Ischemic Stroke Case Studies

Most exercise is designed for neurorehabilitation, not cardiovascular health, so there is a very different definition for stroke patient exercise, as well as a very different goal set. Because strokes affect each person differently, treatment is also specific to the individual. The literature included in this review focuses on three different methods of exercise, each with very specific goals in mind. Cabanas-Valdés and collegues study was on Core and Trunk stability, Minyoung describes use of Virtual Reality enhanced exercise for treatment, and Tutak introduces the concepts behind Rehabilitation

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.

Ischemic stroke is the blockage of blood vessels in the brain as a result of blood clots (thrombi), causing the portions of the brain nourished by the vessel and its tributaries to be starved of nutrients, poisoned, and to eventually die (“Symptoms

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

It is important that the type of stroke is diagnosed quickly to reduce the damage done to the brain and also to determine the right type of treatment because one treatment for one kind of stroke can be harmful to someone who has had a different kind. A number of different medications may be given at the hospital to help break up the clot and prevent the formation of new clots. For Ischemic stroke the treatment can begin with drugs to break down clots and prevent further ones from forming. Aspirin can be given, along with an injection of a tissue plasminogen activator (TPA). TPA works by dissolving clots but it needs to be injected within 4.5 hours of stroke symptoms once they have presented themselves. Hemorrhagic stroke treatment can begin with drugs being given to reduce the pressure in the brain, overall blood pressure, prevent seizures and prevent sudden constrictions of blood vessels.(http://www.mayoclinic.org/diseases-conditions/stroke/diagnosis-treatment/treatment/txc-20117296) Because strokes are life-changing events that can affect a person both physically and emotionally, temporarily or permanently. After a stroke,

Neuroradiological imaging plays an important role in the process of diagnosing ischaemic stroke. The different imaging modalities that can be used to diagnose ischaemic stroke include computed tomography (CT), magnetic imaging resonance (MRI), and radionuclide imaging. In this article, the different modalities that contribute to the diagnostic process are discussed, with a focus on CT scan protocols.

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.

My patient has a history of stroke 2012 and her condition is not getting better. Her RBC is low 3.79, hemoglobin is low (10.9), hematocrit is low (35.1). Oxygen saturation is 95. Some of the signs and symptoms in my textbook are speech and memory deficits, generalized weakness, incoordination, sudden onset severe headache, trouble walking.

Treatment of stroke, in general and ischemic stroke specifically, in particular, is aone of the most pressing issues in both nursing and medical science today. This is due to the fact that there are very few available treatment options for the various kinds of stroke. Acute ischemic stroke carriesis a prominent medical issue with a high risk of death or morbidity (Kakma, Stofko, Binning, Liebman & Veznedaroglu, 2014). Stroke, including ischemic and other types, is recognized, further, as a one of the most prominent leading causes of disabilities (Saver et al., 2015). While cerebral infarction resulting from thrombotic occlusion of brain arteries is the most common stroke type, ischemic stroke is also quite common. Each year ischemic stroke affects over a half-million victims in the United States alone;. o Of this group, about 150,000 deaths occur, along with 300,000 victims suffering from any number of disabilities following a stroke (CITE)after the fact.

A stroke is a condition which is characterised as loss of brain functioning due to an interruption in the blood flow to the brain (Buzzard, 2013, pg. 5). There are two types of strokes, ischaemic and hemorrhagic strokes (Buzzard, 2013, pg. 6). Ischaemic strokes are the most common type of stroke (Gomes & Wachsman, 2013). This type of stroke occurs due to an insufficient flow of blood to the brain, which is usually caused by an artery blockage (Gomes & Wachsman, 2013). Hemorrhagic strokes are due to hypertension and may be caused by medical problems or blood vessel abnormalities (Gomes & Wachsman, 2013). The strokes severity and location of the brain that is affected determines the impact of the stroke in an individual (Gomes & Wachsman, 2013).(Gomes, 2013)

Mr X, a 60 year- old Caucasian male, admitted to the stroke unit with a diagnosis Left MCA infract. He presented to the emergency department right sided hemiparesis, neglect of affected limbs, dysphasia and right side facial droop. He was on cardiac monitor for close observation for 48 hours. Stroke critical care pathway and commenced and care provided as per protocol.. Stroke is a serious and deadly condition including cerebral circulation within the brain and can extremely affect a person ability to maintain a safe environment, communication and mobility as well as other activities of living. The purpose of this essay is to give an overview of the Pathophysiology of ischaemic stroke, the required nursing care and the rationale behind it, followed by medical management and treatment provided to the patient.

Ischemic stroke is a prevalent and harmful disease that often results in permanent neurologic deficit. Currently, there is a dearth of therapeutic options available to improve patients’ functional recovery after stroke. A number of factors impede healing in the central nervous system, including glial scarring, a relative lack of stem cells, and growth-inhibitory proteins located in the extracellular matrix and on cell surfaces. Myelin-associated inhibitors of neurite outgrowth, found on oligodendrocytes, represent a significant obstacle to the process of cortical reorganization that occurs during recovery from infarction. Recent research has identified the mechanisms by which these inhibitors act in the setting of stroke, paving the

Stroke is the fourth leading cause of death in the United States and the leading cause of disability, with ischemic stroke comprising more than 80% of total stroke cases. Ischemic stroke is caused by obstruction of blood vessels supplying blood to the brain by thrombus or embolus. Recombinant tissue plasminogen activation (rtPA) is currently the only approved acute treatment for ischemic stroke. ROS production is significant increased as soon as the occlusion occurs. If blood clots were removed in a timely manner, significant brain damage could be avoided. Cells in the ischemic core region usually die of infarction, while cells adjacent to the infarct region, penumbra, could be saved by appropriate therapeutic strategies. The residual blood

Ischemic stroke is also known as a cerebrovascular accident (CVA), or “brain attack” is a sudden loss of function resulting from disruption of the blood supply to a part of the brain. Ischemic stroke is caused by an emboluslodged in the small vessels of the brain, causing the oxygen and glucose deprivation to the brain. For Mrs. William case, she is diagnosed with ischemic stroke that is affecting her left side hemisphere of the brain, which is causing her to experience right side symptoms (right-side paralysis, right field homonymous hemianopisa, and global aphasia) (Hinkle & Cheever, 2014). The nursing interventions that the patient is exhibiting the clinical manifestations are:

Our brain is most complex organ system in our body. This three pound of tissue creates the main nerve center of the body. It controls our all body function, body movement, thought, and our behavior. Many of people do not know about the how a brain works? The left part of the brain controls our right side of the body and right side of brain part controls our left side of the body part. Our brain uses 20% of the total oxygen and blood in the body so it is required oxygen and nutrition from the blood for work properly. The lake of oxygen in the brain for 5 to 10-minute results in permanent brain damage or occurs a stroke. A stroke occurs when the blood supply to part of our brain is interrupted or severely reduced. A stroke is one of the diseases