Stroke case study nursing
Physiotherapy stroke case study
A total of 20 interviews were completed, transcribed and analysed thematically using the Framework Approach. She is treated with intravenous rt-PA at a dose of 0. If the compensatory mechanism becomes overworked, or if cerebral blood flow remains impaired for more than a few minutes, oxygen deprivation leads to infarction of brain tissue. Additional stroke facts The focus of immediate medical care for patients who have suffered a stroke is to re-establish needed blood flow to the brain. Magnetic resonance imaging was performed 24 hours after the thrombolysis intervention. The isthmus is not thickened and measures 0. The triage and transportation of an individual with suspected stroke should be similar to that for an individual with serious trauma, and treatment is recommended within 3 hours after the onset of stroke. An ischemic stroke can occur in several ways embolic, thrombotic, Transient ischemic attack, and lacunar infarcts. The midline structures are displaced to the left.
View larger version:. Because of the limited time available for assessment and diagnosis before optimal treatment, the EMS dispatcher should notify EMS personnel immediately and coordinate transport of the individual to the closest emergency facility, preferably one that is a designated primary or comprehensive stroke care center.
The spinal cord is the main pathway for information connecting the brain and peripheral nervous system.
Patient H was examined by a cardiologist for evaluation of atrial fibrillation and abnormal levels of troponin I, brain-type natriuretic peptide, and d-dimer Table 4. She adds that Mario is a smoker, usually smoking about a pack and half each day.
Stroke case study pdf
She explained that although he had tried to quit several times, he had trouble abstaining for longer than a week. The surrounding soft tissues and vascular structures are unremarkable. Treatment of diabetic nephropathy. The squad team then notified the receiving hospital of a possible stroke patient. The diagnosis is made 2 hours after Patient M's arrival in the emergency department. There are two types of brain attacks ischemic and hemorrhagic. Report fever, sore throat, unusual bleeading and bruising. There is an area of infarction in the right anterior hemisphere. He was able to answer questions verbally and follow commands but was still unable to move his left side. Hyperthermia results in poor neurological outcomes if left untreated and might increase metabolic demands and enhance the release of neurotransmitters. Avoid using alcohol while taking this drug. In order to prevent further complications, Doppler ultrasound studies of the upper and lower extremities were done to determine if patient H had DVT; no evidence of DVT was detected. The isthmus is not thickened and measures 0. Ineffective Cerebral Tissue Perfusion related to cerebral edema as evidenced by altered level of consciousness, stiffening of extremities, slurred speech 2. There are small hypodensities on both capsuloganghenic and bifrontoparietal periventricular areas.
The term brain attack has become a popular substitute for stroke, with the intent of equating stroke with a heart attack in terms of the timetable associated with the development of neurologic deficits and the need for prompt emergency treatment. Author information: 1 Lisa A.
A cystic focus is also noted in the mid portion of the thyroid lobe measuring 0. The diagnosis of depression in stroke survivors should be based on sources in addition to a formal screening tool, such as a medical evaluation, patient self-report, observation of patient behavior, patient history, and staff reports of changes in behavior and motivation.
based on 29 review