Left Side Weakness In Mr. Wu's Case

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In the case scenario, Mr. Wu is a 55 years old accountant. He had sudden onset of left sided weakness and drooling. So he was admitted to the Accident & Emergency Department. After CT brain scan, Mr. Wu was found suffering from right middle cerebral artery ischaemic infarct. He was then transferred to the stroke unit for further management. Several health needs are identified after conducting health assessment to Mr. Wu. Left-side weakness and urinary incontinence are selected for discussion in this article. Left- side weakness means that the left side of the body has reduced muscle strength and may lead to inability to move. And urinary incontinence is defined as having bladder control problem and unconscious leakage of urine. In …show more content…
Wu may have difficulties in maintaining balance due to limb and muscle weakness. This may highly affect the ability of performing self-care and activities of daily living (ADLs), such as having difficulty in walking and impaired ability to hold things (National stroke association, 2017).
And for urinary incontinence, it also affects Mr. Wu’s quality of life, such as sleep disturbance, affected self-image and social isolation (Netdoctor, 2015). Due to the negative impacts that these two health needs may bring to Mr. Wu, they are selected for discussion in this
…show more content…
Wu with progressive mobilization and movement in all health care settings. By increasing Mr. Wu’s time out of bed, as tolerated; increasing the lengths of walks progressively every day; and encouraging Mr. Wu to have ambulation for short and frequent walks, with assistance if necessary. Researchers have shown that inactivity has a profound adverse effect on the brain, skeletal muscles, skin, pulmonary, and cardiovascular systems (Carpenito, 2017).
On the other hand, we could provide self-help devices for Mr. Wu. Such as toilet risers, shower chair, drinking straw and reacher grabber for picking things. And encourage Mr. Wu to have good grooming and makeup habits. These can enhance independence, reduce patient’s reliance on others for meeting own needs and enable patient to have active social life (Nurseslabs, 2013).
Besides, we should promote Mr. Wu’s self-esteem and self-determination. When performing self-care activities, provide choices and request preferences for schedule, methods, clothing selection and hair styling. Avoid focusing on the disabilities and provide positive feedback for independent accomplishments. According to Carpenito, 2017, inability in self-care produces feelings of dependent and poor self-concept; increased ability in self-care can increase one’s

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