Assessment and Management of Cerebrovascular Accident in Geriatric Patients

This report discusses the assessment and management of cerebrovascular accident in geriatric patients through a case study. It also covers the benefits of geriatric services and the physical and mental burdens that patients and their relatives face post CVA. The report includes a nursing plan and references for further reading.

Gerontology

Table of Content.
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
Assessment and management of Mrs. Carmela Mifsud...............................................................1
Geriatric services which Ms. Mifsud benefit...............................................................................2
physical and mental burdens that both the patient and the relatives are going to have post CVA
......................................................................................................................................................2
CONCLUSION................................................................................................................................3
REFERENCES................................................................................................................................4

INTRODUCTION
The cerebrovascular accident is a condition in which the brain blood vessels broken down
and caused blood clotting within the brain. Symptoms include dizziness, numbness as well as
weakness occur on the one side of the body due to this individual face difficulty in talking,
writing as well as in understanding of language. The report writing include a case study on Malta
who is suffering from cerebrovascular accident as well as high concentration of low density
lipoprotein. Therefore, the report writing includes some assessment as well as management of
the patient. The report writing also discussed on the geriatric services in the community.
MAIN BODY
Assessment and management of Mrs. Carmela Mifsud
There are many assessment are needed in case of Mrs. Carmela Mifsud because of
various symptoms such as irregular bowel movement, weak or pale, asymmetrical face structure,
pain, visual disturbance, uncoordinated neck movement. As physician suggested some diagnosis
test for diagnosing the each symptom condition. For irregular bowel movement some diagnosis
test are done such as colonoscopy, endoscopic retrograde cholangiopancreatography,
esophagogastroduodenoscopy as well as CT scan or X-ray because bowel disturbance occurs in
case of chronic obstructive pulmonary disease, constipation. An assessment of asymmetrical face
can be diagnosed by clinical examination, occlusal splints, comprehensive radiographic survey
as well as laboratory test. The assessment is done in case the asymmetrical face is caused due to
hemifacial microsomia, smoking, injury as well as due to injury. For the assessment of
uncoordinated neck movement blood test, urine test, magnetic resonance imaging scan was done
because it can be may be occur due to high consumption of alcohol, lithium, sedative as well as
cocaine and heroin (He and et.al., 2019).
For management for these symptoms includes some therapies as physical therapy can
strengthen body as well as enhancing the body mobility in case of uncoordinated movement.
Occupational therapy improve the skills in doing daily activity. For management of facial
asymmetrical a soft filler insertion is done in the face via injection. For management of bowel
movement some antidiarrhoeal drugs are given like senna, increasing fibre intake in diet,
drinking plenty of water, limit caffeine intake as well as including exercise in daily routine.
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In case of Mrs. Carmela Mifsud some nursing plan is made according to her health condition as
well as due to her social history as rehabilitation centre is suggested for her because of heavy
smoking or drinking habit she is facing cerebrovascular accident. For management of her
condition rehabilitation is necessary (Nadar and et.al., 2020).
Geriatric services which Ms. Mifsud benefit
Geriatric services is a care provided to the elderly people in order to promote the health
condition of the old age people by preventing or treating the disease as well as disabilities. In
case of Mrs. Carmella Mifsud, she get the benefits of geriatric services like geriatric
Rehabilitation because Mrs. Carmella is 63 year old lady and had a habit of regular smoking as
well as habit of consumption of alcohol on regular basis (Goh and et.al., 2020).
Geriatric Rehabilitation is refer to an multidimensional dimensional approach for
diagnostic as well as for therapeutic intervention. The main purpose of geriatric rehabilitation is
to optimizing the functional capacity of an individual, promoting the growth activity of an
individual as well as preserving the functionality of an individual among with social participation
of older age people. The patient included to GR are older age people after having surgery,
chronic organ failure as well as older person after a stroke. The rehabilitation mainly emphasize
on the functional activity in order to maintain the functional mobility as well as capability. It also
emphasize on improving the balance through exercise, good nutrition, good balanced diet as well
as good general care. The centre also provide social as well as emotional support to the older age
people. The rehabilitation is focus to improve or augment the natural mechanisms of recovery in
case of Mrs. Carmella Mifsud. As in case of cerebrovascular accident the immediate mechanisms
of repairs was started which include post stroke edema as well as various other function (Osaki
and et.al., 2020).
physical and mental burdens that both the patient and the relatives are going to have post CVA
Me as a geriatric staff nurses have responsibilities as well as aim is to provide caring to
the older age people. Me as geriatric nurses are educated in order to understand as well as care
the physical or mental health of the older age patient. The geriatric nurses have capability or
ability to deal with the physical or mental health patient or their family. They try to help them in
order to protect as well as help them to cope from those condition (Martsiyash and et.al., 2021).
Me as Geriartric rehabilitation nurses when working with the patient have many role in order to
take care the patient physical or mental health such as
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 assess the patients mental as well as cognitive skills.
 Have responsibilities to understand the patient health issues such as acute or chronic issue
 have responsibilities to organise as well as provide the medicine to the patient on a
specified time.
 Provide the education to patient as well as their family member about the prevention and
safety condition of the disease.
 Organise the meditation in daily routine in order to provide mental piece to the patient.
 Involving in regular activities of the patient- as doing all activities of patient such as
cleaning, changing, dressing, feeding and many more can help the patient as well as
reduce the workload on the family member of the patient.
 Have role to keep on eye to the patient so that she cannot consume alcohol as well as
smoking (More and et.al., 2018).
CONCLUSION
From the above case study, it is concluded that the cerebrovascular accident is a
condition in which the brain blood vessels broken down and cause blood clotting within the
brain. This is a disease from which the Mrs. Mifsud is experience. The given case study
concluded that geriatric rehabilitation services is provided to Mrs. Mifsud because she is older as
well as a habit of consumption of alcohol as well as smoking.
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REFERENCES
Books and Journals:
He, S., Wang, Z., Cheem, T.H., Liao, H., Chen, X. and He, Y., 2019. External validation of the
model of thromboembolic risk in hypertrophic cardiomyopathy patients. Canadian
Journal of Cardiology, 35(12), pp.1800-1806.
Nadar, S.K., Tayebjee, M.H., Stowasser, M. and Byrd, J.B., 2020. Managing hypertension
during the COVID-19 pandemic. Journal of Human Hypertension, 34(6), pp.415-417.
Goh, E.L., Gurung, P.K., Ma, S., Pilpel, T., Dale, J.H., Kannan, A. and Anand, S., 2020. Direct
oral anticoagulants in the prevention of venous thromboembolism following surgery for
hip fracture in older adults: a population-based cohort study. Geriatric Orthopaedic
Surgery & Rehabilitation, 11, p.2151459319897520.
Osaki, T., Saito, H., Shimizu, S., Murakami, Y., Miyatani, K., Matsunaga, T., Tatebe, S.,
Ikeguchi, M. and Fujiwara, Y., 2020. Modified frailty index is useful in predicting non-
home discharge in elderly patients with gastric cancer who undergo gastrectomy. World
Journal of Surgery, 44(11), pp.3837-3844.
Martsiyash, A.A., Moses, V.G., Moses, K.B. and Lastochkina, L.A., 2021. Physical
rehabilitation of elderly patients with acute cerebrovascular accident. Literature
review. Russian Journal of Physiotherapy, Balneology and Rehabilitation, 20(4),
pp.357-366.
Mores, G., Whiteman, R.M., Ploeg, J., Knobl, P., Cahn, M., Klaponski, L., Lindley, A. and
Fisher, K., 2018. An evaluation of the family informal caregiver stroke self-
management program. Canadian Journal of Neurological Sciences, 45(6), pp.660-668.
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