The Challenges of Nursing Stroke Management in Rehabilitation Centres

Bianca Buijck completed her doctorate in 2013. She investigated the multi-dimensional challenges of geriatric rehabilitation after amputation or stroke with the specific focus on rehabilitation outcomes concerning quality of life and neuropsychiatric symptoms (GRAMPS study). She works as Coordinator and Managing Director of the largest stroke service in the Netherlands, a collaboration of 19 health care organizations. She works on stroke care issues, education (development) and research, in close collaboration with various national and international professionals (nurses, CEOs, neurologists, researchers, elderly care physicians, physical therapists etc.). As the Managing Director, Bianca is responsible for research and project plans. She has a strong influence (evidence based) on stroke care, by bringing people together discussing the best stroke care possible. Meanwhile, she is a lecturer (and author) at several universities and universities of applied science, and serves as a reviewer of several peer reviewed journals.She presents her research results as much as possible, convinced of the importance of disseminating these results. Furthermore, as a researcher she is influencing health care policy and health care insurers on national level, as member of several boards in health care organizations, and she is involved in developing evidence based guidelines and care pathways. In the last five years Bianca published more than 20 articles in national and international peer reviewed and professional journals, and published numerous books and book chapters. She presented her work at more than 70 national and international conferences, and presented more than 15 posters at Dutch and international conferences. Ever since 1995, GM Ribbers has supervised an inpatient department for patients suffering from severe acquired brain injuries at Rijndam rehabilitation in Rotterdam. In 2012 he was appointed professor Neurorehabilitation at the department of Rehabilitation Medicine of the Erasmus University Medical Center in Rotterdam. He currently leads the Rotterdam Neurorehabilitation Research (RoNeRes) group that focuses on effective and efficient treatment strategies for patients with acquired brain injury. The orientation of RoNeRes is clinical rather than fundamental and cross borders the disciplinary bounders of medical, psychological and linguistic disciplines and of human movement sciences.

Chapter 1. Stroke - medical aspects.- Chapter 2. Acute phase.- Chapter 3. Recovery after a stroke.- Chapter 4. Therapeutic climate.- Chapter 5. Multidisciplinary collaboration.- Chapter 6. Skills.- Chapter 7. Swallowing disorders.- Chapter 8. Communication disorders.- Chapter 9. Activities in daily life (ADL).- Chapter 10. Urinary incontinence after stroke.- Chapter 11. Problems with the shoulder and hand due to hemiplegia.- Chapter 12. Cognition, emotion, and behavior.- Chapter 13. Neuropsychiatric symptoms after a stroke.- Chapter 14. Care in the chronic phase - care at home.- Chapter 15. Integrated care pathways after stroke.- Chapter 16. An example: course developed in the Rotterdam Stroke Service (The Netherlands).