1 week (T1), 3 months (T2), and 6 months (T3) postintervention. Data were analyzed on the intention-to-treat principle. The generalized estimating equation model was used to assess the differential change of self-efficacy in illness management, self-management behaviors (cognitive symptom management, communication with physician, medication adherence, and self-blood pressure monitoring), and functional recovery (Barthel and Lawton indices) across time points (baseline = T0, 1 week = T1, 3 months = T2, and 6 months = T3 postintervention) between the two groups. Results: A total of 210 (CG = 105, IG = 105) Hong Kong Chinese stroke survivors (mean age =69 years, 49% women, 72% ischemic stroke, 89% hemiparesis, and 63% tactile sensory deficit) were enrolled in the study. Those in IG reported better self-efficacy in illness management 3-month (P=0.011) and 6-month (P=0.012) postintervention, along with better self-management behaviors at all follow-up time points (all P<0.05), apart from medication adherence (P>0.05). Those in IG had significantly better functional recovery (Barthel, all P, 0.05; Lawton, all P<0.001), compared to CG. The overall dropout rate was 16.7%. Conclusion: Patient empowerment intervention (HEISS) may influence self-efficacy in illness management and improve self-management behavior and functional recovery of stroke survivors. Furthermore, the HEISS can be conducted in parallel with existing ambulatory stroke rehabilitation services and provide added value in sustaining stroke self-management and functional improvement in the long term.
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Smith, Janine Lynette. "Self-management strategies employed by stroke survivors in the Western Cape, South Africa." University of the Western Cape, 2019. http://hdl.handle.net/11394/6857.
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Magister Scientiae (Physiotherapy) - MSc(Physio)Ischaemic heart disease and stroke were the leading causes of death and disability globally, accounting for a combined 15 million deaths. Disability following a stroke is complex and multidimensional. Disability and functioning post stroke can be conceptualized within the framework of the International Classification of Functioning, Disability and Health (ICF). The involvement of the individual in their rehabilitation and recovery is essential. Therefore, it is a necessity for individuals, particularly in a low resource setting to engage in selfmanagement activities. Bandura’s social cognitive theory based on self-efficacy, forms the basis of self-management programmes. Self-management relates to one’s ability to manage one’s consequences post stroke, and self-efficacy has been proven to be pivotal in the management and improvement of long-term conditions. The aim of the study was to explore the self-management strategies employed by stroke survivors in the Western Cape, South Africa through an exploratory, qualitative design. Prior to the commencement of the data collection phase, ethical clearance was sought from the University of the Western Cape Research Ethics Committee. Participants were recruited from an urban and rural area in the Western Cape. An interview guide was developed based on previous literature. Interview questions were related to 1) what self-management strategies were adopted to address activity limitations and participation restrictions and 2) strategies used to address environmental challenges.
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Kahraman, Ayfer. "An exploration of self-management in the context of stroke: a mixed methods study." Thesis, St George's, University of London, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.616980.
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Stroke is a public health concern throughout the world due to its association with high levels of mortality and long-term morbidity. Stroke is a chronic condition. There is evidence that the use of self-management strategies can be associated with positive outcomes for people with chronic conditions. The evidence relating to stroke and self-management informs stroke policies in the UK. However, there is minimal understanding of self-management in the context of stroke. Rehabilitation interventions which can adequately address the longer term needs require an understanding of key factors which may influence self-management in stroke survivors. The overall aim of the research presented in this thesis was to explore the concept of self-management in the context of stroke. This thesis presents a mixed methods study that was designed to address three specific and connected research questions. This thesis described three studies. Firstly, through a systematic review of qualitative studies with thematic synthesis it systematically examined the current literature to determine stroke survivors' experiences of living with stroke and the biopsychosocial factors that may influence these experiences of post-stroke life as well as the components of these factors that might be relevant to self-management. Secondly, through a prospective quantitative cohort study, it investigated the biopsychosocial individual characteristics associated with self-management and self-efficacy in adults with stroke. Finally, through a qualitative interview study, it explored the meaning(s) ascribed to "self-management" by stroke survivors and healthcare professionals. The key findings taken together reveal new insights into the psychosocial phenomena that shape coping and adjustment after stroke; the biopsychosocial factors that influence selfmanagement and self-efficacy; and the conceptualisations of self-management. This thesis therefore develops new understandings of self-management in the context of stroke. Findings have implications for formulation, organization and delivery of better aftercare and the rehabilitation that follows.
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Groenewald, Ryan Clive. "The adaptation and contextualization of the bridges stroke self-management intervention for patients living with stroke in the Western Cape, South Africa." University of the Western Cape, 2018. http://hdl.handle.net/11394/6564.
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Philosophiae Doctor - PhDBackground: Many patients with stroke feel ill-prepared for discharge from stroke rehabilitation, despite having undergone extensive periods of therapy. From the available research, there is clear evidence that disease specific self-management interventions (SMI) are effective at changing targeted behavioural outcomes, and ultimately improve patient participation restrictions, using self-efficacy principles. A stroke SMI, originally developed by the Bridges Organization to address participation restriction in patients living with stroke in the United Kingdom (UK); was successfully adapted and contextualized for the New Zealand stroke population. A similar stroke SMI could have equal positive benefits for the South African stroke population but would need to be contextually relevant. Aim: This study aims to adapt and contextualize the original UK Bridges stroke SMI workbook for implementation with the South African stroke population. Method: The qualitative, exploratory study is conducted in five phases. Thirteen healthcare professionals (Phase 1) and 12 patients with stroke (Phase 2) are engaged with by the researcher using focus group discussions to understand their views on the implementation of self-management intervention in the local context; and one-on-one interviews with local South African patients living with stroke are conducted to explore their experiences (Phase 3) and build contextually relevant local vignettes. The adaptation and contextualization process of the Bridges stroke SMI workbook to the South African context occurs using the participant feedback and built vignettes from Phases 1 to 3. Consensus on the adaptation of the workbook is then reached through the use of an expert panel for peer-review (Phase 4), and a final focus group discussion with local healthcare professionals in the field of stroke rehabilitation (Phase 5) to produce the final South African Bridges stroke SMI workbook. Phase 1 and 5 participants were conveniently selected; while purposive sampling was applied for Phases 2 and 3. Throughout the various study phases, a thematic analysis procedure is employed by the researcher to analyse and interpret the themes identified through the qualitative data collected. A deductive approach was employed by the researcher for the focus group discussion data of Phase 1, 2, and 5; and an inductive approach to the data from the interviews in Phase 3. The trustworthiness criteria of credibility, transferability, dependability, and confirmability were applied.
Books on the topic "Self-management of stroke"
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Halsted, M. D. Holman, and Virginia Gonzalez. Living a Healthy Life With Chronic Conditions: Self-Management of Heart Disease, Arthritis, Stroke, Diabetes, Asthma, Bronchitis, Emphysema & Others. Bull Pub Co, 1994.
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Kate, Lorig, ed. Living a healthy life with chronic conditions: Self-management of heart disease, arthritis, stroke, diabetes, asthma, bronchitis, emphysema & others. Palo Alto, CA: Bull Pub. Co., 1994.
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Chong, Ji Y., and Michael P. Lerario. Cerebrovascular Disease. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780190495541.001.0001.
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Part of the “What Do I Do Now?” series, Cerebrovascular Disease uses a case-based approach to cover common and important topics in the examination, investigation, and management of stroke, embolism, thrombosis, hemorrhage, and other critical presentations of cerebrovascular disease. Each chapter provides a discussion of the diagnosis, key points to remember, and selected references for further reading. For this edition, all cases and references have been updated and new cases have been added, including the following: ischemic stroke in cancer, posterior reversible encephalopathy syndrome (PRES), primary angiitis of the central nervous system, symptomatic spinal vascular malformation, and vascular dementia. Cerebrovascular Disease is an engaging collection of thought-provoking cases that clinicians can utilize when they encounter difficult patients. The volume is also a self-assessment tool that tests the reader’s ability to answer the question, “What do I do now?”
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Martin, Jeffrey J. Self-Efficacy. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780190638054.003.0023.
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Self-efficacy theory is one of the most researched topics in sport psychology. This chapter defines self-efficacy and provides an overview of the antecedents and outcomes of strong and weak self-efficacy. An overview of self-efficacy-based research in disability sport is also provided. Correlational work has demonstrated that athletes with strong self-efficacy, relative to athletes with weaker efficacy, have stronger psychological skills, less anxiety, more positive affect, and less negative affect and receive more social support from significant others. Imagery and self-talk are also related to self-efficacy providing theoretical support for these two antecedents. Athletes with strong training self-efficacy also tend to have strong performance self-efficacy. Research examining self-efficacy for pain management and the challenges of training is advocated as well as longitudinal research and intervention work. Similarly, work examining disability and disability sport–specific antecedents and outcomes of efficacy is called for, as is research into coach, team, and referee self-efficacy.
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Dietz, Volker, and Nick S. Ward, eds. Oxford Textbook of Neurorehabilitation. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198824954.001.0001.
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In the new edition of the Oxford Textbook of Neurorehabilitation all chapters have been updated to reflect advances in knowledge in the field of neurorehabilitation. It will be supplemented by additional chapters that reflect novel developments in the field of neurorehabilitation. During recent years there has been a strong evolution in the field of vocational rehabilitation with the aim of helping people after an injury of the nervous system to overcome the barriers and return to employment. A new chapter on self-management strategies deals with building confidence in individuals to manage the medical and emotional aspects of their condition. Furthermore, today the scientific basis for music supported therapy is a much broader to introduce it in this edition. New guidelines and consensus statements became established concerning preclinical research, biomarkers, and outcome measures, in both animal models and human beings. There are new data on attempts (e.g. using stem cells or Nogo antibodies) to restore function after spinal cord injury and stroke. Not all of these therapies and clinical trials have had positive outcomes. One particular area of rapid expansion reflects the use of technology in neurorehabilitation and several chapters remain devoted to this topic in various forms. Still a better understanding of the interactions of technology led therapies and conventional approaches in patients with neurodisability is required. There is still work to be done in defining key components of all neurorehabilitation interventions in order to understand how they might best be delivered for maximum benefit.
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Horsfall, Mary. Creating Your Eco-Friendly Garden. CSIRO Publishing, 2008. http://dx.doi.org/10.1071/9780643096202.
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Creating Your Eco-friendly Garden shows you how to develop an environmentally friendly garden for little cost. Practically written, it is based on the author’s first-hand experience as well as the wealth of knowledge she has amassed working at Grass Roots, Australia’s most popular self-sufficiency magazine.
The book offers advice on planning your garden, choosing plants, planting times, watering options and pest management following organic principles. It explains how to assess the soil and microclimatic effects of surrounding buildings and vegetation so that you can determine the style of garden that best suits your property.
Water efficiency, biodiversity, soil conservation, use of native and biodiversity-friendly plants, organic methods, use of recycled materials and avoidance of environmental weeds are themes that feature strongly throughout the book, and will appeal to gardeners with strong environmental values.
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Stoner, Marie. Hypnosis and Biofeedback as Prototypes of Mind–Body Medicine. Edited by Anthony J. Bazzan and Daniel A. Monti. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190690557.003.0011.
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Hypnotizability is a strong moderator for treatment outcome in patients with psychiatric disorders. Hypnosis is able to reduce distress and pain in short procedures and has been particularly useful in cancer procedures. Gut-directed hypnotherapy for irritable bowel syndrome has shown substantial results for structured short-term scripted treatment. Biofeedback for hypertension is successful when clinical practice guidelines identifying patient characteristics are followed. Heart rate variability biofeedback shows promise as a technique to directly target self-regulatory mechanisms. Innovative use of real-time functional magnetic resonance imaging neurofeedback is showing promise for altering neural patterns underlying diverse disorders such as clinical depression and chronic pain. Obsessive-compulsive disorder and eating disorders patients may be selectively responsive to hypnotic suggestion. This chapter reviews the basis of hypnosis and related approaches to the management of patients with psychiatric conditions.
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Chopra, Amit, Piyush Das, and Karl Doghramji, eds. Management of Sleep Disorders in Psychiatry. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780190929671.001.0001.
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‘Management of Sleep Disorders in Psychiatry’ provides an in-depth and evidence-based review of sleep-wake disorders included in Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) that are associated with a range of psychiatric disorders including mood, anxiety, psychotic, neurocognitive, eating, and substance use disorders. It also includes special sections on sleep-wake disorders associated with pediatric and neurological disorders, and reviews forensic issues encountered in the practice of psychiatry as they relate to sleep disorders. The book is unique in its focus on clinical assessment and management of sleep-wake disorders, and provides in-depth insight into the impact of disturbed sleep and wakefulness on clinical course and treatment outcomes of comorbid psychiatric conditions. Treatments reviewed include both evidence-based pharmacological and behavioral strategies to address sleep-wake disorders in patients with psychiatric disorders. Case vignettes are added to assist in the understanding of key clinical concepts of sleep and psychiatric comorbidity and multiple-choice questions are added for self-assessment. This comprehensive text aims to cater to the needs of the clinicians in a wide range of medical specialties including psychiatrists, sleep medicine physicians, psychologists, primary care physicians, and neurologists who strive to improve the sleep and clinical outcomes of their patients with psychiatric disorders.
Book chapters on the topic "Self-management of stroke"
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Rhoda, Anthea, Ryan Groenewald, Reham Altigani, and Fiona Jones. "Self-Management and Stroke." In Self-Management in Chronic Illness, 63–73. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-69736-5_5.
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Li, Hui, and Xin Yang. "Architecture of Sovereignty Network." In Co-governed Sovereignty Network, 61–94. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-16-2670-8_3.
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AbstractAlthough the early design concept of the Internet was decentralized, the control of the basic technology architecture showed a strong centralized form. Therefore, it is imperative to put forward a new network architecture to meet the demand of future network development and realize decentralized management of domain names by technical means. Sovereignty network based on MIN Architecture proposed in this chapter effectively realizes multilateral co-management and co-governance of cyberspace, and ends centralized management under the single IP identifier. At the same time, it protects the network of all countries from the risk of DNS disappearance and blinding caused by the smear of ICANN root zone or hacker attack. Combining multiple security mechanisms, sovereignty network guarantee the endogenous security and reliability, which help to construct secure and private networks. With the construction of the sovereignty network, the co-governance and self-management of all parties in cyberspace can be truly realized.
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Morris, Reg C. "Psychological and emotional issues after stroke." In Stroke in the Older Person, 399–412. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198747499.003.0026.
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‘Psychological and emotional issues after stroke’ explores these symptoms in great detail. These symptoms are common, disabling, and increase the costs of healthcare. Psychological conditions can occur at any age, and a person’s age is just one of many factors to be considered when assessing, formulating, and treating these complications. The commonest and most salient psychological conditions after stroke are anxiety, depression, fatigue, and emotionalism. Other more subtle presentations include low self-esteem, low confidence, reduced self-efficacy, altered identity, and post-traumatic stress. In approaching psychological conditions, it is important to be mindful that most are not limited to the acute phase. The delivery of psychological care is not necessarily the domain of specialists alone; service models such as stepped care may engage a range of staff in helping with less severe presentations. The ubiquitous nature of psychological conditions requires approaches that enable large numbers to be assessed and treated cost-effectively. Group-based approaches and self-management are particularly important additions to resource-intensive one–to-one therapy.
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Heltty, Heltty, Ratna Sitorus, Nury Nusdwinuringtyas, and Evi Martha. "Development of Management Model Post-Stroke Urinary Incontinence." In Pelvic Floor Disorders [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.99700.
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Post-stroke urinary incontinence (UI) is one of the sequelae of stroke. This situation affects all aspects of the patient’s life both physically, psychologically, socially, and spiritually. Post-stroke UI as a chronic disease requires holistic treatment. Many chronic health problems will respond well when handled from a holistic perspective. The holistic health view focuses on the patient’s health care needs, not only needs related to the patient’s physical condition of health, but also subjective aspects related to social representation of his/her health conditions. Developing a holistic post-stroke UI management model and continuous care at the patient’s home needs to be done. This chapter includes model components which are also interventions that can be done to overcome post-stroke UI. These interventions include information and understanding of post-stroke UI; ways to overcome post-stroke UI; conduct self-control and stay motivated; perform daily activities independently according to ability; and get family support and peer attention. This model was developed based on previous qualitative studies and literature studies related to post-stroke urinary incontinence. Intervention in this model is aimed at patients who have passed the acute phase of stroke, when they will be discharge from the hospital and continued at the patient’s home.
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Griffiths, Mark D., Daria J. Kuss, and Angelica B. Ortiz de Gortari. "Videogames as Therapy." In Alternative Pain Management, 324–63. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-1680-5.ch014.
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There is a long history of using videogames in a therapeutic capacity including rehabilitation for stroke patients, people with traumatic brain injuries, burns victims, wheelchair users, Erb's palsy sufferers, children undergoing chemotherapy, children with muscular dystrophy, autistic children and individuals looking to overcome real-life challenges (including symptoms of depression) and boost their wellbeing (including boosting life satisfaction, self-efficacy and social support). This paper briefly and selectively examines a number of areas including: (1) videogames as physiotherapy and occupational therapy, (2) videogames as distractors in the role of pain management, (3) videogames and cognitive rehabilitation, (4) videogames and the development of social and communication skills among the learning disabled, (5) videogames and impulsivity/attention deficit disorders, (6) videogames and therapeutic benefits in the elderly, (7) videogames in psychotherapeutic settings, (8) videogames and health care, (9) videogames and anxiety disorders, and (10) videogames and psychological wellbeing. It is concluded that there has been considerable success when games are specifically designed to address a specific problem or to teach a certain skill. However, generalizability outside the game-playing situation remains an important consideration.
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Giokas, Kostas, Vassilia Costarides, and Dimitris Koutsouris. "Integrated Platform for the Lifestyle Change and Holistic Approach to Personalized Prevention and Self-Management of Patients with High Blood Pressure." In Advances in Healthcare Information Systems and Administration, 72–90. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-9861-1.ch004.
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High Blood Pressure (BP) is the main risk factor for stroke and a major risk factor for heart attack and kidney disease. EU countries policies on lifestyle measures and self-management in lowering BP including making dietary changes and exercising are emerging and increasing. We aim to addresses preventive solutions for citizens by improving adherence to life style changes as well as therapy compliance by patients' education and monitoring of compliance. Our vision is aimed at creating a systemic solution for health promotion and disease prevention to support hypertensive citizens and healthcare professionals in co-producing healthy management and preventive care actions leading to behavioral changes. We will try to join the concept of prevention centered on a) promotion of subject empowerment, b) engagement of citizen at risk, c) provision of physicians with user-friendly devices, d) supporting behavioural changes of citizens in the adherence of lifestyle protocols, e) introduction of innovative organizational models to improve healthcare system performance
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Singh, Pinki, and Apoorva Pauranik. "Assessment of Significant Other's Burden and Their Communication Strategies to Enhance the Treatment Outcome in Aphasia." In Advances in Psychology, Mental Health, and Behavioral Studies, 254–68. IGI Global, 2018. http://dx.doi.org/10.4018/978-1-5225-4955-0.ch013.
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Post-stroke management of person with aphasia (PWA) needs the crucial involvement of significant others (SOs) or caregivers of PWA. The manners in which SOs perceive the burden and execute their supportive communication strategies (SCS) are highly variable and are influenced by many factors like their motivation, emotional attachment, constraints of time and economy, self-confidence, and the clinical and individualistic attributes of the PWA herself or himself. There are variations regarding motivation, supportive communication strategies (SCS), significance and burden of communication to PWA by SO. These variations lead to a prognosis of a PWA, which needs to be evaluated for a better understanding of the diversity of burden and SCS before incorporating tailor-made treatment planning. These aspects have a significant bearing on the prognosis of aphasia, hence must be evaluated prior to treatment planning.
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Mali, Amol D. "Recent Advances in Minimally-Obtrusive Monitoring of People's Health." In Virtual and Mobile Healthcare, 593–606. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-5225-9863-3.ch029.
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Monitoring people's health is useful for enhancing the care provided to them by others or self-management of health. This article is a survey of the latest research on monitoring parameters indicating a person's current health or having potential to affect the person's health in future, using various physical sensors. These sensors include accelerometers, gyroscopes, electromyography sensors, fiber optic sensors, textile electrodes, thermistors, infrared sensors, force sensors, and photo diodes. The health parameters monitored include heart rate, respiration rate, weight, body mass index, calories burnt, pressure distribution, diet, blood pressure, blood glucose, oxygen saturation, posture, duration of sleep, quality of sleep, hand movement, body temperature, skin conductance, exposure to ultraviolet light, adherence to medication-intake schedule, gait characteristics, and steps taken. The population monitored includes elderly people, miners, stroke survivors, osteoarthritis patients, people suffering from anorexia nervosa, obese people, people with Parkinson's disease, people having panic attacks, and wheelchair users.
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L. McWhorter, Ketrell. "Obesity Acceptance: Body Positivity and Clinical Risk Factors." In Cardiac Diseases - Novel Aspects of Cardiac Risk, Cardiorenal Pathology and Cardiac Interventions. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.93540.
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Most people are aware of how they look and, whether poor or positive, have an opinion about their image. Social media influencers, pressure from societal norms, media images, and even friends and family can impact body image. Body positivity has undoubtedly gone mainstream. Included in this movement are obesity acceptance and its demarginalization. However, the acceptance of overweight and obesity may undermine the decades-long progress made toward reducing risk factors for cardiovascular disease (CVD). Obesity is a global epidemic disease with risk factors that include hypertension, inflammation, heart attack, stroke, and diabetes. Obesity is also associated with obstructive sleep apnea. Positive body image is an important component of overall health. However, also maintaining a proper clinical definition and self-perception of what constitutes “normal” weight, coupled with weight management, regular exercise, and monitoring blood pressure and blood sugar, will continue progress toward reducing the risk of cardiovascular disease.
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Lehmann, Scott. "Self-interest and Collective Management." In Privatizing Public Lands. Oxford University Press, 1995. http://dx.doi.org/10.1093/oso/9780195089721.003.0012.
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Arguments for privatizing public lands that appeal to the virtues of markets don’t look very good under close inspection. The free market may, in some sense, maximize the satisfaction of desires. The property rights which define it may, to some degree, institutionalize respect for persons. But such justifications are quite incomplete, for they do not explain how we are to encourage respect for humanity in one’s own person or the formation of desires worth satisfying. Before enlarging the market by privatizing public lands, we should ask whether we wouldn’t thereby eliminate institutions that help do this. I have suggested that this is indeed the case. It doesn’t quite follow that privatization is a bad idea, for under scrutiny the federal land-management system may not look very good either. The extravagant claims privatization advocates make for markets create unrealistic expectations, but privatization might still improve on what we now have, if that system were as fundamentally flawed as critics like Stroup and Baden allege. In that case, the good I see in it might be outweighed, and we’d have to look for other ways to achieve that good. So in this chapter I consider attacks on the current regime, attacks which appeal to problems that are supposedly inherent in the collective management of resources and are therefore remediable only by privatization. A good deal of it concerns the claim, made by premise 1 of the argument from productivity, that individuals are self-interested. Like the philosophical thesis of determinism, 2 this one challenges us to give a reading that is both true and non-trivial. As detailed in Chapter 3, privatization advocates argue that, while self-interest rules everyone’s behavior, the current system doesn’t constrain it in a socially productive way, for it allows people, particularly those with a role in shaping public land policies, to gain by shifting costs to others. After reviewing this argument in the first section, I suggest in the second section that, if self-interest were really as advocates of privatization conceive it to be, privatization would be a hopeless cause and an ineffective remedy to these problems.
Conference papers on the topic "Self-management of stroke"
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Nasr, Nasrin, Silvia Torsi, Sue Mawson, Peter Wright, and Gail Mountain. "Self management of stroke supported by assistive technology." In 2009 Virtual Rehabilitation International Conference. IEEE, 2009. http://dx.doi.org/10.1109/icvr.2009.5174231.
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Shabayek, Abd El Rahman, Renato Baptista, Konstantinos Papadopoulos, Girum Demisse, Oyebade Oyedotun, Michel Antunes, Djamila Aouada, et al. "STARR - Decision SupporT and self-mAnagement system for stRoke survivoRs Vision based Rehabilitation System." In European Project Space on Networks, Systems and Technologies. SCITEPRESS - Science and Technology Publications, 2017. http://dx.doi.org/10.5220/0007902400690080.
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Balatsoukas, Panagiotis, Isabel Sassoon, Martin Chapman, Nadin Kokciyan, Archie Drake, Sanjay Modgil, Mark Ashworth, Vasa Curcin, Elizabeth Sklar, and Simon Parsons. "In the wild pilot usability assessment of a connected health system for stroke self management." In 2020 IEEE International Conference on Healthcare Informatics (ICHI). IEEE, 2020. http://dx.doi.org/10.1109/ichi48887.2020.9374338.
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Balatsoukas, Panos, Talya Porat, Isabel Sassoon, Kai Essers, Nadin Kokciyan, Martin Chapman, Archie Drake, et al. "User Involvement in the Design of a Data-Driven Self-Management Decision Support Tool for Stroke Survivors." In IEEE EUROCON 2019 -18th International Conference on Smart Technologies. IEEE, 2019. http://dx.doi.org/10.1109/eurocon.2019.8861812.
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Yuliana, Nur Aida, Pawito Pawito, and Bhisma Murti. "Personal and Social Factors Affecting the Preventive Behavior among Patients with Type II Diabetes Mellitus in Ponorogo, East Java, Indonesia." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.02.57.
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Background: Self-management of diabetes mellitus (DM)) is critical in preventing long-term complications. It includes proper medication use, diet, physical activity, blood glucose monitoring, foot care, and periodic health checkups. The purpose of this study was to examine personal and social factors affecting the preventive behavior among patients with type II DM. Subjects and Method: A cross-sectional study was carried out at Regional Hospital in Ponorogo, East Java, Indonesia, from January to February 2020. A sample of 200 patients with type 2 DM was selected randomly. The dependent variable was preventive behavior toward type 2 DM. The independent variables were observational learning, vicarious learning, imitation, attitude, knowledge, self-efficacy, and self-management. The data were collected by questionnaire anad analyzed by a multiple logistic regression run on Stata 13. Results: Tertiary preventive behavior toward type 2 DM increased with good observational learning (b= 1.55; 95% CI= 0.59 to 2.51; p= 0.002), strong vicarious learning (b= 1.15; 95% CI= 0.17 to 2.13; p= 0.021), strong imitation (b= 1.55; 95% CI= 0.58 to 2.52; p= 0.002), positive attitude (b= 1.28; 95% CI= 0.35 to 2.22; p= 0.007), good knowledge (b= 1.10; 95% CI= 0.14 to 2.06; p= 0.024), strong self-efficacy (b= 1.06; 95% CI= 0.11 to 2.02; p= 0.029), and self-management (b= 2.26; 95% CI= 1.24 to 3.29; p<0.001). Conclusion: Tertiary preventive behavior toward type 2 DM increases with good observational learning, strong vicarious learning, strong imitation, positive attitude, good knowledge, strong self-efficacy, and self-management. Keywords: social cognitive theory, type 2 Diabetes Mellitus Correspondence: Nur Aida Yuliana. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: Aidayuliana17@gmail.com. Mobile: +6285790767582. DOI: https://doi.org/10.26911/the7thicph.02.57
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Abe, Yoshiyuki. "Heat Management With Phase Change of Self-Rewetting Fluids." In ASME 2005 International Mechanical Engineering Congress and Exposition. ASMEDC, 2005. http://dx.doi.org/10.1115/imece2005-79174.
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The present paper mainly describes the latest progress in the thermal management devices with using “self-rewetting fluids” as a working fluid. The self-rewetting fluids are those dilute aqueous solutions of high carbon alcohols, which show a particular surface tension behavior—an increase in the surface tension with increasing temperature. In the case of phase change of these particular solutions, the Marangoni effects caused by both temperature gradient and concentration gradient along vapor/liquid interface are expected to induce a strong liquid inflow to local hot or dry spot at heater wall. Such a behavior is more pronounced in reduced gravity conditions and micro-scale heat transfer. The paper contains a series of reduced gravity and terrestrial experimental results on thermal management devices with self-rewetting fluids, wickless heat pipes and wicked heat pipes in reduced gravity and terrestrial conditions, respectively. In addition, preliminary experimental data for pool boiling characteristics of self-rewetting fluids are given.
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Halls, S., E. Dures, S. Hewlett, S. Ryan, R. Jenkins, and J. van Tonder. "OP0161-HPR The development of self-management training for innovative departments (STRIDE): a skills-training programme for rheumatology teams to enhance support for self-management." In Annual European Congress of Rheumatology, EULAR 2018, Amsterdam, 13–16 June 2018. BMJ Publishing Group Ltd and European League Against Rheumatism, 2018. http://dx.doi.org/10.1136/annrheumdis-2018-eular.2485.
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Saade, Raafat, and Dennis Kira. "Computer Anxiety in E-Learning: The Effect of Computer Self-Efficacy." In InSITE 2009: Informing Science + IT Education Conference. Informing Science Institute, 2009. http://dx.doi.org/10.28945/3386.
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It has been reported that as many as fifty percent of adults, including first-year University students, have some sort of computer-related phobia. This report demonstrates that the use of computers still has some unpleasant side effects despite the Internet boom in the past decade. Past research shows that computer anxiety influences how users perceive ease of use of an information system. However, few have investigated the role of computer self-efficacy in mediating computer anxieties on perceived ease of use. Therefore, in this study we base our contribution on the variables of computer self-efficacy and computer anxieties. These two variables are believed to impact an individual’s use of computers and performance for computer-based tasks. Anxiety has been argued to impact computer-based learning by affecting levels of self-efficacy anchored in social learning and outcome expectation theories. Self-efficacy is determined by levels of anxiety such that reduced anxiety and increased experience improves performance indirectly by increasing levels of self-efficacy. In this study, we investigate the influence of computer anxiety on perceived ease of use and the mediating effect of computer self-efficacy on this relationship, within an e-learning context. A survey methodology approach was used in this study using 18 items for 3 constructs (perceived ease of use, anxiety, and self-efficacy). Survey data from 645 university students were analyzed. The psychometric properties of the items and constructs were validated followed by the assessment of mediation of computer self efficacy. Results from the use of a learning management system indicate that computer self-efficacy plays a significant role in mediating the impact of anxiety on perceived ease of use. This role is observed by computer selfefficacy (1) reducing the strength and significance of the impact of anxiety on perceived ease of use and (2) having a strong and significant relationship with computer anxiety. The findings demonstrate the importance of self-efficacy as a mediator between computer anxiety and perceived ease of use of a learning management system (LMS). With the continuous development of richer and more integrated interfaces, anxieties about learning to use the new interface and executing tasks effectively becomes of primary importance. Limitations and suggestions for future research are elaborated.
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Valach, Maroš, and Michal Cifranič. "Medziobecná spolupráca a jej efekty: prípadová štúdia okresu Nitra." In XXIV. mezinárodního kolokvia o regionálních vědách. Brno: Masaryk University Press, 2021. http://dx.doi.org/10.5817/cz.muni.p210-9896-2021-54.
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Cooperation is important in any area of human activity in which several actors strive to achieve the same goal. It allows, by joining forces, to achieve better results than individuals would be able to do. This so-called synergistic effect can also be used in local self-government. Partnership and cooperation are guided by the principles of legality, mutual benefit and compliance with the needs of the population. The aim of the paper is to identify and evaluate the forms, areas, benefits and barriers to inter-municipal cooperation in the Nitra district. A questionnaire survey was used to obtain primary data, in which 90.32% of local self-governments from the Nitra district participated. Municipalities most often cooperate in the management of municipal waste, in the provision of preschool education, school clubs and in the field of sport. In the area of delegated competencies inter-municipal cooperation is focused on building regulations and the competence of the building authority. The main source of financing inter-municipal cooperation is a combination of own and external revenues of municipalities.
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Ismail, D. "Integrated Process Safety Tools for Managing Risk of Abnormal Operations Condition in Medco E&P." In Digital Technical Conference. Indonesian Petroleum Association, 2020. http://dx.doi.org/10.29118/ipa20-f-233.
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Process safety is paramount for the oil and gas industry including Medco E&P. Process Safety is essential to prevent major incidents that may have significant impacts in terms of economic loses, environmental damage, and even human loss. Having a strong Asset and Operating integrity programs is a key to carrying out a strong process safety in day-to-day operations. One element in asset and operations integrity that contributes to delivering a safe operations is managing abnormal operation conditions. Abnormal operation condition is defined as operations with process/system/equipment anomaly because they are outside the safe operating limit (SOL), safety critical equipment (SCE) performance degradation, SCE integrity failure, and disable safety protected function. In Medco E&P, abnormal operations risk have been assessed and managed by several tools or systems such as Safety Critical Element Abnormal Risk Assessment (SCEARA), Integrated Anomaly Alert Notification (IAAN) and SCE Preventive and Corrective Maintenance (SCE PM & CM) deferment process. These tools are made as an effort in case of continuous operations under abnormal conditions is intended by minimizing residual risk to a tolerable level. These tools are implemented by online system in Medco E&P’s enterprise resource planning, known as Business Process Management (BPM). The findings reported from the audit and self-assessment showed that it is perplexing to monitor and track between the correlated systems. This later encouraged the integration of the above tools for better abnormal operation risk management. The integration of the system then introduced as Integrated Process Safety Tools. The Integrated Process Safety Tools adds values to the management of abnormal conditions by reducing overlapping processes in the business process flow, facilitating monitoring and mitigation control, and aligning the SCE deviation mitigation periods based on risks; ranging from report initiation, work order planning until deferment processes and also clear commitment to complete abnormality. Integrated Process Safety Tools are designed to be one of the foundations in building awareness and culture of Process Safety within the Company. This paper shares the experience in managing abnormal operation condition in Medco E&P offshore operations assets both surface facility and subsurface facility that associated with Safety Critical Equipment (SCE) and its enhancement through The Integrated Process Safety Tools. The Integrated Process Safety Tools adds values to the management of abnormal conditions by reducing overlapping processes in the business process flow, simplify monitoring and mitigation control, and aligning the SCE deviation mitigation periods based on risks; ranging from report initiation, work order planning until deferment processes, also clear commitment to complete abnormality.
Reports on the topic "Self-management of stroke"
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Babu M.G., Sarath, Debjani Ghosh, Jaideep Gupte, Md Asif Raza, Eric Kasper, and Priyanka Mehra. Kerala’s Grass-roots-led Pandemic Response: Deciphering the Strength of Decentralisation. Institute of Development Studies (IDS), June 2021. http://dx.doi.org/10.19088/ids.2021.049.
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This paper presents an analysis of the role of decentralised institutions to understand the learning and challenges of the grass-roots-led pandemic response of Kerala. The study is based on interviews with experts and frontline workers to ensure the representation of all stakeholders dealing with the outbreak, from the state level to the household level, and a review of published government orders, health guidelines, and news articles. The outcome of the study shows that along with the decentralised system of governance, the strong grass-roots-level network of Accredited Social Health Activists (ASHA) workers, volunteer groups, and Kudumbashree members played a pivotal role in pandemic management in the state. The efficient functioning of local bodies in the state, experience gained from successive disasters, and the Nipah outbreak naturally aided grass-roots-level actions. The lessons others can draw from Kerala are the importance of public expenditure on health, investment for building social capital, and developing the local self-delivery system.
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Supported self-management improves quality of life and self-belief after stroke. National Institute for Health Research, November 2016. http://dx.doi.org/10.3310/signal-000322.
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Self-management support for stroke survivors may improve independence. National Institute for Health Research, October 2015. http://dx.doi.org/10.3310/signal-000134.
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