3000 word essay on patient with left sided stroke with one identified health need/problem: Dysphagia Student Name: Dashante` Burgess Green Cohort- Group 1 Module: NIP 1000 Word count: 3,010 A stroke is a life changing disease and sudden attack of weakness to one side of the body resulting from a interruption to the flow of blood going to the brain that can be a minor attack and resolved in a few days or major attack leaving the person with physical disabilities and cognitive deficit (McFerran 2008). Therefore, stroke can affect the quality of life of an individual from the lack of communication, mobility and independence and intern can cause one to become depressed. This essay is concerning the case of Mr. Alfred Smith who was …show more content…
The first phase of the nursing process is the assessment of the current needs/problems presented upon Mr. Smith’s arrival to hospital. The initial assessment requires the nurse to gain consent in order to gather any information such as his contact details as well as the contact details of his next of kin who in this case his is wife Susan and also the details of his GP, any known allergies he may have and any medications he may currently be on, whether he has dentures as well as his weight and BMI. During this phase, communication with the patient and family is essential to ensure that correct information is obtained so that a proper informed decision concerning his care can be made. In this case there may be some barriers that may effect the assessment process and that is the speech of Mr. smith is sometimes slurred, therefore he may need his wife to answer some of the more complex questions that require more than a yes or no answer. Nurses need to choose their words carefully so that they match the patient’s ability to understand them avoiding the use of medical jargon (Kraszewski & McEwen 2010). The dignity of the patient must be maintained at all times through all phases of the nursing process and a comfortable environment is essential-preferably in a private room or if not ensuring that the curtain is drawn out of respect for the patient (Barnes
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Roper, Logan and Tierney’s model has been criticised in the past; it has been seen as a checklist and a very simple nursing model (Townsend, 2008). I found that a lot of the information had already been gathered throughout the assessment stage. My preceptor told me that the nurse usually fills in as much of the Roper, Logan and Tierney assessment as possible not wanting to agitate the patient any further by asking the same questions over again. John was far too paranoid to start questioning him again, the Roper, Logan and Tierney assessment was completed by information gathered during assessment. John was orientated to the unit and shown to his sleeping area, I then carried out a property checklist. I felt very uncomfortable doing this as I was going through his personal belongings. I explained to him that this was routine with every new patient. John did sign his consent to admission which surprised me. To be honest I felt that so far the nurse had little intervention with the patient, to me it seemed like the doctor was doing the communication. I voiced this to my preceptor; she explained that this is the case within this service. The nurse’s input is predominantly around complying a care plan for the patient. This leads into the planning stage where the care plan is developed to meet the patient’s needs.
Clients suffering from stroke have slow speech loss of memory, speechless one side of their body paralysed which cause restriction to their movement.
Evidence-Base practice (EBP) is defined as based on problems identified from nursing practice; using best evidence and professional expertise and merging them into current practice to ensure patients receive quality care (French, 1999). Evidence-based practice is a part of quality improvement process; it is made of evidence, clinical expertise, patient preference and the context of care (Barker, 2013). In brief, evidence-based practice is the guideline in the nursing practice that requires nurses gather and use clinical evidence to help diagnose or assess patients correctly by using their knowledge and experience in order they can deliver the quality of care to the patients (Ellis, 2013). In the other words, in the nursing practice the clinical evidence supports all the nursing procedures performed.
This case study was written by Sharon Saracino and Sharon B. Buchbinder (Buchbinder and Shanks, 2017) that talks about Margaret Burns, a 63-year-old woman. Burns has a medical history of rheumatoid arthritis, hypertension, osteoporosis, and depression (2017). She also recently had a stroke which caused damage to her left occipital. With all the medical issues she is experiencing, she takes several medications and requires specific assistance. Therefore, Burns is sent to a skilled nursing and rehabilitation facility where she will recovery from her stroke.
Mr. Ken Chain is a sixty-five year-old African American male that works at a plumbing company. Ken was walking with pipes on his shoulder when he fell to the ground. A former employee asked was he alright, but his speech was slurred. EMS was called to the scene to take ken to the hospital. One of the doctor’s ran tests and states “ he had a ischemic stroke”. Ischemic stroke occurs when blood vessels that supplies the brain becomes blocked or “clogged” and impairs blood flow to part of the brain.
Throughout my medical school, Neurological sciences have intrigued me most. First time I saw a human brain in gross anatomy I felt so thrilled. Being able to look n learn about one of the most complex humans organ was just exhilarating. I used to spend hours in the college library reading about neuroscience and other beginner’s concepts. During my medical school rotations, I was exposed to a wide range of neurological conditions. Being involved in care of such patients brought me a great sense of satisfaction. One such case that I vividly remember is Mrs T suffering from acute stroke. When I first saw her, she was lying on the bed, one half of her body paralyzed. I read his casefile and learned more about the patient. She was a successful lawyer, and overnight her life had changed following the stroke. But under the care of my amazing attending, within few months following the treatments and extensive physical therapy she regained 60% of her functioning and was expected to improve even more over course of time. This whole experience of her reclaiming her day to day life was an incredibly satisfying
Effects - Every stroke is different, and each person that is affected by a stroke will suffer from different problems and have different needs. The way in which you are affected depends on where in the brain the stroke occurs and how big it is. A stroke on the right side of the brain generally causes problems to the left side of the body, and a stroke on the left side of the brain causes problems on the right. The brain is dived into several different areas which control different functions, including movement of the body, language, the way in which you think and senses (touch, sight, smell). Due to different arteries supplying blood to different areas of the brain, where abouts the brain is damaged determines which function is affected. Some strokes occur at the base of the brain which generally cause problems with breathing, moving and eating. These factors impact the effect of a stroke and the recovery after; Type of stroke, which area of the brain is damaged, how much tissue is permanently damaged and the person’s health and level of activity before a
Stroke is the fourth leading cause of death in American and a leading cause of adult disability. Stroke or other known as a “transient ischemic attack” occurs when a blood clot blocks an artery or a blood vessel breaks, interrupting the blood flown to an area of the brain. These characteristics cause a loss of cerebral function. (NSA, 2014) When brain cells die during a stroke, abilities controlled by that area of the brain are lost. These abilities include speech, movement and memory. How a stroke patient is affected depends on where the stroke occurs in the brain and how much the brain is damaged. (NSA, 2014) Stroke rehabilitation starts on admission to hospital and continues after discharge; the aim is to restore a level of
Stroke previously known as Cerebrovascular accident is well-defined as ‘an abrupt cessation of cerebral circulation in one or more of the blood vessels distributing the brain. Due to the interruption or diminish of oxygen supply causes serious damage or necrosis in the brain tissues (Jauch, Kissella & Stettler, 2005). There is a presence of one or more symptoms such as weakness or numbness or paralysis of the face, arm or leg, difficulty speaking or swallowing, dizziness, loss of balance, loss of vision, sudden blurring or decreased vision in one or both eyes and headache. Stoke is categorised into two types, Ischaemic and haemorrhagic
Dr. Ropper explains that he was able to catch and treat these conditions based on his clinical experience because “if the problem is properly framed, there are very few other things it could be.” He describes the difficulty of predicting and reading strokes and the genetic and cultural aspects that factor into having a stroke. He then compares Neurology to the absurdist story of ALICE AND WONDERLAND, because when you are patient falls down a rabbit hole, you have to do something about it. He then discusses the difficulty of being able to crack some of these cases due to the overwhelming patient
Mrs X is an 81 year old lady who suffered from an ischemic stroke. She first started noticing the symptoms when she was visiting a friend. Mrs X started experiencing sudden trouble speaking and seeing, weaknesses, sudden confusion and severe headache. As her symptoms worsened her friend thought it was necessary to call the emergency services and after explaining Mrs X 's symptoms an ambulance arrived within 15minutes.
Patient is a 79-year-old right-handed white female who presents with her sister for evaluation of a new stroke. She presented to the physician on July 27th for an event that started on July 23rd. She awoke that morning and had decrease use of her left hand. She did not notice any weakness in her arm or any sensory changes. There are no problems with her leg. Walking was fine. There were no other neurological symptoms until she realized when she tried to get her coffee cup that she was unable to coordinate her fingers in her hand well enough to handle the coffee cup. She is having difficulty signing her name. She can print, but the decreased dexterity in her hand is significantly affecting her. She also cannot extend her left pinky finger. She
What is a stroke? When brain cells die suddenly due to oxygen deprivation, a stroke occurs. Hemorrhagic and ischemic are the 2 main types of stroke. There are many signs and symptoms that indicate a stroke has occurred. Knowing the warning signs of a stroke and seeking immediate treatment can reduce the long term effects, improve recovery time, and avoid death. Stroke treatment is reliant on the type of stroke that has occurred. Medications along with lifestyle changes are common forms of treatment. The severity of stroke can range from minimal to severe therefore, rehabilitation time can take weeks or even years. If permanent damage occurs, treatment is aimed at adaptation and learning to live with the loss of function. There are many
When I was in 8th grade, my aunt had a stroke and she is still suffering from the post-stroke side effects. I choose this article because I wanted to learn more about the treatments of stroke, especially how to deter its effects on the body. I believe that stroke strongly affects a person’s daily life. One day someone can be biking and then the next day that same person can be facing paralysis on one side of the body, disabling them. My family does have a history of stroke, so I want to be able to identify symptoms of stroke, if I ever display them and be able to know which treatments can possibly save my life. I also want to be able to know that my life won’t be too badly affected if I do end up getting stroke.
Post stroke patients ' therapy process passively, done by following the movement of the arm exoskeleton that is driven automatically based on programs that have been created. The movement of the exoskeleton of the machine can be programmed to perform the movement fleksi and extension with a specific speed and angle position. Setting the speed of motion and position of this angle can be set using the PWM (pulse width