Stroke Patient History

Improved Essays
Personal and Medical History of a Stroke Patient

This week part of my clinical experience involved taking care of a patient 51 year old female named L.B. who has a history of hypertension, hyperlipidemia, and who had a stroke last December. She was hosting a christmas party at home when she had a stroke. She was drinking and socializing with her family. At first her son-in-law thought she just had too much to drink because she wasn’t “making sense” so he helped back to her bed to “sleep it off”. It was only a when her daughter checked on her that the family realized that something was off with her when she noticed facial drooping and one arm couldn’t move. She was immediately rushed to Parkland where she was seen and admitted after CT showed she had a stroke. She had to undergo rehabilitation after discharge. Due to insurance changes, she has stopped going to therapy more than a month ago. She is
…show more content…
Other possible medical complications need to be addressed such as fever with antipyretics, shortness of breath with supplemental oxygen, IV fluid administration for hydration. Although streptokinase use has been beneficial for acute MI patient, it has shown to pose major risk for stroke patients which may lead to intracranial hemorrhage and death and so do fibrinolytic. Thus for patients who cannot make use of fibrinolytic therapy, the current guidelines suggest permitting moderate hypertension in individuals with acute ischemic stroke since they tend to undergo spontaneous reduction in blood pressure within one day without treatment (American Heart Association, 2016). On the other hand, aspirin therapy has shown its benefits in reduction of recurrent stroke so much so that AHA/ASA guidelines advice providers in prescribing aspirin, 325 mg orally, within 1-2 days of ischemic stroke onset since the International Stroke Trial and the Chinese Acute Stroke Trial or CAST has shown its positive benefit (He et al, 2014). Another antiplatelet medication

Related Documents

  • Improved Essays

    According to a study done in by American Medical Association, about the vast majority of patients that have ischemic stroke are provided an antithrombotic medication on discharge (Bushnell et al., 2010, p. 1458). There are two classes of antithrombotic medication, anti-platelet and anticoagulant, both help to prevent the formation of thrombi, or clots, which if get caught in a brain blood vessel are what cause an ischemic stroke (“Antithrombotic Therapy”, 2016). More than 83% of ischemic stroke patients are proscribed an antiplatelet, with ASA(aspirin) being proscribed almost 57% of the time (Bushnell et al., 2010, p. 1458). Twenty three percent of patients are prescribed warfarin, which is anticoagulant (Bushnell et al., 2010, p. 1458). Mr. Q has arteriosclerosis which means that a clot could become an embolus and travel to his brain reality easily and cause another stroke, which is why proscribing an antithrombotic is important for him.…

    • 1404 Words
    • 6 Pages
    Improved Essays
  • Great Essays

    Stroke Case Study

    • 1607 Words
    • 7 Pages

    For the stroke patient, interventions are based on the phase of the stroke (Silvestri, 2014). In the acute phase, the nurse informed the medical doctor about the patient’s condition, specifying the signs and symptoms of stroke found on assessment. At this point, the doctor could give specific instructions and may take over the care of the patient momentarily. The nurse assured that the airway is patent and that oxygen is given as needed. The nurse then meticulously checked the patient’s level of consciousness and blood pressure at each 15 minute interval.…

    • 1607 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Stroke Survivor On November 30th, 2015 my father, Orlin Ostby suffered a massive stroke. He was found in his bed by our neighbor, unable to move or speak. Our neighbor called 911 and an ambulance rushed my dad to the hospital, where it was determined that he had suffered from a stroke and was lucky to be alive. The stroke effected the right side of his brain causing weakness in his left arm, the inability to move his left leg and slurred speech.…

    • 555 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Arrhythmias may occur; treatment should be immediately available. Infusion site (and any other potential bleeding sites) should be monitored and patient assessed for hemorrhage during therapy and for 1 hour following therapy. Strict bedrest should be maintained and bleeding precautions should be instituted. Rationale for medication: Treatment of acute ischemic stroke Trade name: Acetylsalicylic acid…

    • 1272 Words
    • 6 Pages
    Improved Essays
  • Superior Essays

    G.S. is a very pleasant 83 year old white female admitted to the unit on 10/29/15 for congestive heart failure and shortness of breath. This is her second time being admitted within a week of discharge for the same diagnosis. G.S. is a widow who lives along at home. She has never smoked and does not drink alcohol. She is, however, a little on the obese side.…

    • 1248 Words
    • 5 Pages
    Superior Essays
  • Great Essays

    Capstone Research Paper

    • 1461 Words
    • 6 Pages

    It is also important to educate healthcare personnel of the hospital about the signs and symptoms of stroke which would greatly improve the diagnosis and treatment of stroke. Although the American Stroke Association and Joint Commission have developed guidelines and protocols for emergency department 3 hours tPA administration within symptom onset there are still delays such as in rural communities or where hemorrhage might be a safety concern (Meschia,…

    • 1461 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    The patient is an eighty- five-year-old man by the name of James Williams who is a veteran of the Vietnam War. He is my grandfather’s older twin brother who suffered a stroke a couple years back. Before the stroke he was a normal elderly man with regular speech and movements. One could barely tell the twins apart. Now post trauma, James seemed to have aged a lot faster than his brother.…

    • 710 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    As per your request, I have reviewed Aaron Green’s medical care rendered from 4/29/15 to 6/10/15 to determine if Mr. Green would have been a candidate for drugs to combat his stroke if he had received medical care sooner. Signs and symptoms of stroke include sudden numbness or weakness in the face, arm, or leg, especially on one side of the body, confusion, trouble speaking, or difficulty understanding speech, trouble seeing in one or both eyes, trouble walking, dizziness, loss of balance, or lack of coordination, or a sudden severe headache with no known cause. The risk factors for stroke include hypertension, cigarette smoking, heart disease, diabetes, cholesterol imbalance, inactivity and obesity. During a stroke every minute counts, requiring fast treatment to reduce the…

    • 2491 Words
    • 10 Pages
    Improved Essays
  • Improved Essays

    This artifact of professional practice demonstrates the ability to effectively communicate a patient safely concern and introduce a solution in a clear and concise manner. This executive summary reviews the core measures for stroke and introduces the concept of a Stroke Alert Team. The summary details the incidence of stroke, the current core measure performance for the organization, and a plan for improving the measure and patient outcomes.…

    • 68 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Cea Case Studies

    • 634 Words
    • 3 Pages

    Give aspirin to patients who are unable to use oral anticoagulants. Addition of clopidogrel to aspirin therapy might be reasonable compared with aspirin therapy alone. It is reasonable to initiate anticoagulation within 14 days after onset of stroke in most…

    • 634 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Additionally her condition could also have been a factor, knowing that she could not independently do the things she used to and talk clearly because of the stroke. I also read the chart that she was bankrupt due to alcohol abuse so that could also be a factor knowing that she does not have close family to support her. I pictured myself in that situation and I began to understand the reason why the patient will be sad and frustrated. I learned to relate to the emotion and not the…

    • 978 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Ischema Case Studies

    • 1062 Words
    • 4 Pages

    She is alert and ordinated times three and on bed rest. She is on bed rest due to a stroke that impacted her left side. Her stroke was caused during a procedure of implanting a pacemaker. M.G. left arm is flaccid due to the stroke, is an assist times two and cannot ambulate by herself. She was reporting three out of ten on the pain scale and was on two liters of oxygen.…

    • 1062 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    His wife died 2 years ago and his only daughter lives nearby. He is a 67 year old male, white British with a history of hypertension, was diagnosed with Left Parietal ICH (Intracerebral haemorrhage) after reporting on A&E sudden onset RSW (right side weak) slurred speech (Dysarthria) and confusion. The patient was met in a stroke rehabilitation ward after being in the care of specialists from the acute stroke unit. The author met John while in a hospital setting placement and his improvement was noticeable and it was easy to follow the treatment pathway.…

    • 1412 Words
    • 6 Pages
    Great Essays
  • Decent Essays

    Acute Stroke Case Summary

    • 342 Words
    • 2 Pages

    Neurologist and cardiologist examined her several times in the next four days, head CT scan was done and multiple lacunae were seen. She started to take antihypertensive drugs. On the…

    • 342 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    The First Clinical Experience It was an early morning in April. My friends and I arrived 45 minutes early to our long term care facility in Scottsdale, Arizona. The three of us sat in my car and anxiously awaited stepping foot into the care facility as we had no idea what to expect. I began to wonder what the patients would be like and how I would care for them.…

    • 1158 Words
    • 5 Pages
    Improved Essays