According to Susan Mayor (2005), the success of cardiac care programs such as the establishment of stroke units have been very encouraging and. This, together with the rising demand of services is prompting the National Health Service (NHS) to study options for their deployment. Cathy Jackson (2005) however also points out that the process will be slow because of the financial and manpower costs of services. Thus, the focus of developing stroke units must not only be in developing the centers themselves but also in developing the skills of health care professional delivering care for patients.
Strokes or cerebrovascular accident are arterial and venous acute neurological conditions that results to the reduction of blood supply to the brain which then leads to a loss of neuronal function because of cerebral perfusion (Thomson et al, 1997). However, the reality of the condition does not give a hint to its true impact and significance not only to those who suffer it but to families, friends and to the medical profession itself.
Stoke units have significantly improved the treatment and prognosis of patients. Dennis and Langhorne (1994) believe that this success must extend itself in improving education regarding stroke and other cardiac conditions and in enhancing methods and approaches for patients. There has been a great deal of positive response in support of this view. One of the examples is in the greater availability of treatments and programs that have gained recognition through research (Kalra et al, 2000).
The stroke unit is equipped with cardiopulmonary monitoring systems that are connected to a centralized monitoring console. Patients are in isolation in consideration of the vulnerability to immunological threats. Monitoring of vital statistics is automated though some units can also afford a degree of automation in medication. Whenever possible, defibrillation units are assigned individually and at the same time portable automated external defibrillators are maintained in the central station of hospital stroke units.
Some can also utilize video monitoring systems: some are reserved for patients who are being needed to be isolated to a high degree and the rest are for general monitoring purposes. There are also consultation and lounges for patients' family and relatives. In summary the stroke units are designed to be an independent facility for stroke patients whose facilities target not only focused cardiac care but also consideration of so-existing conditions that challenge stroke patients.
The numbers of patients accommodated are only those that need the highest level of cardiac care. The main constraint is the number of patients the stroke unit can accommodate. Prioritizations of patients depend on the severity of the case. Whenever possible, patients who can be transferred out to less intensive care programs promptly to ensure that at least a unit of accommodation is available in case of a patient suddenly being admitted for an extreme condition.
Patient screening is also done to determine risk of exposure of the subject patient from and to other patients. Even if a patient has a stroke or a resultant condition that should afford him admittance to the stroke unit, if there is an indication of mental health problems or immunological considerations, admission to the stoke unit can be limited and channeled to other