Stroke Nurses: A Case Study

Describe the problem as told by a healthcare professional For this project I chose to interview two physicians who specialize in the management of stroke patients. Carlene W. Kingston MD is the Stroke Medical Director and Inpatient Neurohospitalist Lead Physician at Novant Health Neurology Specialists in Charlotte, North Carolina. Tommy Thomas MD, PhD is a Neuroscience Critical Care physician at Grady Memorial Hospital in Atlanta, Georgia. The healthcare problem was initially identified for this project by T. Thomas MD, PhD. By interviewing two physicians, in separate geographical locations, a comparison could be made to see if the same problem could found in both health care settings. When asked about a healthcare problem T. Thomas MD, PhD sees in his practice, T. Thomas MD, PhD stated, “we see a number of patients with prediabetes and diabetes …show more content…
If we can identify and aggressively treat prediabetes, with routine surveillance of Hba1c, then we can lower the incidence of it’s secondary illnesses such as cerebrovascular accidents, also known as stroke. Diabetes is a terrible and modifiable contributor to stroke. Stroke is of the leading causes of death in the United States” (T. Thomas, a personal communication, March 14, 2016). Grady Memorial Hospital is one of the busiest stroke centers in the United States. Thomas MD, PhD and his colleagues have found that a large portion of the patient population in Grady’s stroke center present with elevated blood sugar. There is a clinical trial currently being performed at Grady called the SHINE study. This study aims to prove that with better treatment of hyperglycemia in acute stroke