IMPROVIng Stroke CarE in India (IMPROVISE)
India (MSAI) - Christian Medical College, Ludhiana
Dr.Jeyaraj D Pandian
Dr.Jeyaraj D Pandian
4 weeks
Cities/Months Jan Feb Mar Apr May Jun Jul Augt Sep Oct Nov Dec
No Yes Yes No No Yes Yes Yes Yes Yes Yes No
Type of Research Project
- Clinical Project without Laboratory work
What is the background of the project?
There are only about 50 stroke units (SU) in India. The care of stroke patients are primarily focused on the medical management. Very little importance is given for the nursing care in the treatment of stroke. There is evidence that simple measures such as swallow assessment, control of fever and blood sugar can improve stroke patients outcome. However it is uncertain whether implementation of care bundles would lead to functional improvement of stroke patients.
What is the aim of the project?
The aim of the study is to develop and explore the feasibility of delivering a series of interdisciplinary care bundles focused on assessment and management of swallowing, physiological and neurological monitoring and education and training of relatives in acute stroke.
What techniques and methods are used?
Consecutive stroke patients admitted to the acute stroke units. The study is expected to recruit approximately 720 participants. A series of three care bundles for patients (assessment and management of swallowing problems, monitoring and management of neurological and physiological signs, and the education and training of relatives in supporting acute stroke care. The first care bundle would be neurological evaluation and monitoring of consciousness and neurological signs. The second care bundle is swallowing assessment to prevent pneumonia and proper feeding of stroke patients. The third care bundle is educating the carers to continue the treatment at home. Frequency and descriptive statistics will be done using SPSS ver 21.0. The proportion of patients with pneumonia, poor outcome and neurological complications following stroke will be calculated. As this is a feasibility study the main outcome measures will be: • number of eligible patients and carers • willingness of participants to be recruited • fidelity to the interdisciplinary care bundles • follow-up and attrition rates • availability of data
What is the role of the student?
- The student will observe the practical experiments but will be highly involved in the analysis of the results
- The tasks will be done under supervision
What are the tasks expected to be accomplished by the student?
Practical skills regarding examining stroke patients Neurological examination of stroke patients and clinical skills in neurology 2) Screening patient eligibility and recruiting patients along with research staff 3) Can be involved in writing a review article on prevention of stroke with the tutor
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
yes through lectures and seminar
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- The student will prepare a scientific report
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
Clinincal and analytical skills
Are there any legal limitations in the student’s involvement
Type of students accepted
This project accepts:
- Medical students
- Graduated students (less than 6 months)
- Pre-Medical students from the American-British system
- 1.Quality of Acute Care and Long-Term Quality of Life and Survival: The Australian Stroke Clinical Registry. Cadilhac DA; Andrew NE; Lannin NA; Middleton S; Levi CR; Dewey HM; Grabsch B; Faux S; Hill K; Grimley R; Wong A; Sabet A; Butler E; Bladin CF; Bates TR; Groot P; Castley H; Donnan GA; Anderson CS; Australian Stroke Clinical Registry Consortium.
- 2. Mortality Reduction for Fever; Hyperglycemia; and Swallowing Nurse-Initiated Stroke Intervention: QASC Trial (Quality in Acute Stroke Care) Follow- Up. Middleton S; Coughlan K; Mnatzaganian G; Low Choy N; Dale S; Jammali-Blasi A; Levi C; Grimshaw JM; Ward J; Cadilhac DA; McElduff P; Hiller JE; D'Este C. Stroke. 2017 May;48(5):1331-1336.