She converses appropriately. She is in no acute distress. Blood pressure 120/82. Pulse is 66 and regular. Weight 192 pounds.…
Rationale for medication: Administered when stroke is suspected. Nursing diagnosis…
He converses appropriately. He is in no acute distress. Blood pressure 140/70. Pulse is 60 and regular. Weight 166 pounds.…
Purpose: To evaluate the use and efficacy of Stroke Thrombolysis as a treatment in a blocked artery that has caused ischemic stroke. Description of Pathology: Ischemic strokes account for 87% of all stroke incidents, making this type of stroke the most common. Ischemic strokes occur as a result of a blood clot plugging or obstructing an artery carrying blood to the brain. This keeps oxygen and nutrient rich blood from flowing into the brain.…
The patient is a 91-year-old female brought in from the nursing home after being found on the floor. She gives a history of hearing the phone ring, attempting to answer the phone and tripping over the phone wire. The history is somewhat confusing as the patient has been wheelchair bound nonambulatory for the past 6 years. Her medical history is significant for congestive failure, CVA with some residual left-sided weakness, hypertension, a DVT (presently on Coumadin), and some dementia. Significant findings are a hemoglobin of 12.2, which on admission dropped to 10.…
Upon arrival to the hospital, immediate vital signs were taken. W.R. had a temperature of 98.2 degrees Fahrenheit (98.6 degrees Fahrenheit), blood pressure of 202/124 mmHg (120/80 mmHg), a heart rate of 106 beats/min (60-100 beats/min), and respiratory rate of 18 breaths/ min. (12-20 breaths/min). As W.R. presented to the hospital with vital signs outside of normal limitations including an increased blood pressure and respiratory rate, a history of smoking as well as a high-fat food diet, beer belly, and a large waist circumference, the physician’s ruled out the possibility of a myocardial infarction until further inspection and testing could be…
Introduction L.S. is a 67 year-old female born on March 24, 1947. The student nurse assessed L.S.’s vital signs prior her interview the results were as follows: Blood Pressure: 124/72, temperature: 97.8 degrees Fahrenheit, pulse: 75 beats per minute, and respirations: 22 breaths per minute. L.S. is a young- old retired home health aide whose previous employment has negatively affected the way that she is able to enjoy her retired older years. Comorbidities, economic circumstances, and becoming a widow in 2009 have affected L.S.’s ability to age successfully. L.S. past medical history includes hypothyroidism, osteoporosis, bulging spinal disc, and arthritis.…
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.…
He has a moderately slurred speech, but not aphasic, his visual field was intact. He had upper extremity paresis. He has decrease light touch sensation on his left upper and lower extremities. Proprioception and coordination were also decreased. Range of motion of all joints appeared to be normal.…
Stroke is linked to several other chronic diseases such as diabetes, hypertension, obesity, hyperlipidemia, and heart failure. Of these disease processes four of them are more common among African Americans. According to Feng (2015) the incidence of stroke has been declining in recent years however, in the southeastern states the occurrence of stroke is increasing. This has been shown to be especially true among middle-aged African Americans. Despite years of work aimed at lowering the rate of stroke more recent data has shown that while hospitalization due to stroke among whites is not increasing the incidence of stroke among middle aged black population in such states as South Carolina is increasing.…
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.…
Also, he cannot drive anymore he requires clock care. He has to use a walking cane. He also can not move as well as he used…
Stroke: The Sociology Behind It According to John Hopkins Medicine (n.d.), Hippocrates, the father of medicine, discovered stroke about 2400+ years ago, but at the time, the Greek referred to stroke as apoplexy which meant “struck down by violence”. Sometimes referred to as a brain attack, stroke is a cerebrovascular disease that damages portions of the brain because of the tremendous loss of blood vessels individuals experience. Some sources label stroke as a chronic disease and others label it as an acute disease. Conclusively, as implied, this disease has tormented many individuals of many ages for a long period of time, and this paper addresses the sociological rather than the medical aspect of a stroke.…
Concerns that the student nurse would want to monitor for would be signs of decreased cardiac output and lack of blood flow to his peripheral tissues that would be evidenced by edema and relatively colder skin (Jarvis, 2008). R.M. also had weakened pedal pulses of +1 bilaterally. Another abnormal assessment was with R.M.'s musculoskeletal system. R.M. had very limited range of motion especially in his lower extremities greatly due to arthritis and a very labor intensive job his entire working life. In R.M.'s patient's chart, it stated he had functional decline and joint limitations.…
Overview Stroke and hemorrhagic stroke A stroke is a brain attack. It is caused when blood flow to an area of brain is cut off. Brain cells are deprived of oxygen and begin to die. After that, abilities for the brain cells in that area to memory and muscle control are lost.…