The student nurse had encountered a patient with heart problems. The patient has a Coronary heart disease. It is a heart condition that affects the coronary blood vessels that supply the heart with nutrients and oxygen (Craft & Gordon, 2015). The patient also has a history of Diabetes mellitus, which is an important risk factor for Coronary heart disease and a history of Stroke, which is a chronic complication of Diabetes mellitus.
The patient stated that he is still recovering from his stroke. That’s why patient’s right arm is still paralysed and weak. This shows that the patient has a left-brain stroke or it was the left side of the patient’s brain that got damage (Craft & Gordon, 2015). Furthermore, it also shows that patient’s stroke
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.
Mr. Fix-it is a 59 year old man with a history of alcohol abuse and diabetic hypertension. Mr. Fix-it has been currently experiencing symptoms such as: rambling speech, poor short-term memory, weakness on the left side of his body, neglects both visual and auditory stimuli to his left side, difficulty with rapid visual scanning, difficulty with complex visual, perceptual and constructional tasks, unable to recall nonverbal materials, and mild articulatory problems. The diagnosis for Mr. Fix-it’s problem is most likely a right-hemisphere stroke. A right-hemisphere stroke is occurs when a blood clot blocks a vessel in the brain, or when there is a torn vessel bleeding into the brain. “A right-hemisphere stroke is common in adults who have
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
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
Clients suffering from stroke have slow speech loss of memory, speechless one side of their body paralysed which cause restriction to their movement.
Dr. Jill Bolte Taylor had an amazing experience that most people do not get to tell after the fact. Especially because she is a neuroanatomist who knew what was happening and what parts of the brain were being affected. This book is informational on many different levels and to many different types of people. This book can warn people about the signs of when someone is having a stroke. This information could save many lives if someone were to read this book and realize they were having a stroke soon enough to call for help. It can be helpful for the treatment of stroke victims, average people looking to gain insight on life and how to better themselves, and to many professionals who know all of the science behind a stroke, but do not know
There are many races, hurdles, and obstacles to contend with throughout the course of life such as: life itself, family and health. In the realm of Certified Nursing, I have become more intent on knowing more about the lifestyles of the people, and the good and bad results of daily tasks that ensure their happiness. Safety, and the many diseases/disorders that have been encountered by others, can only be counter-acted by better knowledge, resources, and means of assurance in providing ways of increasing the (ADLs). While reading, I came across the disorder of Myocardial Infarctions, and found the information to be remarkably interesting. First of all, I learned that infarctions are commonly known for being obstructions of the blood supply to the organs and tissues; whether by the thrombus or embolous. This obstruction causes tissues to die. ” (Medicine Net, 2015).There’s different kinds of infarctions, such as: Myocardial, Acute, Cerebellar, and Right Ventricular. Therefore, myocardial infarctions are “irreversible necrosis of heart muscle, which are secondary to prolonged ischemia” (emedicine, 2015). Therefore, myocardial infarctions are “irreversible necrosis of heart muscle, which are secondary to prolonged ischemia” (emedicine, 2015).
Some degree of people who have suffered a stroke have problems with forms of weakness on one side of their bodies. This is called hemiparesis, often most common causes are strokes and cerebral palsy, least common is multiple sclerosis, brain tumors and other disease that can affect brain and nervous systems. (Weiss T.C.; 2010)
There may be some students who have chronic asthma, diabetes, high blood pressure, and high cholesterol. Asthma for a student can be a severe problem. It can be triggered by anything. It can be an allergen, or it can be stress or anxiety. If someone has asthma attack, then nurse Ellen knows exact steps to take and prevent life threatening situation. Diabetes is also a disease that needs to be closely monitored. If a student has chronic diabetes, then he/she probably knows how to do home monitoring and take medicines on time. But if the student becomes busy and forgets to monitor his blood glucose then he may have low sugar and cause a
At Life Care Senior Center, the patient had a stroke that affected her right side of her body about 2 months ago. She stressed that the stroke
In 1915, an organisation called the Association for the Prevention and Relief of Heart Disease was formed in New York City by a group of physicians and social workers. Patients they saw had little hope for treatment. A few years later, doctors began to experiment with exploring the coronary arteries with catheters, also known as cardiac catheterization and coronary angiogram.
In the case study it discusses a patient, Mrs. Harris, who is a 72 year old and is complaining of fatigue and swelling in her feet. Mrs. Harris also expresses her concern on the swelling, as some days she is unable to put her shoes on despite proper elevation. She also states walking to her mailbox can be challenging because it causes her to feel more tired and to have shortness of breath, also known as dyspnea. Mrs. Harris is currently taking medication for high blood pressure, hypertension; and is also drinking approximately 8-12 glasses of wine a week. While examining Mrs. Harris it’s clear she is a little overweight and has swollen ankles. Upon listening to Mrs. Harris’s breathing, crackles are heard. Therefore, Mrs. Harris seems to have congestive heart failure.
They’re a lot of serious circulatory/heart diseases but the most serious one is Coronary Heart Disease (CAD). CAD is responsible for approximately 30% of deaths globally. What CAD does to your heart, it makes your arteries narrow and hard. This happens when cholesterol and plaque build up on the inner walls of the arteries.This buildup is called atherosclerosis, as the build continues to grow its harder for blood to flow through the arteries which results to the heart not getting enough blood or oxygen it needs. This results to chest pain or a heart attack, if CAD is not for treated early on it could cause permanent heart damage. CAD affects women and men you can get CAD any age but as you grow so does the risk.
Hemiplegia is defined as the complete loss of movement or sensation to an entire half of the body. Hemiparesis is a partial loss of sensation or movement throughout one side of the body. Both hemiplegia and hemiparesis are common after a person has had a severe stroke. According to the Center for Disease Control “Stroke is the fifth leading cause of death in the United States and is a major cause of adult disability. About 800,000 people in the United States have a stroke each year” (Stroke Statistics, 2015). A stroke occurs when a blood vessel bursts and oxygen is not being transported to the brain properly. The Stroke Center, a leading independent information provider on strokes, states, “Stroke is the leading cause of serious, long term
Objective data would include hemiparesis or hemiplagia, any changes in LOC, signs of increased ICP, respiratory status and aphasia. The exact clinical picture varies, depending on the area of the brain affected. A lesion on one side of the brain affects motor function on the opposite side of the body. When the middle cerebral artery is affected, the signs and symptoms seen include contralateral paralysis or paresis, contralateral sensory loss, dysphasia or aphasia if the dominant hemisphere is involved, spatial-perceptual problems, changes in judgment and behavior if the non-dominant hemisphere is involved, and contralateral