Date of Conferral



Doctor of Nursing Practice (DNP)




Mirella Brooks


AbstractThis project focused on two concepts: a need for a stroke prevention program and what should be included. The problem with early identification of stroke is not formally addressed at the project site, physician’s office. A physician’s office can play a beginning key role in minimizing the risk of stroke. The purpose of this project was to explore the evidence to support the need for and to determine ideal content for a stroke prevention education program. This program focused on early detection and identification of risk factors to prevent stroke occurrence. The theoretical framework of Pender’s health promotion model aligns with individualized plan of care for nutrition and exercise for each patient that needs stroke prevention coaching. Data were collected on a form centered around each individual patients’ current medical history that relates to stroke. Descriptive statistics for modifiable and nonmodifiable data were obtained from medical charts (n = 56) using a mixed methodology for a convenience sample (M = 50 years; SD = 16.8). The following risk factors were most prominent: high Body Mass Index (M = 30.7; SD = 6.1), high glucose (M = 115; SD = 23.4), high LDL cholesterol (M = 135; SD = 24.9) along with diagnoses of hypertension (32%), type 2 diabetes (16%), anemia (12.5%), and angina (10.7%). This program targets diet modification, medication regimes, and daily exercise to enhance the patients’ interest in behavioral changes based on modifiable risk factors. A staff education program has the potential to bring about positive social change in an internal medicine practice by providing an early prevention approach.