Stroke

In: Science

Submitted By annbert5
Words 3810
Pages 16
NURSING MANAGEMENT OF A
STROKE PATIENT

INTRODUCTION
Stroke is the only largest cause of adult disability which leaves a devastating and lasting effect on people and their families (DoH, 2007a). The government of the United Kingdom had recognized stroke as a health care priority. Several government agencies developed clinical guidelines which are being implemented today in local health care settings (Williams et al, 2010a). This essay will focus on stroke as the cause of impaired mobility and will tackle on the patient-centered rehabilitation care plan along with its evidence-based rationales. Health and social care policies and its effect on the patient’s chosen journey will also be discussed.

PATIENT PROFILE
This is a case of a 68 year-old, married female who lives in the south of England. Mrs. G was admitted on 12 October 2010 with a presenting complaint of left-sided weakness. Prior to admission, she experienced persistent pain on the back of the head for 2 days, which was unrelieved by Paracetamol intake. On the morning of admission, she collapsed in the bathroom and was found by the husband after 3 hours. She was brought to the hospital via ambulance and upon initial assessment, no shortness of breath, slurred speech, dizziness, palpitation and chest pain were noted. Her vital signs were as follows: blood pressure of 169/59 mmHg, pulse rate of 80 bpm, respiratory rate of 18 breaths per minute, body temperature of 37.5 degrees Celsius, Glasgow Coma Scale of 15, blood sugar level of 5.2 mmol/L, oxygen saturation of 100% on room air. Neurologic assessment revealed neglect on left lateral vision and mild mouth droop. Her laboratory test showed a 0.55 ug/L Troponin I level, an indication of an acute infarct. A small left ventricle cavity size with impaired systolic function was also noted on her echocardiogram. Her…...

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