Case Study: Assessment 3
Nursing Management Plan
Nursing management of the patient is important to make sure the patient is safe and comfortable. Nursing care plans are created to aid in communication and organization of Mr. C's specific care needs and actions that can be addressed by the changing nursing staff. Upon arrival to the neurosurgical ward, Mr. C was alert, obeying commands and presenting a GCS of 15, along with a pain score of 5/10 where he was given appropriate analgesia. Left sided limb movement and facial drooping was still present, however right-sided strength and movement was strong. Mr. C was still experiencing high blood pressure but low pulse rate at 50 beats per minute, respiratory rate between 16-20 breaths per minute, …show more content…
Glascow Coma Scale is a standardized tool used for detecting any cognitive impairment after trauma as a change in consciousness could indicate altered brain function, thus leading to secondary injuries (Hickey, 2007). Neurological observations were completed at the same time vital observations were taken, which was every two hours, due the patient being a neurosurgical patient with a potential brain injury. The assessment looks at sensory neuron and motor responses along with reflexes and monitoring any signs of intracranial pressure (ICP). Mr. C continuously presented with a GCS fluctuating between 14 and 15 (mild impairment), pupils being reactive and normal limb function on his right side, however weakness noted on his left …show more content…
This was present for Mr. C’s admission as he came in with a suspected ischemic stroke, which ended being a diagnosis of a stage 3 GBM. There are multiple conditions, which can mimic stroke symptoms and they need to be ruled out quickly, however Mr. C was in hospital for 5 days before he was diagnosed with GBM. In regards to stroke, time is of the essence and a faster system to rule out stroke needs to be put in place. Nursing staff members have a requirement to understand the in-depth pathophysiology and mechanisms, which occur during an ischemic stroke to be able to provide optimal care based on evidence. On reflection, Mr. C could have used a nurse educator to re-explain T2DM and HT management to avoid any additional problems, especially after he receives chemotherapy and radiotherapy, as small changes can escalate quickly. Evidence indicates that a clinical cardiovascular examination and a 12-lead echocardiogram (ECG) should be used in all patients suspected of having a stroke as cardiac arrhythmias and atrial fibrillation can occur concurrently among patients who have had a stroke (Jauch et al., 2013). This is relevant to Mr. C as he has T2DM and HT, in which both conditions can affect the cardiovascular system and should have been assessed. Educating and training nurses on specific is ischemic strokes management plans, along with co-morbidities may improve the care that is given
Nursing Management Plan
Nursing management of the patient is important to make sure the patient is safe and comfortable. Nursing care plans are created to aid in communication and organization of Mr. C's specific care needs and actions that can be addressed by the changing nursing staff. Upon arrival to the neurosurgical ward, Mr. C was alert, obeying commands and presenting a GCS of 15, along with a pain score of 5/10 where he was given appropriate analgesia. Left sided limb movement and facial drooping was still present, however right-sided strength and movement was strong. Mr. C was still experiencing high blood pressure but low pulse rate at 50 beats per minute, respiratory rate between 16-20 breaths per minute, …show more content…
Glascow Coma Scale is a standardized tool used for detecting any cognitive impairment after trauma as a change in consciousness could indicate altered brain function, thus leading to secondary injuries (Hickey, 2007). Neurological observations were completed at the same time vital observations were taken, which was every two hours, due the patient being a neurosurgical patient with a potential brain injury. The assessment looks at sensory neuron and motor responses along with reflexes and monitoring any signs of intracranial pressure (ICP). Mr. C continuously presented with a GCS fluctuating between 14 and 15 (mild impairment), pupils being reactive and normal limb function on his right side, however weakness noted on his left …show more content…
This was present for Mr. C’s admission as he came in with a suspected ischemic stroke, which ended being a diagnosis of a stage 3 GBM. There are multiple conditions, which can mimic stroke symptoms and they need to be ruled out quickly, however Mr. C was in hospital for 5 days before he was diagnosed with GBM. In regards to stroke, time is of the essence and a faster system to rule out stroke needs to be put in place. Nursing staff members have a requirement to understand the in-depth pathophysiology and mechanisms, which occur during an ischemic stroke to be able to provide optimal care based on evidence. On reflection, Mr. C could have used a nurse educator to re-explain T2DM and HT management to avoid any additional problems, especially after he receives chemotherapy and radiotherapy, as small changes can escalate quickly. Evidence indicates that a clinical cardiovascular examination and a 12-lead echocardiogram (ECG) should be used in all patients suspected of having a stroke as cardiac arrhythmias and atrial fibrillation can occur concurrently among patients who have had a stroke (Jauch et al., 2013). This is relevant to Mr. C as he has T2DM and HT, in which both conditions can affect the cardiovascular system and should have been assessed. Educating and training nurses on specific is ischemic strokes management plans, along with co-morbidities may improve the care that is given