Early Supported Discharge Case Study

following a stroke the client usually has weakness in the left side of the body so physiotherapist will aim to create a work out plan

It is estimated that 387 million people, globally live with diabetes (Phillips & Mehl, 2015). According to Medical News Today [MNT], diabetes is a metabolic disorder; which causes patients to be extremely thirsty and produce a lot of urine. Diabetes arises due to high blood pressure, due to the body not being able to produce enough insulin or because the body does not respond well to high insulin levels (MNT, 2016). There are four types of diabetes; there is the pre-diabetic stage, type 1 diabetes, type 2 diabetes and gestational diabetes. In 2014, 29 million people died due to diabetes. This equates to 1 diabetic patient dying every seven seconds due to preventable complications (including complications affecting lower limbs) caused by diabetes. It is said that 20-40% of health care costs are spent on the treatment of lower limb complications due to diabetes. The risk of a diabetic patient developing a foot ulcer is 25% and foot ulcers account approximately 85% of lower limb amputations. Diabetic complications that affect lower limbs are caused by both type 1 and type 2 diabetes (Phillips & Mehl, 2015). It is said that the World Health Organization described diabetic foot syndrome as including all possible complications in relation to the feet of a diabetic patient. Diabetic foot syndrome is defined as the ulceration of the foot, from the ankle downwards. Causes of foot ulceration include peripheral sensory neuropathy, vascular disease (ischaemia) and infection

The purpose of this essay is to discuss the care given to a stroke patient with complex care needs in a community setting. A critical analysis of the nurse’s role in care delivery will be explored. This essay will focus on three key aspects of care, which are mobility, nutrition, and cognitive impairment and a rationale for the chosen needs will be given. The author will evaluate and analyse the chosen nursing care approach utilised and its effectiveness in facilitating the care given. A discussion of the psychological, physiological, and social factors influencing the patients’ needs will follow. Furthermore, the author will identify and explore on health promotion needs relating to the patient. Issues related to Inter-professional working

Many patients admitted to the stroke and orthopedic rehabilitation unit have impaired physical mobility. The length of time in rehabilitation is ten to fourteen days. Many times nurses, patients and family members form bonds that last long after the discharge. I recently had the opportunity to take care of a patient I will never forget. Mrs. C was admitted to the rehabilitation unit following recent hip surgery. She is eighty years old and had fallen raking leaves in her front yard. Mrs. C has a history of hypertension, arthritis and gout. Medications include aspirin, metoprolol and allopurinol as needed. Prior to admission Mrs. C lived independently and has two children who checked on her routinely. No cognitive or mental deficits are noted. Key parts of this paper include the introduction, NANDA, NIC and NOC elements, data, information, knowledge and wisdom and the conclusion.

Strokes are known as the leading cause of acquired disability in adults where between 20-30% are left unable to walk, and leaving those who are able to walk, with a moderate to severe walking disability (Maguire et al., 2012). This disability results in a huge socioeconomic impact on the patients and their families lives. In order to improve their quality of life, an improvement in balance is the important first step in which is crucial to enable more independent movement, for example walking.

The goal to treat an ulcer in a diabetic patient is to heal the wound faster to prevent infection, pressure has to be take off the area by “offloading” the foot, remove dead tissue by the process of debridement, apply to dress per doctors order, and focus on managing the patient’s blood sugar effectively to promote healing. In addition, to prevent infection, the patient must keep the dressing clean, cleanse the wound daily and change the bandage and dressing, the patient must also avoid walking on barefoot.

My research addresses rehabilitation post-stroke, primarily improving lower extremity function. I study factors contributing to compensation, which involves greater than normal use of the non-impaired limb compared to the impaired limb. Compensation can be detrimental to rehabilitation as the impaired limb is underutilized and function cannot be restored. This may lead to weakness and impaired mobility/gait.

The management of diabetic foot ulcers remains a major therapeutic challenge, which implies an urgent need to review strategies and treatments in order to achieve the goals and reduce the burden of care in an efficient and cost-effective way. Questions remain as to which types of intervention, technology, and dressing are suitable to promote healing, and whether all therapies are necessary and cost-effective as adjunctive therapies. Prevention of diabetic foot ulceration is critical in order to reduce the associated high morbidity and mortality rates, and the danger of amputation. It is essential to identify the “foot at risk,” through careful inspection and physical examination of the foot followed by neuropathy and vascular tests. Regular

Podiatry specializes in the diagnoses and treatment of pathologies of the foot and ankle. The treatment includes both conservative and surgical modalities. Understanding the biomechanics of the lower extremity is principally emphasized in the education and training of a podiatrist. This is particularly important in the context of the diabetic foot where biomechanical abnormalities often precede ulcer development. Preventive ulcer development strategies employed by a podiatrist include regular monitoring, routine care of calluses, and insert/shoe recommendations. Further, clinic-based ulcer care as well as surgery that include prophylactic and acute intervention can translate to the preservation of a functional limb. Finally, continuous podiatric

Background. The majority of people after stroke demonstrate mobility limitations, which may reduce their physical activity levels. Task-specific training has been shown to be an effective intervention to improve mobility in individuals with stroke, however, little is known about the impact of this intervention on levels of physical activity. Objectives. The main objective is to investigate the efficacy of task-specific training, focused on both upper and lower limbs, in improving physical activity levels and mobility in individuals with stroke. The secondary objective is to investigate the effects of the training on muscle strength, exercise capacity, and quality of life. Design. This is a randomized controlled trial. Setting. The setting is

Stroke patients often compensate impairments with other movements (e.g. overusing the unaffected limb). While this method of compensation can be a temporary fix for improving motor skills in activities of daily living (ADLs) or a way to overcome the difficulty of using a paralyzed limb it can also result in reversible loss of neural and behavioral function [1]. This approach of not using a limb has been connected to a reduce quality of life. Therefore other methods need to be developed in order to reduce the impact of acquired non-use.

For the walking rehabilitation and gait training of stroke patients, body weight supported treadmill walking training is widely used in clinics as a physically active rehabilitation technique (Miller, Quinn, Seddon. 2002). Stroke patients have very distinctive walking patterns exhibiting long gait cycles, low walking speeds, alterations in stride length between the affected side and the unaffected side step length, short stance phases and long swing phases on the affected side (Finch, Barbeau, Arsenault, 1991). Parameters surrounding BWSTT suggest the amount support of used is dependent on the ability of the patient to carry body weight on the affected leg during single limb stance, maintaining proper trunk and limb alignment (Hesse, 2008).

If you have ever had a stroke or know someone who has had a stroke, or is at risk of a stroke it is important that you know about stroke treatment and care. After a stroke rehabilitation starts in the hospital with stable patients’ right after it happens. 10% of stroke survivors recover almost completely, 25% recover with minor impairments, 40% experience moderate to severe impairments that require special care, 10% require care in the nursing home or other long-term facility, 15% die shortly after the stroke, and approximately 14% of stroke survivors experience a second stroke in the first year following a stroke. There are many different types of rehabilitation places that you can do your rehab. You can

he foot of a diabetic patient has the potential risk of developing complications such as infection, ulceration, and/or destruction of deep tissues associated with neurologic abnormalities, various degrees of peripheral vascular disease, and/or metabolic complications of diabetes in the lower limb. The lifetime risk of a diabetic individual having a foot ulcer could be as high as 25%. As indicated by the International Diabetic Federation in 2005, 85% of diabetes-related amputations in the lower extremity are preceded by a foot ulcer. Diabetic foot ulcers result from the simultaneous action of various contributing causes. The main causes are said to be peripheral neuropathy and ischemia from peripheral vascular disease. The gold standard for

Our client is Michael, 63 year-old male, admitted to hospital with left MCA infarct, resulting in right hemiplegia. From Michael’s problem list it is assumed that he has some gross motor patterns but not fine movement in his right UE.