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
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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,
There are three types of strokes that cause changes to the brain: Hemorrhagic stroke,Intracerebral hemorrhage and Transient ischemic attack (TIA). Ischemic stroke is the most common form of stroke, accounting for around 87% of strokes.
A stroke is the sudden death of brain cells in a localized area due to inadequate blood
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 stroke occurs when the blood supply to the brain is blocked. The tissue does not get enough of oxygen and nutrients within minutes, the brain cells begin to die. A stroke is a medical emergency, and prompt treatment is crucial. The good news is a stroke can be treatable and is more preventable. More people live longer now than in the past years. Stroke is known as the silent killer. Many people ignore the symptoms and cause more damage to their body. People with stroke have trouble speaking and understanding, paralysis or numbness of the face arm or leg. If you ever encounter anyone with these systems, please call 911 imminently for help.
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
An ischemic stroke is typically caused by a thrombosis, which is a blood clot or an embolism, when the blood clot detaches and infiltrates the blood stream.
Often times, doctors will typically call a stroke a “brain attack” because the events that transpire resemble those that occur during a heart attack (Wang and Aamodt, 2010). Blood supplies a constant source of oxygen to the brain. However, a stroke occurs when that blood supply to any given part of the brain is suddenly ceased. If the blood supply to the brain is suddenly interrupted this leads to the deprivation of oxygen and glucose to that area. The brain cells that are prevented from acquiring these substances, especially oxygen, will be quickly killed off. Strokes can be categorized into two classes: Ischemic and hemorrhagic strokes (Lindley, 2008).
Ischemic strokes are the most common form of stroke, with around 85% of strokes being of this type. They are caused by the arteries that connect to the brain becoming blocked or narrowed, resulting in ischemia - severely reduced blood flow.
According to the World Health Organization (WHO), stroke is defined as a “rapidly developing clinical signs of focal (or global) disturbance of cerebral function, with symptoms lasting 24
A stroke is a sudden stop in brain function. Approximately 25% of all people who get a stroke will have another in about five years time. The symptoms that occur are mainly affecting the nervous and digestive system, however, they may also have an effect on the other systems. Having a stroke will indeed affect the body’s functions extremely negatively. Affecting many parts of the body, strokes are devastating to the human race, killing many. The types of strokes, symptoms, and predictably will be covered.
These co-morbidities include, hypertension, diabetes, coronary heart disease, and taking certain medications. (Ostwald, Sharon K., et al., 2006). These stroke-related co-morbidities are important to recognize and understand before a stroke occurs. People must learn of and accept conditions they have and be aware of the complications, such as a stroke, that can occur. These co-morbidities are also some of the main causes of strokes. When someone experiences a stroke and survives, it is often difficult to recover, and many complications and risk factors can occur as a result. A study done by a group of registered nurses discussed the difference medical complications stroke survivors can experience. They stated:
A stroke can be generally be defined in two types of categories. The first and most common type of stroke is called ischemic stroke. This occurs when a blood clot (cerebral thrombosis) blocks a blood vessel in the brain. Blood flow beyond the blood clot is then
A stroke caused by a blocked artery by a blood clot or bursting of a blood vessel because of uncontrolled high blood pressure. There are main three types of the stroke. An ischemic stroke occurs when a blood clot blocks one of the arteries which supply blood to brain. A clot may be caused by fatty deposits (plaque) that build up in arteries and cause reduced blood flow (atherosclerosis) or other artery conditions. (mayo clinic). About 89%, strokes are ischemic strokes. Ischemic stroke includes thrombotic stroke. A thrombotic stroke occurs when a thrombus stuck in one of the arteries that supply blood to the brain. A clot build-up of fatty deposits in arteries. Another type of stroke is called the hemorrhagic stroke. This stroke occurs when a blood vessel leaks or ruptures in the brain. A bold vessel leaks or ruptures from many conditions like uncontrolled high blood pressure or overtreatment with anticoagulants and the weak spot in blood vessel walls. (mayo). Some people experience a mini-stroke it is known as a transient ischemic attack (TIA). A temporary decrease or clot stuck in a vessel in our brain causes TIA. It happens less than five minutes. This stroke does not have any symptom, because the blockage is
Strokes are classified according to etiology and are either ischemic or hemorrhagic. Ischemic strokes are caused by a sudden interruption of blood flow to the brain and account for 87% of all strokes.
Stroke: A stroke involves loss of brain functions caused by a loss of blood circulation to areas of the brain.