WE WILL PROVIDE FURTHER SESSION INFORMATION AS IT BECOMES AVAILABLE.
THURSDAY, OCTOBER 30, 2008.
PRECONFERENCE WORKSHOPS
Best Practice Nursing Care Across the Acute Stroke Continuum, Linda Kelloway, RN, MN
This “How to” one day program, facilitated by the National Stroke Nurses Council, explores the many facets of how nursing plays an integral role in the overall outcomes of care provided to stroke survivors in the healthcare system.
This interactive, workshop-based day will explore many aspects of evidenced-based care as outlined in the “world renowned” Canadian Stroke Strategy Best Practice Recommendations for Stroke Care: 2006 and the latest breaking evidence for stroke care.
Whether you work in a community hospital or in a big city hospital, in Emergency, a Stroke designated floor, or outpatient and community care, there is something for everyone.
This workshop will provide you with tools and materials to help you navigate the system and practice optimal care while challenging performance to improve patient outcomes. Come ready to learn, share experiences and walk away with an action plan for how you can make a difference one stroke survivor at a time.
Therapeutic Approaches for the Stroke Survivor, Diane MacKenzie OTReg(NS)]
This hands-on practical skills workshop will have several learning activities which will help the participant transfer current best practice knowledge into practice based skills. At the end of this interactive workshop, the participant will:
• compare and contrast the applicable neuroscience theories and therapeutic approaches underlying a client centered therapeutic intervention plan
• appreciate the need for the integration of top-down and bottom-up therapeutic approaches to maximize a client’s functional recovery
• defend a therapeutic intervention plan integrating best available evidence, clinician experience, outcome measures and the client’s goals, needs and desires
• be challenged to re-conceptualize how best practice rehabilitation concepts and relevant therapeutic activities can be implemented across the continuum of care.
Target Audience
This workshop is primarily aimed at therapists and rehabilitation nurses. All other interested health care professionals are welcome.
FRIDAY, OCTOBER 31, 2008.
MORNING PLENARY SESSIONS
Community Re-Integration: A Stroke Survivor and Caregiver Story [Frank and Lou Nieboer]
• To demonstrate the integral part community re-integration plays in the continuum of care for stroke survivors and their families.
CONCURRENT SESSIONS A-D
A. Treatment Beyond the 3 Hour Window – What Can and should be done? [Dr. Gord Gubitz]
Learning Objectives:
• To understand that acute strokes are not acute for very long.
• To review strategies that aim to promote early recovery following acute stroke.
• To emphasize early pitfalls for the stroke patient in the first hours after stroke, and incorporate an interdisciplinary approach for avoiding them.
B. Community Reintegration: Life After Stroke [Dr. Ken Lam]
• How the medical profession can contribute in enhancing life participation after a stroke.
D. Diagnostic Investigations Following Stroke: What, When and Where [Dr. Ken Butcher]
Following this seminar, participants will have an understanding of the following concepts.
• The requirement for urgent brain imaging in patients with new onset focal neurological deficits.
• The tempo of brain imaging required in patients with suspected TIA versus stroke, and the relationship to treatment decisions.
• The available options for brain as well as intracranial and extracranial vascular imaging. Participants will also appreciate the advantages and disadvantages of each imaging modality.
• Appropriateness and timing of various cardiac investigations, including ECG, Holter monitoring and echocardiography.
• Appropriate bloodwork to be performed in stroke and TIA patients.
AFTERNOON PLENARY SESSIONS
Advancing Stroke Care across Alberta: The Alberta Provincial Stroke Strategy [Bev Culham, APSS Project Manager]
• Components of optimal stroke care across the continuum
• How to create a stroke network at a provincial level
• Enhancing stroke care through education and technology
• Stroke outcomes in Alberta
Perks and Pitfalls: Rural Stroke Implementation [Trina Noskey, RN, & Jennine Barr, Peace River Community Health Centre]
• To inform/educate on Alberta Health Services - Peace Country Health (PCH) Stroke Program
• Highlights of PCH and the challenges that came with being a northern /rural region
• Discuss the obstacles incurred during program development and implementation
• Highlight the successes of the program
• Summarize where we are presently and the future of the stroke program
AFTERNOON CONCURRENT SESSIONS E-H
E. Secondary Stroke Prevention Strategies [Dr. Toni Winder]
Upon completion of this program, participants will be able to:
• Discuss the incidence of stroke and the risk of recurrent stroke
• Describe four components of secondary stroke prevention
• Identify TIA / Stroke patients requiring urgent secondary stroke prevention interventions
• Explain strategies to reduce the risk of recurrent stroke
F. Dysphagia [Alane Witt-Lajeunesse, SLP]
• Raise awareness of dysphagia post-stroke.
• Differentiate between normal and disordered swallowing.
• Discuss team approaches in managing dysphagia.
• Discuss best evidence in the assessment and treatment of dysphagia.
H. Stroke Mimics [Dr. Shelagh Coutts]
• To describe some of the stroke or TIA mimics.
• To review focal versus non focal symptoms.
• To review what exactly is a stroke or a TIA.
• To identify what vascular spells you should be worried about and refer to urgent assessment by a stroke specialist.
SATURDAY, NOVEMBER 1, 2008.
PLENARY SESSION
TIA Triage and Management [Dr. Naeem Dean]
• To look at evidence for short term risk of stroke after TIA.
• Identification of high risk TIA's.
• Treatment of TIA's.
KEYNOTE ADDRESS
Hidden Dimensions of Stroke [Dr. Antoine M. Hakim]
• Increase awareness that strokes can be covert but damage our cognitive functions
• Describe risk factors for covert strokes with special review of hypertension as a major contributor
• Formulate a hypothesis that small vessel disease of the brain is part of a systemic assault on arteriolar function
• Suggest future research directions to understand this condition better
• Describe potential initiatives to advance our understanding of the interface between brain and mind
CONCURRENT SESSIONS I-L
I. Interpretation of CTs and ASPECT Scoring [Dr. Andrew Demchuk]
• Participants will acquire an understanding of the pathophysiology of brain ischemia which occurs in acute stroke.
• Participants will understand the various early ischemic changes commonly seen on CT scanning in ischemic stroke.
• Participants will learn to apply the ASPECTS scoring system to systematically evaluate the CT scan for early ischemic change.
• Participants will understand the importance of ASPECTS in tPA decision making.
J. Management of the Hemiplegic Shoulder [Dr. Daniel LeBlond]
Review the evidence in the care of the Hemiplegic Shoulder and answer the following questions:
• How does this change our Practice?
• What do you do if your patient has pain?
• And is the evidence we have sufficient?
K. Hypertension Management: Do Lifestyle Changes Really Work? [Dr. Norm Campbell]
Objectives:
• To learn the importance of high blood pressure and its control.
• To learn the current lifestyle change recommendations for the management of hypertension.
L. It’s Not Just a Minor Stroke [Dr. Teri Green, RN]
• Identify functional and psychosocial reactions exhibited by patients with minor stroke and their wife-caregivers following discharge from hospital.
• Describe nursing strategies appropriate for promoting minor stroke patient and caregiver adaptation, health, and well-being during the recovery trajectory.
• Describe the significance of continuity of care and community re-entry from the health care facility to the home for patients and caregivers following minor stroke.
CONCURRENT SESSIONS M-P
N. Management of Spasticity Post Stroke [Dr. Stephen McNeil]
By the end of the session the participant will be able to:
• Identify common patterns of spasticity post stroke
• Recognize common problems related to spasticity
• Propose treatment methods for common spasticity patterns post stroke
P. Telemedicine [Dr. Ashfaq Shuaib]
• To review the importance of early treatment of ischemic stroke
• To define the potential role of telemedicine in management of cerebrovascular diseases
• To present our experience in Alberta with telestroke over the last 3 years