Nursing Case Study Second Stroke

Strokes are caused by a block in the blood supply to the brain which causes a decrease in oxygen and delivery of other important supplies which facilitate proper functioning. Fifteen million cases are reported worldwide annually, although not all of these cases are mortalities, the large prevalence of strokes ranks it as the fourth leading cause of death in the United States. (Figueroa) Because of the time sensitivity associated with the lack of resources to the brain, strokes are considered a medical emergency and early recognition of symptoms can help decrease the amount of damage caused . Although strokes do not always cause death, strokes most often leave the individual with some physical and cognitive impairment.

3000 word essay on patient with left sided stroke with one identified health need/problem: Dysphagia

The patient has no family history of heart disease or diabetes, however both her parents are on medication for high blood pressure. Her paternal grandmother died of breast cancer at age 47. Her maternal grandmother

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

W.C. suffered from a left hemisphere hemorrhagic stroke on September 25, 2015 as a result of an aneurysm located in the third frontal convolution. There was associated damage to the pyramidal tract. W.C. underwent surgery to release the pressure on her brain on September 25. W.C. was released from the hospital on October 2, 2015 to her home. W.C. was one month post onset at the time of evaluation. W.C. is currently not taking any

The stroke from a blocked artery is called ischemia, and the ruptured artery is hemorrhagic. As time is critical after the cerebrovascular accident, lack of treatment will lead to brain cell apoptosis and neural injuries are permanent. Evaluation using brief tests of cognitive impairment includes analysis of executive functioning, memory, language, and visuospatial performance, neuropsychiatric as well as depressive symptoms (Grant and Adams, 2009).

Evidence-Base practice (EBP) is defined as based on problems identified from nursing practice; using best evidence and professional expertise and merging them into current practice to ensure patients receive quality care (French, 1999). Evidence-based practice is a part of quality improvement process; it is made of evidence, clinical expertise, patient preference and the context of care (Barker, 2013). In brief, evidence-based practice is the guideline in the nursing practice that requires nurses gather and use clinical evidence to help diagnose or assess patients correctly by using their knowledge and experience in order they can deliver the quality of care to the patients (Ellis, 2013). In the other words, in the nursing practice the clinical evidence supports all the nursing procedures performed.

Breakfast is usually eggs and bacon or ham. You are allowed snacks between. For lunch you can have one cup of salad and one cup of protein. Dinner you are allowed to have two cups of salad with dressing, vegetables, and protein.

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)

1. Every 40 seconds someone in the United States has a stroke (National Stroke Association, 2014). Some symptoms related with a stroke are headache, blurred vision, trouble speaking, confusion, dizziness and numbness on one side of body. These symptoms are very important to know. Due to how common strokes are it's good to know the warning signs. For every person that dies from stroke, more than 5 times that many will survive, and for them the physical damage it causes can be enormous (National Stroke Association, 2014). Most people who have a stroke are depressed after it's all said and done. They may be paralyzed on one side, have a speech impairment or worse. When you are used to living a certain way and that suddenly changes it can be hard for people to deal with.

We briefly met at the NH division meeting a few weeks ago, but I wanted to re-introduce myself. I’m the Program Manager for the NH/Stroke team. My job is to handle all things business for the group and act as a liaison to the Neurology department administration. With that being said, if you ever need anything please don’t hesitate to reach out to me. My cube is in Leprino just outside of Dr. Jones’ office. I’m sure you have been extremely busy over the past couple of weeks, but if there’s something I can do to ease the transition, just

Patient George Matthew was taken to the accident and emergency department and later admitted to the Acute Stroke Unit with issues caused by right sided weakness and slurred speech. When being admitted into hospital, his two daughters and his wife accompanied him. He is 75 years old and currently lives with his

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

Stroke affects everybody differently, and it is difficult to say how much of a recovery is possible. Many stroke survivors experience the most dramatic recovery during their stay in hospital in the weeks after their stroke.

The over the counter medication once known only for its ability of easing aches and pains or fighting off fever and inflammation is proving itself to be quite the miracle drug. Aspirin has become part of the protocol for stroke victims as a preventative measure due to its neuro-protective benefits. Stroke can cause lesions in cerebral white matter, which may result in cognitive impairments such as deficits in learning and memory. White matter lesions (WML) have also been linked to increasing the risk of post-stroke dementia. Cerebral white matter damage has been widely overlooked. Comprised of oligodendrocytes that form the insulating myelin in the CNS, white matter is evidentially just as vulnerable to ischemia as gray matter.