Case Study : Cerebrovascular Disease : Stroke- Definition, Incidence And Prevention

Mrs. Alice Palmer is a 54-year old married woman who has been admitted and is being treated with an ischemic stroke which she had 18 hours ago. This paper explores the nursing care of Mrs. Alice Palmer based on the clinical reasoning cycle by considering her situation first, collecting cues and information about her, processing the information gathered, then identifying problems or issues she is experiencing, and finally carrying out a detailed assessment. Also, the paper focuses on setting goals and establishing a nursing care plan in the community, and target ethnically safe practice. Ischemic stroke occurs when the brain tissue does not receive sufficient oxygenated blood due to an obstruction of the carotid artery (Brunner, Suddarth, & Smeltzer, 2008). When the brain does not receive enough oxygenated blood, some or all of its tissues may get damaged

Strokes are caused by pathophysiological changes. The two major mechanisms of stroke consist of ischemia and haemorrhage. Ischemia is when there is no oxygen or not, merely enough oxygen to fuel the tissue level in the body. Haemorrhage in the brain, causing strokes can be due to non-traumatic intracerebral haemorrhage (Shah, MD, n.d.) (see appendix 1). This essay will further discuss the implications of strokes on a cellular, organ and system level. Explain the clinical presentation of the signs and symptoms of strokes and how the condition will be managed by a paramedic.

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I declare that the answers provided are entirely my own work. I have provided full referencing to the work of others. The material in this paper has not been submitted for assessment in any other formal course of study.

1. Every 40 seconds someone in the United States has a stroke (National Stroke Association, 2014). Some symptoms related with a stroke are headache, blurred vision, trouble speaking, confusion, dizziness and numbness on one side of body. These symptoms are very important to know. Due to how common strokes are it's good to know the warning signs. For every person that dies from stroke, more than 5 times that many will survive, and for them the physical damage it causes can be enormous (National Stroke Association, 2014). Most people who have a stroke are depressed after it's all said and done. They may be paralyzed on one side, have a speech impairment or worse. When you are used to living a certain way and that suddenly changes it can be hard for people to deal with.

Complications that threaten a person's life may develop soon after stroke symptoms occur. The complications of CVS recurrence can be divided into medical complications (related to bed ridden, extremities) and neurological complication (Stroke Association. 2015).

Sequelae is consequence of a previous disease or injury. A stroke is an example of a cerebrovascular disease it affects the blood vessels in the brain. The cause of a stroke is called atherosclerosis that can cause a blockage in the blood vessels and can cause a stroke.

This paper presents the Appraisal of the Stroke Management Clinical Practice Guideline (CPG) in relations to the selected scenario according to the Midwifery discipline. Health Professionals would use the CPG in order to improve patient care which is supported by evidence and recommendations (Hoffman et al, 2013, p.326). In which the appraisal would be applied in real life scenarios within the professional settings in order to investigate the best practice guideline. This is done by analysing the CPG according to the AGREE 11 tool. The AGREE 11 instrument is to assess the CPG, provide strategies in order to develop the guidelines and also inform the strengths and weakness of

brain, which can destroy and cause death to brain cell; thereby, resulting in nerve impairment. Stroke is a leading cause of serious lifelong disability in adult, more that 4 million people that survive a stroke live in the US. According to Physical Dysfunction textbook, nearly 795,000 people in the US experience stroke every year. An average of 30% of stroke results in death within a month’s time. Furthermore, most survivor stroke patients become partially or completely dependent on family or caregivers in the area of activities of daily living (ADL), such as bathing, grooming, oral care, dressing, toileting and occupation performance in their homes or in

According to Sandre and Newbold (2016), telemedicine is defined as the use of information technology to provide long distance health services; this can lead to accessibility to healthcare resources to vulnerable populations, such as individuals in a rural community, in which distance causes limitation in available healthcare services. One of the aspects of telemedicine that I am interested in is telestroke, which is the use of computer technology for long distance consultation, in which a neurologist from off site, is able to sign in to a hospital network, and through video technology, perform an assessment on possible stroke patients. Worldwide, stroke is the third leading cause of death and therefore, implementation of technology to diagnose

Cerebrovascular stroke is considered as one of the most epileptogenic conditions in elderly [9, 13]. It accounts for 30% of newly diagnosed seizures in patients older than 60 years [25]. Given the adverse impact of post-stroke seizures on neurological outcome and quality of life as well as challenges in whether to initiate prophylactic treatment with antiepileptic medications or not, it is of much more important to estimate patients at high risk of developing such seizures and knowing the relevant predictors of post-stroke seizures

Approximately 15 million people suffer a stroke worldwide each year, of those 5 million die and another 5 million are permanently disabled Mackay et al (2004). Stroke tends to affect people over the age of 75 (Scarborough et al 2009). Since almost 70% of people over 75 retain some teeth (Todd and Laden 1998), maintaining a healthy mouth is important for elderly stroke patients. Not only does effective oral care play a central role in the prevention of infection, a healthy mouth also makes a real difference to a person’s quality of life (McGrath and Bedi 1998) and maintenance of nutritional status (Jones 1998) .For these reasons, this dissertation will examine the benefits of good oral hygiene for elderly stroke patients and nurses role in

Bansal, S., Sangha, K.S., Khatri, P. (2013). Drug treatment of acute ischemic stroke. American Journal of Cardiovascular Drugs, 13(1). doi:10.1007/s40256-013-0007-6

Time is important in the care of acute stroke patients, so improving time for thrombolysis will improve outcomes for patients with stroke. We have tried to improve efficiency of the acute stroke care by using IT (Information and Communications Technology). We aim to achieve the median DTN (Door-to-Needle) time of 30 minutes. In this paper, we explain the design of a protocol system “t-PA Scramble” that improve the efficiency by perspective, lean and concurrency, and technical solutions of an information system “Task Calc. Stroke” that is implemented to fulfill the role of communication, navigation and aggregation, describe the performance, and discuss our future

No part of this assignment has been previously submitted as an assessable item, except where authorised by the lecturer concerned and where acknowledgement is made in the text;