Category Archives: Practice Standards & Guidelines

Round-up of Stroke Resources

Today at a Stroke Care Improvement meeting I shared some of the stroke resources I’ve been gathering during the past two months. Now would be a good time to take stock and collect all the previously published links in one post. The list is a work-in-progress and will grow.

Although the resources are not nutrition-specific, they all contain some nutrition elements such as diet modifications to reduce stroke risk factors (primary and secondary prevention) or manage deficits (e.g, dysphagia) during acute stroke treatment and rehabilitation.

THE LIST:

Practices and Standards Working Group, The Canadian Stroke Strategy. Canadian Best Practice Recommendations for Stroke Care: 2006.
Best Practices and Standards Working Group, The Canadian Stroke Strategy. Best Practices and Standards Environmental Scan Report.

Heart and Stroke Foundation home page.

Heart and Stroke Foundation of Ontario, Ontario Stroke System. Best Practice Guidelines.

National Stroke Foundation, Australia. National Clinical Guidelines for Acute Stroke Management.

National Stroke Foundation, Australia. National Clinical Guidelines for Stroke Rehabilitation and Recovery.

National Stroke Foundation, Australia. Stroke Care Pathway: A Resource for Health Professionals.

Scottish Intercollegiate Guidelines Network. Management of patients with stroke: Identification and management of dysphagia. September 2004.

Scottish Intercollegiate Guidelines Network. Management of patients with stroke: Rehabilitation, prevention and management of complications, and discharge planning. November 2002.

Teasell R, Foley N. Evidence-based review of stroke rehabilitation: Managing the stroke rehabilitation triage process.

Another best practice resource on stroke

I was updating my stroke resources on Connotea this morning and discovered another SIGN resource: Management of Patients with Stroke: Rehabilitation, Prevention and Management of Complications, and Discharge Planning.

You can also view the two PDF documents on these blog pages:

ESPEN Guidelines & Position Papers

That’s not a typo (“E” instead of “A”) in the title. ESPEN is the European Society for Clinical Nutrition and Metabolism. If you are a dietitian practicing in Canada or the US, you are probably more familiar with resources from A.S.P.E.N., the American Society for Parenteral and Enteral Nutrition.

Access to these ESPEN resources is free and does not require membership.  I quickly scanned  some guidelines relevant to my area of practice and the resources seem to be high quality and useful so I’m adding them to my toolkit in the sidebar.

Link to ESPEN guidelines and position papers

Practice Guidelines on Nutrition in Stroke Care: Resource #1

Management of patients with stroke: identification and management of dysphagia by the Scottish Intercollegiate Guidelines Network (SIGN).

You can download a quick reference guide and the full guideline from this page (scroll down to guideline #78) or read the full guideline here:
Management of patients with stroke: identification and management of dysphagia

Best nutrition practice in stroke care

This month — actually beginning this weekend — I will be searching for resources on best nutrition practice in stroke care as I prepare for interdisciplinary team meetings at my workplace.  Here are the first resources I am going to read.

Canadian Best Practice Recommendations for Stroke Care (2006)
Canadian Stroke Strategy Best Practices and Standards Environmental Scan Report

I’ll highlight all the nutrition-related recommendations, guidelines and standards in upcoming posts.

Evidence-Based Practice: EBMSources

I have retracted and rewritten most of the post I published earlier today about finding resources for developing practice guidelines. There is nothing wrong with the site I described in the previous post, but this link may be a better starting point:

EBMSources: Directory of Evidence-Based Information Websites

This regularly-updated directory lists websites of groups or associations offering practice guidelines, critical appraisals, and systematic reviews. An expert panel evaluates the websites using a validated assessment tool, which is described in detail. The site is affiliated with the Department of Family Medicine at Laval University. In a future post, I will provide more information about the directory and my experiences with it.

Here are tips to help you find your way around the site:

  1. Use the narrow sidebar on the left side of the page to navigate from page to page.
  2. Choose your language (French or English) by clicking near the top of the navigation sidebar.
  3. Under “Assessed Websites”, also in the sidebar, click on “complete list” to view all reviewed websites with active links and ratings.

Nutrition Month Post #2: Updated Position Statement on Dyslipidemia

Well, my blogging stats are now 1 for 6…as in1 post for 6 days of Nutrition Month. I have some catching up to do if I want to make 31 posts by March 31st. I currently have a few rough drafts that I will polish and publish over the next couple of days. The topics vary from clinical to global/environmental.

Today I’m posting a link to this recently-published position statement/practice guideline, which includes sections on lifestyle modifications for cardiovascular health:
Canadian Cardiovascular Society position statement – Recommendations for the diagnosis and treatment of dyslipidemia and the prevention of cardiovascular disease.