Ischemic Stroke Case Study Paper

Ischaemic stroke is a serious neurological condition in which a blood clot stops blood flow to the brain and for which immediate action is required. It is the fourth cause of death in Western society, causing 87% of all strokes, and also results in long-term disability among survivors (Bunevicius et al., 2013). In the United States, about 800,000 strokes occur each year, and approximately six million Americans are living with neurological deficits caused by ischaemic strokes (Duong, 2012). Therefore, neuroradiological imaging has become a major section in radiology departments.

Status post cardioembolic cerebrovascular accident with residuals word finding problems and right upper extremity weakness. Currently, he is possibly having an allergic reaction to Plavix.

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

A review of his medial records indicates that he had a hemorrhagic stroke 4/20/16 with late effect left side hemiparesis. Since his CVA he has been in and out of the hospital and rehabs. He last hospitalization was 3 weeks ago. He was admitted to MMHS for hematemesis, diarrhea and fever. 2 weeks ago while in the hospital he had left knee revision due to infection in left knee. He has MRSA in wound and in his respiratory system. He had a 3 weeks hospital stay and was discharged home on Monday. For his MRSA he is getting IV vancomycin which is pay for and administer by the wife. Since been home he has started to decline. His wife reports that last night he started to choke up dark, black secretion and greenish bile secretion. He has difficulty

Body functions affected with an ischemic stroke are dependent on the brain artery of the vascular deprivation and the area injured in the brain. The amount of blood flow and length of time determine how much damage occurs. By understanding neural and vascular pathways as well as reactive healing can help healthcare workers be prepared for expectations, limitations, and treatments for damage caused by ischemic

The article emphasizes time as a critical aspect to acute ischemic stroke management. The leading method of treatment in AIS is intravenous rtPA because the door-to-needle time is less compared to the time it takes to do methods that use thrombectomy devices or catheterization. I believe that it is vital for people to know the signs and symptoms of acute ischemic stroke because it is one of the leading causes of death and disability. The faster one is able to identify these signs and symptoms, the better an outcome it would be for both the patient and their family members. The general public and hospital staff members should be educated on AIS. This article also briefly touches on the fact that patients suspected of having a more severe stroke (proximal artery occlusion) should be immediately transported to a

Mr. A is a 74-year-old male who presented to the emergency department with a chief complaint of leg pain after he fell at home. He states he got up around 1 am to use the restroom, he then felt unsteady, lost his balance and fell onto his left hip. Patient was found in that position by his wife, who then called EMS services. Patient complains of sharp, continuous pain in left hip that radiates down into his left thigh. Patient admits to occasional periods of weakness, and onset occurs when changing positions from sitting to standing, where he occasionally feels like he is going to lose his balance. He describes periods of weakness as short usually around 1-2 minutes, and characterizes his

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

Ischemic brain stroke represents the most common cause of serious morbidity and the second most common cause of mortality worldwide. Along with that traumatic brain injury also contributes a significant number of mortality and morbidity. While spontaneous recovery of lost functions to a certain degree takes place in some patients, the majority never regain full functional independence and ultimately suffer from a reduced quality of life. Clearly these health burden seeks detailed exploration of clinical and pathological aspects to modify the present treatment strategies. Glial scar formation which constitutes reactive astrocytes, microglia, endothelial cells, fibroblasts and extracellular components is the response of CNS after external assault.

I want to answer this question because of my own personal experiences. Having had a mild stroke, I have had some lingering effects. Even though it was considered a mild stroke and I have recovered physically from it. I have noticed psychological changes as well. I have noticed changes in my personality. Other people specifically family members have told me they have noticed personality changes as well. Specifically, when it comes to interacting with others and showing empathy.

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

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

An ischaemic stroke occurs due to the restriction of blood supply to an area of the brain, thus initiating a process called the ischaemic cascade (Deb, Sharma & Hassan, 2010). This begins with the depletion of local oxygen stores, causing disruptions in the production of energy compounds such as adenosine triphosphate (ATP). The depletion in energy may cause tissue death (infarction), where occlusion for 5-10 minutes may lead to irreversible brain dysfunction (Karaszewski et al., 2009). Inadequate energy supplies leads to a malfunction of cells ability to perform action potentials, also resulting in the swelling of neuron and glial cells (). Cells at the core of the ischaemia will die of necrosis (premature cell death), where apoptosis (programmed

Several studies have highlighted the need for more formal staff training on oral health (Adams 1996, Preston et al 2006). However, there appears to be no improvement in oral care and the provision of training .patients who have had a stroke, the National Clinical Guideline for Stroke (2008) produced guidance for post stroke patients. However, studies shows that the education on oral care that nurses receive before and after qualification continues to be limited (Adams 1996, Longhurst 1998). Education is essential in empowering nurses to provide the best care for patients and to enable the nursing staff to change their attitudes and practices in relation to oral health care.

We recommend that All stroke units should have protocols for screening for delirium, managing patients with established delirium and for preventing delirium in high risk patients particularly elderly patients. This may improve the prognosis .