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Mrs Cook Case Study Nursing

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Mrs G. Cook is 39-year-old female/married, who presented to the ED because of stroke. Three days prior to admission, the patient manifested some neurologic deficits that just developed abruptly. In order to provide appropriate nursing care, this case study aims to recognize the type of stroke Mrs Cook had and discuss holistic medical and nursing management rendered to prevent further complications of her condition with health promotion for secondary and primary prevention of stroke.
Criteria A
As defined by Lemone, et al (2014) stroke is a disorder that occurs when there is abrupt diminution in blood flow to a localized area of the brain bringing about neurological deficits. Stroke can be classified into two types: ischaemic, caused by either …show more content…

Gilman (2006) also confirmed that treatment with atorvastatin is associated with a 49% risk reduction in stroke recurrence in patients with type 2 diabetes by stabilizing atherosclerotic plaques, thus decreasing the likelihood of the plaque to go through into thrombotic interruption. Ramipril, on the other hand, indicated to lower blood pressure, has also shown benefits for clients with diabetes since it decreases urinary albumin excretion as well as improves renal endothelial function, thereby enhancing renal and cardiovascular function (Anderson, Perry, and Robinson, 2006; Boyle, McKay, and Fisher, 2013). Likewise, aspirin is recommended to prevent secondary stroke as antiplatelet agent and has anti-inflammatory effect. It is suggested to be given rectally or by enteral tube if client is dysphagic (National Collaborating Centre for Chronic Conditions, 2008). Jauch, et al (2013) supposed that the risk of venous thromboembolism was significantly less with Clexane despite its disadvantage of risk for GI bleeding especially if concomitantly given with aspirin. Therefore, a proton pump inhibitor such as Omeprazole is advised to act as prophylaxis for GI bleeding, ulcers, and erosions (National Collaborating Centre for Chronic Conditions,

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