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NPA Western New York

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Poster Presentation by Lana M Pasek, ANP-BC at the NPA 29th Annual Conference

Title:  Patient Care Outcomes of In-Patients with Strokes/Transient Ischemic Attacks (TIA) at a New York State Designated Stroke Center Utilizing NP-Led Multidisciplinary Stroke Rounds

 This study was supported by a 2012 community research grant from Gamma Kappa Chapter at the University of Buffalo of Sigma Theta Tau International.

 Description: This was a retrospective descriptive study of quality stroke indicator data, length of stay , mortality , stroke round procedures, and nursing length of service among three NYS designated stroke centers with center ‘B’ having an Adult NP leading multidisciplinary stroke rounds with the unit nursing staff.

 Results:  There were 5 improved Patient outcomes at center ‘B’ for the years 2007, 2008, 2009 and 2010 with improved scores in:
1. National Institute of Health Stroke Score (NIHSS) done on admission
2. Dysphagia screening done prior to any oral intake
3. Stroke education completion
4. More patients being discharged on cholesterol-reducing medication
5. Lowest average mortality among the 3 centers
Center ‘B’ also had the highest number of RN’s with over 20 years of length of service

 Implications for Practice:  with a NP leading to maximize the wisdom of clinical experts a Quarter of the outcomes were improved and the death rate among the stroke patients was minimized.  Per Patricia Benner – there is a need to shape our systems to better accommodate the expert caring work by Nurses.


Dr. Paul L. Fazekas, PhD, NP (Author)

Enduring Images: From the trauma of war to lifelong healing.

Enduring Images describes the personal cost of war paid by combat veterans and their loved ones over the course of a lifetime.

Dr. Paul Fazekas was drafted into the U.S. Army in 1969 at the age of nineteen and participated in the most unpopular and controversial war in American history. He reluctantly, and sometimes defiantly, served as a rifleman with the First Air Cavalry Division (Airmobile) and the 11th Light Infantry Brigade for a one-year tour in Vietnam.




Karmell J Maroretta, MSN, ANP-BC, CRNFA

Journal to the New You: A weight loss surgery journal companion.

This journaling guide was created to assist the reader in the self-examination necessary for success after weight loss surgery. With thought provoking questions, this book will encourage self-awareness and exploration through the act of writing. Weight loss surgery affects many aspects of one's life. Each of those facets are encountered here, as are important milestones in the weight loss surgery journey.