Synthesis and Application of Pathophysiology and Foundational Nursing Concepts in Ischemic Stroke

Ischemic StrokeSynthesis and application of pathophysiology and foundational nursing concepts
• Synthesis and Pathophysiology of Ischemic Stroke: A stroke is a medical condition in which there is sudden interruption of blood supply in the brain or heart that could be due to the formation of a clot in the artery
(World Health Organisation 2019). Most of the strokes that occur, are ischemic strokes (Goyal
et al 2015). Due to the formation of the clot there can be limited supply of blood an oxygen to the heart or brain (Gillen
2015). There clot could be due to the bursting of blood vessel which can be due to haemorrhage or it can be due to accumulation of fat or cholesterol. There are two kinds of stroke: 1) Embolic Stroke 2) Thrombotic
stroke.
• Embolic Stroke: This type of stroke is formed when there is an embolus in the form of cholesterol or blood clot in the artery, which can be anywhere in the body away from the brain which can produce physical as
well as neurological defects in the body (Choi
et al 2014)
• Thrombotic Stroke: In this case the stroke occurs due to the blood clot in the arteries of the brain that could restrict the supply of the oxygen and blood in the brain. There can be observable dizziness, slurred speech,
difficulty in speaking and coordination (Koh and Park 2017).
• All the cases of stroke should be handled in high priority basis and early assessment and diagnosis should be followed accordingly (Powers
et al 2018). The investigative treatments and the detailed history and
prognostic should be carried assess the case for example conducting the MRI on an urgent basis. The nurses along with the interdisciplinary team should be there to further understand and give a care plan for the
patient (Stroke Foundation 2019).
Application of professional frameworks, ethical and legal codes and standards to decision
making
• Stroke is seen as leading cause of the long term adult disability, and the burden of the
stroke in the communities could affect the population worldwide Therefore, there has
to be proper prevention strategies and effective treatment as well as proper decision
making to prevent this (Powers
et al 2015). It is an emergency condition in which the
first few hours could lead to the patient’s long term recovery as well as prognosis.
Evidence based practice include the acute shock stoke care which also includes anti-
platelet therapy stoke unit or SU (Middleton, Grimley and Alexandrov 2015). It is
important for the nurse’s practice with honesty as well as ethically to maintain the
legal and professional nursing codes of conduct. This includes:
• Nurse to patient professional relationship, which is based on building trust and respect
(Nursing and Midwifery Board of Australia, 2019)
• The practice and further procedures should be based in compliance with the
authorisation as well as legalisation of the governmental as well as local policies.
• It is important for the nurses to understand the legal as well as the legal obligations so
that there is maintenance of privacy and giving patient informed consent when it
comes to Standards for Practice.
• There are diverse beliefs, values, and customs of the individual, family and
communities that should be respected (International Council of Nurses, 2019).
• The nursing profession in the society plays an important part in terms of initiating
collaboration to meet the social as well as health needs of a person (Menefee 2014).
• According to Nursing and Midwifery Board of Australia 2019, it is important for the
nurses to give timely information to the patient which should be alignment with
cultural safety.
Application of the social justice framework and professional ethical and
practice standards.
• Nursing profession demands abled professionalism in challenging
situations that could be physically as well as intellectually which are
often characterised by ethical as well as social.
• It is important for the nurses find and resolve he concerns along with
collaboration maintaining the ethical codes of conducts in nursing.
• According to Nursing and Midwifery Board of Australia, 2019, there
should be in association with the nurse is required to carry out the
roles and responsibilities along with the health research.
• Ethical considerations and awareness about the Aboriginals and Torres
Strait Islander peoples should be considered as well.
• It is important to understand the basic framework of social justice
framework which included the health equity among the people of
Australia, equal health care access to the people in from different
communities and living in remote areas (Garneau and Pepin 2015).
• It is crucial for the patients to feel that they are in calm and non-
judgemental environment at the same time it helps the nurse to
maintain dignity given to patients (Silva, Nascimento and Coelho
2015)
• Understanding the equal legal rights of the people, and proper
informed consent, as well as encouraging the participation among the
people so that there could be proper awareness among the
communities and back grounds in Australia (Australian Government-
The Department of Health 2019).
REFERENCE
Australian Government-The Department of Health. 2019. 7.1 Basic principle of social justice.
Available at:
http://www.health.gov.au/internet/publications/publishing.nsf/Content/drugtreat-pubs-front4-fa-t
oc~drugtreat-pubs-front4-fa-secb~drugtreat-pubs-front4-fa-secb-7~drugtreat-pubs-front4-fa-secb-7
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Articulate the role of the registered nurse in providing and encouraging
access to, and participation in, healthcare.
• It is a great responsibility to for a nurse to not only collaborate and
establish a therapeutic relationship with the patients but also to
inculcate informed patient
• Communication is an important aspect to build sense of trust and
respect in patient nurse relation (Kourkouta and Papathanasiou
2014).
• Patient participation and patient involvement also improves the
decision making as well as the better health care outcomes (Vahdatet al 2014).
• Provides awareness about the different health outcomes and better
collaboration with health care workers of different communities (Taket al 2015).
• Patient participation tools can be used as well to understand the
patient’s perspective and person’s own health care decision plans
(Skagerström
et al 2017).
• Health care professionals have the potential to influence patient
involvement in safer care (Spatz et al 2016).
• Patient as well as community participation could provide collective
and individual benefit can be obtained (Day
et al 2014).