Evaluation Of The Roper Logan Tierney Model And Evaluate Its Efficiency

His condition has worsened over the last six weeks and the family state they can no longer look after his needs at home. He is an 84 year old gentleman and is a very pleasant man. He lives with his wife Mary and he has one son who lives nearby. John has had a hip replacement in 2007. He also has had a coronary artery bypass graft in 1994.He has had his left earlobe removed due to cancer in 2006 and is non insulin dependent diabetic. He is currently on the following medications.(Appendix 1).John is unable to give the author much information as his cognitive ability has decreased greatly over the last number of weeks. His wife and son gives the author most of the information. He has times of lucidness where he can give some information but when asked how he is he says ‘fine and what am I doing here, let me out the fire has to be put out’. When asked does he know where he is he states ‘I am at home’. When asked who his wife is he says ‘she is my mother’.

The health issue that this artifact discusses is the significance of knowing and recognizing the warning signs of a stroke. The American Heart Association has made it their mission to provide unlimited health information and research in the hopes of eliminating cardiovascular diseases as well as helping society in maintaining a healthy lifestyle. “Stroke is the number 5 cause of death and a leading cause 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

Led by our chairs Samantha Sangabi and Julia Roh, our Power to End Stroke initiative has worked to break the barrier that lies between the community and the signs of stroke. With the help of the B.E.F.A.S.T method we have been able to reach out to the community and provide patients with the tools to detect and take preventative measures against stroke.

However, their cause is from the stroke on their left brain, which resulted in malfunction and paralyse on the right side of body. Stroke is a life threatening condition when the brain is cut off from the blood supply. MRI scan was used to show the damage on the part of their brains. Different part of the brain damaged can have different effect on victims. For Anna and Patricia, they needed help with basic activities of moving arms and legs, sitting up, dressing, using toilet, and basic conversation.

Many people don’t know that stroke is one of the most common life threatening diseases in the U.S alone. It has been estimated that about 25% of people who have had a stroke will have another in the years to come. What people don’t tend to realize is how much money strokes cost the U.S a year. In 2003, strokes cost about $52 billion dollars.

According to National Falls Prevention for Older People Initiative (2000), patients must be provided with proper education relating to knee and hip injury, in order to make them aware of the sensitivity relating to it. Education can be provided either through post-operation or through on-going basis at the time of hospitalisation. It has been recommended by Standards from the ICSI (2008), education on the subjects which shows how long to survive pain, preventing pain instead of chasing the pain, objective of pain management, treatment in pain management, how to get communicated with the nurse for analgesic when required, pain management planning this includes medication administration schedule. For older patients to instruct for reporting unrelieved pain quickly is important for effective pain management (Gowdy, 2003). After discharging the patients, proper instruction relating to pain management, side

According to Centers for Disease Control and Prevention, it is stated that “every 40 seconds, someone in the U.S. has a stroke” (“Stroke,” 2018). Cardiovascular disease (CVD) is the leading cause of death for both men and women in the United States, which include coronary heart disease, stroke, and other related conditions. There are various modifiable and non-modifiable risk factors associated with heart disease, such as age, family history, diet, physical inactivity, high blood pressure, and more (“2016 Community Health Assessment,” 2017). About 795,000 people suffer from stroke each year and it is more common among the elderly, ages 65 years and older, in the United States (“Stroke,” 2018). The consequences of stroke can be detrimental,

Kuklina, Elena V.; Gillespie, Cathleen; George, Mary G. "Ischemic stroke hospitalizations decline in middle aged, elderly, increases in young." American Heart Association News Releases. 9 February 2011. American Heart Association, Inc. 28 April 2011. .

Mariam background is 60 year old lady admitted with left sided weakness and facial droop. Once confirmed stroke using the Recognition of Stroke in the Emergency Room (ROSIER) scale. Catangui (2015) states ROSIER scale is used to distinguish whether the patient is having a stroke or stroke mimics e.g. seizures or brain tumours. Computed tomography CT brain showed ischemic stroke. Ischaemic stroke is lack of sufficient blood supply to perfuse the brain/ cerebral tissue due to narrowing or blocked arteries in the brain (Morrison, 2014). According to Stroke Association (2015) statics shows that 1520000 strokes occur in the United Kingdom.

Stroke, or brain attack, is the number four killer of adults in the world. In the United States, 160,000 deaths occur each year. From 1999 to 2009, the death rate from stroke gradually lowered as improvements to medicine and testing developed. Yet, 800,000 Americans continue to have strokes and survive the event. Worldwide, about 15 million experience stroke with 6 million who die and 5 million who become permanently disabled. (Robinson, Richard & Odle, Teresa G. & Frey, Rebecca J. & Odle, Teresa G. , 2011) The statistics in America are better for surviving a stroke because of rapid response and better interpretation of symptoms. Nevertheless, surviving a stroke often brings on dilapidating effects; which means a change in lifestyle and lifelong rehabilitation through physical therapy.

This observer ship enhanced my exposure to the clinical setting of American health care system. I got a chance to to evaluate presenting complaint of stroke patients along with detailed previous history. I also observed the management of patients with stroke in ICU and Inpatient department. In emergency department, I learned how to receive patients with weakness, loss of consciousness and epilepsy, referred by General Neurology with suspicion of stroke. I observed endovascular procedures including cerebral angiogram, mechanical thrombectomy, stenting and coiling of intracranial aneurysms. I was actively involved in case discussions and presentations on Stroke etiology, lacunar stroke, hypertensive stroke, intracranial aneurysm and ateriovanous

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

Prevention and early intervention is the key to reducing death and disability from stroke. Cost effective prevention strategies are needed for the delivery of stroke awareness and prevention. A priority of our health care system should be to educate the community about stroke risk factors and stroke warning signs to decrease potential death and disability from this preventable

rehabilitation depend on type, severity, and location of the occlusion. It is possible to identify