New Stroke Case Studies

Alice Palmer has a mild brain tissue damage associated with the ischemic stroke as evidenced by a Glasgow Coma Scale score of 15. On the other hand, she has a normal heart rate of 89 beats per minute (HR 89) and a blood pressure of 155/90 mmHg. A blood pressure of 155/90 mmHg is an indication of stage 1 hypertension. Mrs. Alice Palmer is hypertensive because she refused to take medication while she was at home (Grace Meissner, 2011; Fortrat & Gharib, 2016). Further, Mrs. Alice Palmer has a left-sided hemiparesis which indicates damage to the right side of the brain. Left-sided hemiparesis is a weak muscle tone of the left side of the body which leads to faded movement and carrying out self-care activities such as dressing, bathing, and grabbing objects (Fischer et al., 2016). Moreover, damage to the right side of the brain is associated with poor memory since the limbic system is located in that region (Usher & Marriott, 2011). Also, Mrs. Alice had a bilateral visual field deficit because of the mild brain tissue damage associated with the ischemic

Strokes are one of the major causes of immobility in seniors. Recovery largely depends on the extent of the brain injury and the length of time before treatment. Nonetheless, most seniors require the assistance of a caregiver and this mainly requires planning and organization. Here are some ways you can take care of a senior post -stroke

After having a massive stroke in 2007, my mother ended up with paralysis on the right side of her body. Twenty-two years old at the time, I wouldn’t know the proper ways to take care of a post-stroke patient without the help of the home health nurses. Receiving the training from the Innovage Long Term Care, I became my mother’s relative caregiver to assist her activities of daily living. During that time, I continued working as a pharmacy technician and going to school, but it was quite a transition to be a caregiver on top of work and school, I decided to take some time off from school to take care of my mother.

Objective Information and Physical Exam Patients chart states she does not have any thyroid abnormalities. Has full range motion with no adenopathy. On November 10th 2016, patient’s temperature was 98 degree Fahrenheit, and respiratory rate was 12 breaths per minute.

Do the needs of a younger stroke patient differ from the older patient that experiences a stroke?

Sitting at the catch, or front end, of the stroke is the most memorable part of the race. This moment happens each time you race. Whether it's against other teams or the girl next to you depends entirely on time.

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.

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

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 .

Stroke ranks high as a cause of adult long term disability in the world1 and interferes with patients’ quality of life2. Patients with stroke are unable to carry out their activities of daily living3. Despite extensive rehabilitation, the affected upper extremity is severely impaired in more than half individuals with stroke. The loss of input from the corticospinal system after stroke reduces the ability to selectively activate sets of muscles needed to perform skilled motor task. The recovery process after an episode of stroke has been shown to include the formation of new synaptic connections in undamaged cortical areas and the use of residual descending pathways. During the process of cortical reorganization new neural connections may affect

Approximately 15 million people suffer a stroke worldwide each year, of those 5 million die and another 5 million are permanently disabled Mackay et al (2004). Stroke tends to affect people over the age of 75 (Scarborough et al 2009). Since almost 70% of people over 75 retain some teeth (Todd and Laden 1998), maintaining a healthy mouth is important for elderly stroke patients. Not only does effective oral care play a central role in the prevention of infection, a healthy mouth also makes a real difference to a person’s quality of life (McGrath and Bedi 1998) and maintenance of nutritional status (Jones 1998) .For these reasons, this dissertation will examine the benefits of good oral hygiene for elderly stroke patients and nurses role in

Her expressive language issued happen spontaneously and it gradually began to affect her communication skills a year later after she suffered her stroke. Her medical history shows that she did not see any other doctors relating to the stroke after her surgery on August 12, 2014 but she continued to see her doctor for her diabetes and she is currently on medication. Later on in October 6 2014 she did see a speech language pathologist briefly for about two months. There’s no record or progress note from that particular speech pathologist she saw, we are looking into it more.

Time is important in the care of acute stroke patients, so improving time for thrombolysis will improve outcomes for patients with stroke. We have tried to improve efficiency of the acute stroke care by using IT (Information and Communications Technology). We aim to achieve the median DTN (Door-to-Needle) time of 30 minutes. In this paper, we explain the design of a protocol system “t-PA Scramble” that improve the efficiency by perspective, lean and concurrency, and technical solutions of an information system “Task Calc. Stroke” that is implemented to fulfill the role of communication, navigation and aggregation, describe the performance, and discuss our future

Data was collected from 63 participants living with chronic stroke. The COPM assessments were separated by gender, 39 males and 24 females. The data from the COPM was analyzed to categorize activities by self-care, productivity, and leisure. Men reported a total of 170 performance problems, with individuals reporting a range of 2-5 performance problems (4.36 performance issues on average), and women reported a total number of 105 performance problems with a range of 3-5 (average of 4.37). Male participants reported the following: self-care (41%), productivity (18%), and leisure (41%). Female participants indicated the following: self-care (37%), productivity (24%), and leisure (39%). Researchers further analyzed the subcategories within self-care,

This case study aims to present a 55 year old lady suffering from Type II controlled Diabetes who presented to the Primary Care Interface clinic with symptoms of pain and snapping of left thumb. Painful clicking and snapping of thumb is a classical presentation of trigger finger. It can be associated with swelling, redness or warmth over the flexor tendon. such symptoms could also be due to infection or tendon tear or post-traumatic tendon entrapment however there causes were excluded by the clinician. If suspicious X-Ray can be considered, however, unnecessary in the diagnosis of trigger finger unless patient presents with an inflammatory disease or trauma (Katzman et al 1999).