Toumbs, personal communication, April 20, 2015). This model focuses on stroke prevention by educating high-risk populations about treatment regimens and lifestyle modifications. Urgent evaluation of patients with onset of low-risk symptoms. Reducing length of stay for patients with mild ischemic stroke and reformatting emergency care with early administration of tissue plasminogen activator to appropriate patients (Newby, 2014). Conclusion Miss Toumbs uses her role as an acute care nurse specialist to provide a personalized approach to mild ischemic stroke. patient well-being. Using patient- and family-centered care, he is able to reflect on the needs, education and treatment the patient deserves. At first, Miss Toumbs felt many unknowns. However, her education showed her how to use her tools to gather information. Since she began in this role, she has endured great personal and professional growth. Her knowledge base has grown and she is eager to share that knowledge with patients, families, colleagues and future nurses