Case Study Analysis and Care Plan

Running head: CASE STUDY ANALYSIS AND CARE PLAN
Case study analysis and care plan
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CASE STUDY ANALYSIS AND CARE PLAN
Table of Contents
Part A:........................................................................................................................................3
Medical diagnosis:.................................................................................................................3
Age of individual:..................................................................................................................4
Preparation for procedures:....................................................................................................5
Privacy and dignity:...............................................................................................................5
Risk identification:.................................................................................................................5
Part B:.........................................................................................................................................6
References:...............................................................................................................................11

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CASE STUDY ANALYSIS AND CARE PLAN
Part A:
Medical diagnosis:
The case study represents the care of a patient named Natia Euta, who had been a 76
year old Samoan lady who presented to the facility with the complaints of right sided
headache, left-sided arm weakness and vertigo. The cerebral CT scan revealed the fact that
Mrs Euta had suffered a right sided thrombolic Cerebral Vascular Accident (CVA). The
presenting problems of the patient includes left-sided weakness and being nil by mouth.
Cerebrovascular accident is the medical terminology for stroke, which is caused by the blood
flow to the brain of the patient being blocked by a haemorrhage in the surrounding blood
vessels. Considering the past medical history of the patient, she had hypertension, obesity,
past episode of TIA, type two diabetes and osteoarthritis, and many of her part medical
history correspond to being considering risk factors for the CVA she suffered. For instance,
type two diabetes, high blood pressure and high blood cholesterol which is a common factor
of obesity are iconic risk factors for CVA. Hence, the patient having these conditions and the
lack of management of this co-occurring disorders had been the main contributor of the CVA
she suffered. It has to be mentioned in this context that the importance of the also have been
suffering from difficulty in sleeping, which indicates at the onset of post stroke insomnia or
obstructive sleep apnea, which has been reported to be a common challenge experienced by
stroke patients. As discussed by Aaronson et al. (2015), the issue of sleep deprivation is
associated with stalled recovery and exacerbations in stroke patients, hence there is need for
care interventions to address the issue faced by the patient. Another very important issue that
the patient had been suffering from includes residual pain from the right sided headache
which was the main reason for her to be admitted to the facility. Now it has to be mentioned
that the patient has suffered a cerebrovascular accident and headaches after a stroke is a not
uncommon, close to 15% of stroke survivors experience new persistent headaches.

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CASE STUDY ANALYSIS AND CARE PLAN
Elaborating further, the contributing pathophysiology behind the head ache is the internal
bleeding after the CVA, although persistent headache after CVA event can be caused by
effect of the drugs administered, especially dipyridamole and similar blood thinners, tension
resulted headaches, and migraine headaches. Hence, this is also a very important sign and
symptom which is associated with the CVA which needs to be addressed in this context as
well. Lastly, the patient also had very high blood glucose levels which contributed to higher
risk of several exacerbation events. Hence, it is also a very important concern that the patient
had been facing, which needed immediate interventions.
Age of individual:
The patient is a 76 year old which is a very delicate condition which is associated with
many co-morbid issues that the patient might suffer due to the CVA event. First and
foremost, the age related health challenges might act as a considerable challenge for better
life quality in the patient (Emberson et al., 2014). Elaborating further, considering her age,
complex medical condition and disorders and the recent CVA that she had suffered, the risk
of aphasia is extremely high. Aphasia is impairment of language which can affect the speech
of the patient drastically. Aphasia is more or less a common outcome after a stroke event. As
discussed by Ghotra et al. (2015), left or right sided cerebrovascular accident might easily
lead to global aphasia. In this case, it has to be mentioned that in this case, the patient had
already been facing speech issues for which speech pathology was requested for her, hence,
considering her age this can be a grave issue which will affect her quality of life in the future.
Along with that, the patient also had osteoarthritis which also is an age derived health
adversity. As mentioned by Albieri, Olsen and Andersen (2016), the impact of a CVA also
leads to mobility restrictions and limitation in the range of motion. Considering her age and
osteoarthritis this will also be a considerable issue for her. Lastly, with increasing age, the