Abstract WP338: Development of a Veteran Specific Stroke Educational Guide

Abstract

Background and Purpose: Nearly 6,000 veterans are hospitalized annually for an ischemic stroke. The Veteran’s Health Administration (VHA) estimates care cost at $111 million for acute inpatient care, $75 million post-acute inpatient care, and $88 million for the first six months post stroke follow-up care. Presently, few national publications are uniquely designed for the veteran population. The primary focus of this initiative was to lead a multidisciplinary team of experts in the development of a veteran specific stroke risk prevention and reduction educational guide. Methods: A nurse lead multidisciplinary team of experts were assembled to develop a disease and population specific patient educational guide. The VHA educational guidelines, chronic disease self-management, and the Joint Commission Stroke educational core measures were used as the developmental framework. Mort Walker, creator of Beetle Bailey, provided illustrations throughout the guide for key concepts that were veteran specific and culturally-appropriate. The Sergeant Snorkel character emulates an ideal role model for veterans on how to prevent and reduce stroke risks. Results: A 28 page guide was developed for electronic distribution to healthcare providers across the VHA system. The printed version was designed to be the pivotal organizing resource for veteran and caregiver education during the hospital stay. The incorporation of self-management skills makes this guide uniquely different from other educational manuals. Documentation of self management implementation includes goal setting, action planning, and problem solving. The didactic components addressed are medication management, dietary compliance, smoking cessation, weight loss, increasing physical activity, improving functional status, and self-management skills. Development facilitators will be discussed. Conclusions: A nurse led multidisciplinary team of experts was assembled to develop a disease and population specific patient education guide for military veterans who have experienced a stroke. Veteran specific artwork seems to lend credibility to the health information for this population. The guide’s unique self-management documentation aides ease of use.