Transient Ischemic Attack Case Study

Superior Essays
Case study Paper A transient ischemic attack-- also known as a mini-stroke-- occurs when an area of the brain is blocked causing a lack of blood flow. When this occurs, oxygen supply is interrupted and emergency services are needed. TIAs come and go quickly, so “although the symptoms of a TIA may disappear, take it as a warning of an impending, serious ischemic stroke” (“What is a stroke?”, 2010). Care delivery, delegation, and prioritization are important concepts to consider when examining a patient’s condition on the neurology unit. The patient is often confused, cannot speak, has difficulty in mobility, or needs extra attention and guidance for activities of daily living. Risks for injury, disturbed visual perception, delirium, need for assistive devices, and falls may occur as a result of the client’s inability to effectively communicate with the assigned staff or abstain from obstacles in an unfamiliar environment.
Assessment Data The client is a 58-year-old African American female admitted to the hospital due to a massive stroke. She has a left eye droop unrelated to her
…show more content…
For her early morning vital signs, her emotional state depicts as uncooperative and groggy, but as the morning progressed, she became more awake and alert. Her 0800 vital signs are as follows: oral temperature 98.3 degrees Fahrenheit, respiratory rate 16, heart rate via left radial pulse is 46, blood pressure 170/66 left arm lying down, oxygen saturation is 97% using her left digital probe finger and is on room air. The patient denies any pain, and I was told to monitor the patient periodically throughout my shift by the HCP. The patient reported understanding on teaching about pain management via a head nod. Her height and weight are 167lbs/76kgs using standing scale and 5’2”/157.5cm, respectively. Blood glucose at 0700 was 125mg/dL and increased to 134 mg/dL at 1100. I notified her provider of the

Related Documents

  • Superior Essays

    Dorrough V. Wilkes (2002)

    • 1733 Words
    • 7 Pages

    NUR 714 Legal Case Study Analysis Paper Dorrough v. Wilkes (2002) No 2001-CA-00117-SCT Jonathan R. Heshler California University of Pennsylvania NUR 714 Legal Case Study Analysis The purpose of this paper is to analyze and review the case of Dorrough v. Wilkes (2002). This civil case involved a female patient (Gwendolyn Wilkes) presenting to the emergency room at Boliver County Hospital, being misdiagnosed and discharged by Dr. Dorrough, dying the next day at another hospital after emergency surgery and the patients husband and son bringing a wrongful death medical malpractice action suit forth.…

    • 1733 Words
    • 7 Pages
    Superior Essays
  • Decent Essays

    Sinemet Case Study

    • 600 Words
    • 3 Pages

    She converses appropriately. She is in no acute distress. Blood pressure 120/82. Pulse is 66 and regular. Weight 192 pounds.…

    • 600 Words
    • 3 Pages
    Decent Essays
  • Decent Essays

    S- Valley Baptist responded to a call of motor vehicle accident. The 24 year old male that had injuries on his body. The paramedic greeted us to the patient while they escorted him to the room. O- The nurses and I DCAP-TLS and expose him with sheers as i did my patient assessment.…

    • 191 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Mrs. Schaefer was eventually transferred to the rehabilitation floor (July 16) and I made contact with Mrs. Schaefer, the nurses and spoke with the case manager assigned Victoria Fisher. Ms. Fischer provided me with her contact information and I forward a signed medical release for medical records. I inquired about team meetings and I was informed that they occur every Thursday and one was scheduled for July 20 at 9 a.m. I attended this and the team was still in the process of assessing and evaluating her. Dr. Luring reported, Mrs. Schaefer was still requiring oxygenation and they will continue to attempt trying to wean her from it…

    • 896 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Case Study Cara Jones

    • 923 Words
    • 4 Pages

    In the focus of this case study, Cara Jones is our patient. She is a 33 year old nursing assistant who was first admitted to the hospital after having a seizure. She has never had a seizure before, so this is the first and only time this has happened. Jones has been displaying symptoms for some time now, seeming to be in a stupor at times, has shown an increase in irritability, and an overall change in demeanor. She has also been feeling nauseous and vomiting frequently for the past week before the seizure occurred.…

    • 923 Words
    • 4 Pages
    Superior Essays
  • Great Essays

    Blood glucose was 86mg/dL Table 2 – Functional Health Patterns Data NUTRITION METABOLIC (diet, examples of daily food/fluid intake, food preferences, appetite): Patient on a Cardiac/heart healthy diet. States “the food here is very good” but does not eat an adequate amount. Patient was able to eat on his own. ELIMINATION (normal bowel/bladder function, aides): Patient has an indwelling Foley catheter.…

    • 753 Words
    • 4 Pages
    Great Essays
  • Improved Essays

    Vipul Patel Case Study

    • 1276 Words
    • 6 Pages

    The aim of this assignment is to produce three care plans into person centred care approach, based on Vipul Patel case study, after he has been admitted to Coronary Care Unit (CCU), pre-operation. After the assessment has been undertaken by the multi-disciplinary team, the nurse on charge with Mr. Patel and his family, the following three care plans will be implemented: Imbalanced Nutrition, Acute Pain and Anxiety. The care plans will be updated as needed and evaluated monthly, to monitor closely Mr. Patel’s health improvement process.…

    • 1276 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    L. S.: A Case Study

    • 1712 Words
    • 7 Pages

    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.…

    • 1712 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Her main concern was that she was feeling bad and believed she was having high blood pressure. We checked her blood pressure and it was very high. In her right arm it was around 230 over one…

    • 1186 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Article 2: “Prevalence of PTSD in Survivors of Stroke and Transient Ischemic Attack: A Meta-Analytic Review” This study was conducted to analyze the association between posttraumatic stress disorder (PTSD) with strokes and transient ischemic attacks (TIA). Although previous research inferred that posttraumatic stress disorder lead to the increase of cardiovascular disease, more recent research suggests that posttraumatic stress disorder may occur as a result of a stroke. Symptoms of posttraumatic stress disorder were recently noted by 18% of individuals who suffered a stroke or transient ischemic attack.…

    • 423 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    Ischema Case Studies

    • 1062 Words
    • 4 Pages

    All of her vital signs were in the normal range. Her pupils were round and reactive to light. Cap refill was than three seconds and there was no clubbing present. M.G. heart sounds were normal and S1 and S2 were heard. There was no JVD present but had crackles at the base of the lungs.…

    • 1062 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Capstone Research Paper

    • 1461 Words
    • 6 Pages

    Capstone Project Erica Brooks Bauder College Mrs. Binfon It is important in healthcare to look for ways to continually improve and provide the best care for patients. It is a nurse’s practice evidence-based care and to look for ways to provide better care for the patient. I find that there are certain policies in place that can be improved that may provide better outcomes to the patient. When a person is having a stroke, time equals brain cells.…

    • 1461 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    I remember the moment very vividly. It was almost 0200. The halls are dark except for one very dim light, flickering. I’m sitting at a computer charting, waiting for my next call. Then what every nurse deep down is dreading to hear on the intercom, came.…

    • 743 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    The brain needs fresh supply of blood to function normally. During an episode of arrhythmia, there is a great possibility that blood pooling in the chambers of the heart may develop micro clots that is carried along the circulation. Consequently, ischemic stroke occurs when an artery to the brain is narrowed by plaque or when it is completely blocked by a thrombus that prevents blood from supplying an area of the brain. The brain tissues deprived of fresh supply of blood die in a matter of minutes. Equally fatal is hemorrhagic stroke where a blood vessel burst causing blood to leak on surrounding tissues resulting to permanent brain…

    • 109 Words
    • 1 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

Related Topics