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What role should nurses have in mobilising and positioning patients after a stroke?

  • Comments (3)

Article: Keating M et al (2012) Positioning and early mobilisation in stroke. Nursing Times; 108: 47, 16-18.



  1. NICE guidance recommends early mobilisation and optimum positioning of people with acute stroke
  2. Early mobilisation and good positioning can help patients regain function and reduce complications
  3. Nurses have a vital role in early mobilisation as they are present 24 hours a day
  4. Patients benefit if nurses share working practices with the rest of the stroke unit team
  5. Specialist equipment should be used in collaboration with the therapy team



  1. How many deaths in the first 30 days post-stroke are due to immobility?
  2. List the complications of immobility following a stroke.
  3. How soon can patients mobilise after a stroke?
  4. What role should nurses have in mobilising and positioning patients after a stroke? What education and training is recommended for nurses?
  5. What are the key components of an individualised management plan?
  • Comments (3)

Readers' comments (3)

  • Anonymous

    i think that nurses have an important role, they need to speak to the specialist stroke OT and physio's so that patients are positioned and mobilised correctly. that is why we have MDTs and nurses working on stroke units go on training days.

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  • Anonymous

    I think nurses should be positioning stroke patients properly and although I agree that physios and OT can give advice, shouldn't nurses as part of basic training have the skill and knowledge to be able to do this, I know I was trained in this during my training early on and it was reiterated throughout basic training. i sometimes wonder what is happening if nurses do not feel confident to do even basic tasks such as this. No wonder perceptions of nursing have suffered to the detriment over recent years

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  • Anonymous

    I agree with the previous contributor. When I trained we were taught how to care for our stroke patients as part of the nursing care. They were positioned, turned,given passive exercises and had pressure area care on a regular basis throughout the day and night. We treated the patient as a whole not forgetting their nutrition and fluid intake. We worked closely with the Physiotherapists to mobilise the patients as soon as they were able. I also wonder what is happening if nurses are unable or feel confident enough to provide this basic care. Is there no common sense these days?

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