Analyzing Mrs. Amari's Health Concerns

The assignment requires an analysis of Mrs. Amari's health reports, which indicate concerning symptoms like chest pain, shortness of breath, and reduced oxygen levels. The analysis should focus on the potential risk of a heart attack and emphasize the urgency of seeking medical attention.

Running head: NURSING CASE STUDY
Nursing Case Study
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Running head: NURSING CASE STUDY
This case study is about Mrs. Amari who is a fifty-nine (59) year old New Zealand Maori
woman. She was born in Auckland, New Zealand and lived in New Zealand until 3 years ago.
After the loss of her husband, she struggled financially and moved to Australia to live with her
son. She has been suffering from hypertension and hypercholesterolemia. She has been taking
tobacco since 25 years and quit it ten years ago. She has a positive family history of heart
disease. She does not follow proper exercise regimen but, occasionally takes walks in the
neighbourhood. Her son Niko married an Australian girl, and moved to Australia 6 yrs ago.
Together they have two daughters and Mrs. Amari enjoys helping out with her grandchildren and
plays an important role in taking care of them as both are working parents.
One day Niko noticed that all of a sudden his mother was slurring in her speech and her
face was drooping on one side. Mrs. Amari told her son that she was feeling some numbness on
the right side of her face and in her right arm. Niko got scared that his mother was having a
stroke so he brought her to the hospital. She did not experience any significant weakness, had a
steady gait, and was able to swallow food without any difficulty. She was able to move all of her
extremities and follow commands in a proper manner. Her pupils were round, equal and reactive
to light (4mm to 2mm). There was no nystagmus noted. Mrs. Amari did not have a headache and
there were no symptoms of nausea, vomiting, chest pain, diaphoresis, or visual complaints.
Her current medical test report showed that her body temperature was normal that is
36.7°C, blood pressure was 148/97 that showed that she had a high systolic pressure. She
recorded a higher pulse of 81 and the reported respiratory rate was 14 that is in the normal range.
The Oxygen saturation level (SpO2) was also in the normal range of 94%. Mrs. Amari’s
Glasgow Coma Scale (GCS) was in the normal range of 15. She had a normal blood glucose
level of 6.6mmol/L .A head computed tomography (CT) scan showed no acute intracranial

Running head: NURSING CASE STUDY
change and magnetic resonance imagery (MRI) was within normal limits. Mrs. Amari was
transferred from the emergency department to the stroke unit under the care of a neurologist with
a diagnosis of a mini stroke that is a transient ischaemic attack (TIA).
Mrs. Amari was on the stroke ward for 24hrs. Her symptoms were resolved. There was
no facial asymmetry and her complaint of numbness also subsided. But it was found that her
clinical situation was changed. Her speech was slurred again and the right side of her mouth
started drooping again. She was again examined for several parameters. Her body temperature
slightly increased to 36.8°C and the blood pressure rose to 175/105.This showed that she had a
high systolic and a diastolic pressure as well. She recorded a higher pulse of 90 and the reported
respiratory rate decrease to 13. The Oxygen saturation level (SpO2) also decreased to 92%. Mrs.
Amari had a normal blood glucose level of 6.6mmol/L.
According to her symptoms of slurring speech and the right side of the face drooping
again she is suffering from dysarthria which is a neurological disorder and leads to facial
paralysis and muscle weakness of the throat (Solomon et al.2017). The reason of this disease in
Mrs. Amari is ischemic stroke, but there are other reasons as well such as tumor in the brain
and cerebral palsy. Dysarthria leads to loneliness and depression in individuals. Mrs. Amari
should be given proper speech and language therapy that would help in improving her speech
and communication with her family members. Speech therapy also plays an important role in
improving the strength of muscles and breathe support (Miller and Bloch 2017).
Nursing interventions and family support can also help her in the prevention of disease
and other psychological symptoms associated with it. It should be given to her in an efficient
way which would help her to get rid from physical pain and stress. She should be given

Running head: NURSING CASE STUDY
palliative care which involves the collaborative efforts of several clinicians, nursing staff to help
the patient in getting well soon and improve their health (Pratt and Wood 2015).She should be
prohibited from smoking again and which may result in several health issues such as
cardiovascular problems including heart stroke, heart attack and ultimately death should be
empowered and provided care by understanding her needs and demands.She should also be
provided psychosocial care that will help her to get rid of depressive symptoms, pain and
anxiety.(Niemela and Kim 2014).The nurses should follow the principles proposed by The Code
of Professional Conduct for Nurses which aims to provide to provide guidance to the nursing
professionals about their roles and responsibilities to provide care to the patients in an ethical and
effective manner. It includes various values such as the nurses should maintain their dignity and
their patients as well to listen to their patient (Carland et al. 2017).
Mrs. Amari should be counseled and guided properly to take appropriate rest and several
precautions to improve the condition of her health. She should be advised to follow the principles
of self- actualization which is known to lead to a healthy mental state and will foster to improve
her positive attributes and do not focus on their negative attributes. It will help her in becoming
self-determined and have a high self esteem.She should discuss her problems with family
members and friends since she is also suffering from hypertension and hypercholesterolemia
(Weber et. al.2015).
The normal range of neurological assessments done for Mrs. Amari are body
temperature 37°C and normal blood pressure is 120/80 .The normal pulse in the human body is
72 and normal respiratory rate ranges between 12-20.The normal oxygen saturation level (SpO2)
ranges between 95-100% and the normal blood glucose level is 4.0 to 6.6 mmol/L during fasting
and up to 7.8mmol/L after 2 hours of eating (Crane et al.2013).

Running head: NURSING CASE STUDY
According to the current situation her body was 36.8°C and the blood pressure rose to
175/105.This means that she had a high systolic and a diastolic pressure as well. Her pulse rate
of 90 and the reported respiratory rate was 13.The Oxygen saturation level (SpO2) also
decreased to 92% but she had a normal blood glucose level of 6.6mmol/L. A high blood pressure
leads to a risk of heart stroke and heart attack (Dresser et al.2013). Since Mrs. Amari already
suffered from a mini stroke that is a Transient ischemic heart attack (TIA) which blocks the flow
of blood to the brain due to a clot or blockage (Sposato, et al.2015).Hence, it is a risky situation
for her and may lead to a disability or death.
She had an increased pulse rate of 90 which occurs due to the shortness of breath or
tiredness. It may also result in cardiac arrest in Mrs. Amari. The Oxygen saturation level (SpO2)
of Mrs. Amari was also low which means that she had a reduced level of oxygen in the arteries
which may lead to breathing problems (Enocson, et. al.2016). Hence, it can be concluded that the
reports of Mrs. Amari is not normal and it can lead to a heart attack.

Running head: NURSING CASE STUDY
References
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Routledge.

Running head: NURSING CASE STUDY
Solomon, N.P., Makashay, M.J., Helou, L.B. and Clark, H.M., 2017. Neurogenic Orofacial
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