The Implementation Of Adult Nursing Care For A Patient / Client

Cerebral vascular accident or a stroke is the destruction of brain substance, resulting from thrombosis, intracranial hemorrhage, or embolism, which causes vascular insufficiency. In addition, it is an area of the brain denied blood and oxygen that is required and damage is done to a part of the cells. The effect of the patient depends upon where the damage occurs and the severity of the stroke.

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

A stroke is a type of cardiovascular disease that affects the cerebral arteries, those blood vessels that carry blood to the brain. A stroke occurs when one of those blood vessels in the brain is obstructed or ruptures flooding the brain with blood. Depriving blood and oxygen to the brain results in those immediate cells death, causing the brain not to function properly. Once parts of the brain stop functioning, it can directly affect the areas of the body controlled (1).

Strokes are caused by pathophysiological changes. The two major mechanisms of stroke consist of ischemia and haemorrhage. Ischemia is when there is no oxygen or not, merely enough oxygen to fuel the tissue level in the body. Haemorrhage in the brain, causing strokes can be due to non-traumatic intracerebral haemorrhage (Shah, MD, n.d.) (see appendix 1). This essay will further discuss the implications of strokes on a cellular, organ and system level. Explain the clinical presentation of the signs and symptoms of strokes and how the condition will be managed by a paramedic.

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).

Cerebrovascular Accident- condition in which brain tissue is deprived of blood supply.  The most common stroke symptoms are:

It is “a sudden loss of function resulting from disruption of the blood supply to a part of a brain” (Hincle & Cheever, 2014). The type of stroke Patient S experienced was assumed to be from hyperlipidemia. An atherosclerotic plaque can form in the large blood vessels in the brain. When the plaque become big enough, it can rupture or a small bit may break off and flow into small arteries, which may block the smaller artery. If the artery is occluded, blood cannot flow to certain parts of the brain and an ischemic stroke can occur. Hypertension is a major risk for strokes as well as atrial fibrillation. These diseases increase the risk of an emboli or plaque

Assessment 2 – Case Study Elements 4 & 5 - Part 1 – Alcohol Related Dementia - Korsakoff’s syndrome

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

As a nurse, one must be aware of the Activities of Living (AoL), assessment methods and understand how to formulate a Nursing Care Plan (NCP). When tending to a patient, it is important to understand the AoL as well recognising how they are affecting the patient, how to assess one’s condition and what ‘care needs’ are priority when treating a patients symptoms. By having this knowledge a nurse is able to develop a NCP more easily, therefore give the patient a greater quality of care. When creating a NCP, one must assess, set goals, plan, implement and evaluate the measures taken as well as incorporate a multi-disciplinary team, to ensure the patient receives the best care possible. (Holland et al. 2015, p.2), (Doenges, ME, Moorhouse, MF, & Geissler-Murr, A 2002, p. 6).

A cerebrovascular accident more commonly known as a stroke or brain attack is the term used to describe the sudden death of brain cells in a localized area due to inadequate blood flow. In order to woke the brain needs a constant supply of oxygen and nutrients. This supply is carried to the brain

According to the Center of Disease Control “Stroke is a leading cause of death in the United States, killing nearly 130,000 Americans each year—that’s 1 of every 20 deaths.” America’s population is around 320 million according to government census. The statistics of 130,000 may not seem like a lot compared to America’s population, but clearly it is a significant amount. This statistic only counts the stroke victims that die, but many stroke victims survive with few as well as major issues leading to a compromised life after. So what is a stroke? A stroke also known as Cerebrovascular accident (CVA) happens when there is a loss of blood supply to the brain. In the following we will be looking at the history of the disease, suspected causes, symptoms and treatments.

A nursing diagnosis identifies an actual or potential response of a patient to a health problem (Jones 2009). Nursing diagnoses are important because they provide the foundation for the selection of nursing interventions (Walton 2008). This care plan is the concluding half to the initial care plan that identified nursing diagnoses and goals with the aim of promoting the holistic wellbeing, mental health, and independence of a 68 year old Mr. Bertoli who has returned home from hospital after experiencing a stroke. Particular emphasis will be placed on proposed interventions to achieve Mr. Bertoli’s healthcare goals and the provision of rationales. This is important to justify the significance of the interventions and indicate

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

Stroke is a condition that occur when there is a problem with brain supply of blood. It is off two type.