Evidence of Nursing: Stroke and Compression Stocking Analysis

This assignment focuses on the application of compression stockings in the treatment and prevention of complications related to stroke. The study utilizes the PICO framework to define the problem, intervention, and outcome, specifically addressing the use of compression stockings to prevent embolism in stroke patients. The search strategy involves databases like PubMed, The Cochrane Library, and PsychInfo to gather relevant research, including the CLOTS trials. The assignment highlights the risks and benefits of compression stockings, citing studies on venous thromboembolism prophylaxis and the incidence of deep vein thrombosis (DVT) and pulmonary embolism. It also discusses the impact of compression stockings on patient outcomes and mortality rates, emphasizing the importance of evidence-based practice in nursing care for stroke patients. The assignment provides a comprehensive overview of the current evidence and clinical considerations surrounding the use of compression stockings in stroke management, referencing key studies and providing context for the ongoing debate about their effectiveness.

EVIDENCE OF NURSING

PART 1
The present study has been emphasizing on the effect of compression on stroke.
Thus, for such purpose research articles have been reviewed to specify the problem
statement.
PART 2
P- In PICO framework, P stands for problem and in the present study, problem statement
is stroke.
I- I represents intervention which is compression stocking
C- C stands for comparison which is not available
O- O stands for outcome and prevent embolism is the expected outcome
PART 3
Search strategy
Search strategy is the process through which search terms are being used for the
purpose of researching the data for the subject matter. Several databases are being used in
this aspect so that to collect suitable information about subject matter. In the present
study, database like PubMed, The Cochrane Library and PsychInfo have been used.
Further, these are also used for the purpose of conducting systematic analysis. In order to
reach towards the research outcome, researcher focused on several articles (Berntsen and
et.al., 2016).
Further, researcher has also emphasized on inclusion and exclusion criteria and on
that basis, research aspects are being used appropriately. For instance- studies conducted
in English language are being used and any other studies are not used in any context. Key
terms like stroke, compression, pulmonary embolism and venous thromboembolism have
been used to find out matter for the current subject (Mol and et.al., 2016).
PART 4
In the study of Bowler and et.al., (2013), focus has been laid on most randomized
controlled trails of venous thromboembolism prophylaxis which reduces deep vein
thrombosis. The study also aims to analyze the effects of compression stockings on

stroke. In this respect, CLOTS trails have been conducted with immobile stroke patients.
Thus, according to the findings, it can be said that allocation of compression stockings
increases many risks and challenges.
According to Donnell and Kearon (2011), pulmonary embolism is regarded as one
of preventable cause of death; however it is also a cost saving process with those patients
who have high risks. CLOTS trail 1 and 2 has been used in the present article to find out
the ability of compression stockings in managing stroke and immobility.
PART 5
More than 130,000 people in UK have stroke and most of the patients die because
of DVT (deep vein thrombosis) and pulmonary emboli. Compression stockings are used
for the purpose of preventing stroke on post-stroke patients (Mol and et.al., 2016).
However, on the other hand results of Clots in legs trail do not depict any significant
benefit from the use of stockings on the occurrence of DVT. Because of pulmonary
emboli, most of the deaths happened in hospitals in stroke cases. This also increases
blood flow in the veins of the legs, however at the same time compression stockings are
suggested as treatment for immobile patients. Therefore, it is evident that pulmonary
embolism is the blockage of main artery of the lung which leads to blood clot (Partsch,
2016). Hence, around 20% of patients with stroke have primary acute intracerebral
hemorrhage.

REFERENCES
Berntsen, C. F. and et.al., 2016. Compression stockings for preventing the postthrombotic
syndrome in patients with deep vein thrombosis. The American journal of
medicine. 129(4). pp.447-e1.
Bowler, G. and et.al., 2013. The effect of graduated compression stockings on long-term
outcomes after stroke: the CLOTS trials 1 and 2. Stroke. 44(4). pp.1075-9.
Donnell, O. M. and Kearon, C., 2011. Graduated compression stockings to prevent
venous thromboembolism in hospital. POLSKIE ARCHIWUM MEDYCYNY
WEWNĘTRZNEJ. 121(1-2).
Mol, G. C. and et.al., 2016. One versus two years of elastic compression stockings for
prevention of post-thrombotic syndrome (OCTAVIA study): randomised
controlled trial. Bmj. 353. p.i2691.
Partsch, H., 2016. Commentary on ‘Haemodynamic Performance of Low strength Below
knee Graduated Elastic Compression Stockings in Health, Venous Disease, and
Lymphedema’. European Journal of Vascular and Endovascular Surgery. 52(1).
p.113.