Case Study on Nursing Care for a Stroke Patient

Running head: NURSING
Case Study
Name of the Student
Name of the University
Author Note

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4. Answer
According to Nursing and Midwifery Board of Australia (2016), it is important as an
enrolled nurse to provide care irrespective of ethnicity, culture, religion, age, gender, sexual
preference, physical or mental state, differing values and beliefs. Similarly, in this case study,
it is important to provide proper care to the patient. In this case, the enrolled nurse will
involve in helping the patient in mobility and hygiene related issues. In comparison to
registered nurse, enrolled nurse will report to a registered nurse. It is the duty of the enrolled
nurse to discuss the problem with the supervisor before taking any decision. Apart from that,
critical thinking is mostly associated with registered nurse. An enrolled nurse will assist a
registered nurse in case of critical thinking.
5. Answer
According to Nursing and Midwifery Board of Australia (NMBA) (2019), an enrolled
nurse works as an associate to a registered nurse to enhance the understanding on practical
nursing practice. Reporting nurse supervise the work of an enroll nurse (Clarke et al., 2016).
As an enroll nurse I will report to the reporting nurse who is supervising my work.
6. Answer
1. Dietician
As Mr. Hardy is recovering from a stroke, the dietician will assess the nutritional
requirement and prepare a customized diet plan for him. The diet plan will not only help him
by fulfilling the nutritional demands but also reduces the risk of having another stroke.

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2. Physiotherapist
Mr. Hardy has weakness in his left side and using a walking stick to aid his mobility.
The physiotherapist may suggest therapeutic positioning to reduce discomfort (Marcroft et al,
2019). He may also prescribe early mobilization to improve functional recovery (Marcroft et
al, 2019).
3. General practitioner
The basic role of a general practitioner in stroke management is to involve in
monitoring effects of medication upon the patient. Apart from that, the GP advises the patient
on disease prevention and monitors the long-term condition of the patient after medication.
7. Answer
1. Smoking
Smoking leads to increase level of triglyceride and reduce level of good cholesterol in
blood. As a result, risk of blockage of blood flow in brain can occur which leads to
Cerebrovascular accident (CVA). Moreover, toxic components of tobacco can damage blood
vessels, which leads to hemorrhage stroke, (Leopold, 2016). Mr. Hardy has a fifty-year
history of smoking; hence, it can be an important factor behind stroke.
2. Obesity
Obesity is a medical condition in which different complications occurs due to
involvement of excess accumulated fat. As per the case study, weight of Mr. Hardy is 135 kg,
which clearly indicates that he was overweight. Inflammation occurs due to excess fat, which
leads to slow blood flow and increases the chances of blockage. Therefore, obesity is a
responsible factor behind CVA.

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3. Hypertension
Hypertension is a medical condition characterized by persisting high blood pressure in
arteries. Consistent high pressure damages arteries and made the prone to rupture. This
condition increases the risk of hemorrhage stroke (Leopold, 2016). Therefore, hypertension
can be a possible cause behind Mr. Hardy’s stroke.
4. Gender and Age
According to a study by Hiraga (2017), stroke rate is high among men above the age
of 55. The author tried to find out the reason behind this outcome and suggested that,
consumption of drugs, alcohol, and tobacco among men is higher than women and this leads
to CVA.
12. Answer
1. Menopause and osteoporosis is directly connected to each other. According to Ji and
Yu (2015), deficiency in estrogen leads to the increase of osteoclasticresorption activity and
on the other hand reduction of osteoblastic activity. Insufficient amount of estrogen in both
osteoclastogenesis and osteoclast activity leads to overall increase in bone resorption. As a
result net loss of bone occurred (Ji & Yu 2015). In this case, menopause started at the age of
38 years and as estrogen level drops after menopause, Osteoporosis occurred.
2. Secondly, prevalence of osteoporosis is higher in elderly women. According to
Australian Institute of Health and Welfare (2019), population aged 50 years and above was
found to have low bone density. Due to aging process, alteration in composition and structure
of bone took place (Waugh, & Grant, 2014). Different intrinsic (genetic alteration, body
mass, hormonal abnormality) and extrinsic factors (nutrition, physical activity, usage of