Nursing Assignment: Case Scenario of a Patient with Stroke

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
Name of the Student:
Name of the University:
Author note:

NURSING ASSIGNMENT1
Introduction
The essay will focus on the case scenario of a patient, Mr Orkins, who was 84 years
old and was admitted to the emergency department (ED) due to collapse. The complete
evaluation of the patient condition and identification of the relevant cues or information will
be beneficial for identifying his deteriorating health condition associated with primary,
secondary and focused valuations of the patient health (Odell 2015). Effective nursing
interventions or strategy is included in the study that will be useful for treating the health
issues of the patient.
Part 1:
The patient was admitted to the emergency department as he collapsed and was
unresponsive for a short span of time. A complete handover including the patient’s primary,
secondary and focused assessment was completed that would be beneficial for identifying the
issue of the patient of the patient. According to the primary assessment, it was identified that
he was suffering from stroke that is defined as the condition, where the brain does not receive
adequate amount of blood that further result in death of numerous cells. There are two types
of stroke and based on the initial symptoms of the patient it was clear that he was suffering
from ischaemic stroke as no symptoms of bleeding was evident form the scenario. The major
issue identified from the primary assessment was the drooping of face towards his right side
associated with drooping of saliva from his mouth on the right side that was mainly due to
paralysis of face that is considered as the major symptom of stroke. His speech was also
slurred and he was facing trouble in speaking fluently (Volk et al. 2016). The patient also
exhibited the symptom of urinary incontinence, where the patient could not control his stool
and urine as the muscle controlling the release of stool and urine were weakened due to
stroke.

NURSING ASSIGNMENT2
The secondary assessment was performed that focused on evaluating the vital signs of
the patient. The blood pressure of the patient was high (150/98), which was due to his
hypertension condition that can possibly lead to blood clot in the arteries thereby not allowing
the blood to flow adequately to the brain and therefore resulting in stroke. The heart rate was
98 bpm that is considered as normal in older adults as the heart rate (HR) range between 60-
100 bpm. Similarly the SpO2 and respiratory rate was normal in the patient as identified from
the secondary assessment of vital signs. The blood sugar level was high (10.4 mmol/mL) as
the patient was suffering from type 2 diabetes and he can further develop the condition of diabetic
stroke as the patient suffering from stroke need to manage their blood sugar level under 10
mmol/L (Pepper and Witherow 2019). The people suffering from diabetes are more prone
towards developing stroke as compared to normal people.
Neurological assessment was done that involved few significant symptoms leading to the
bad health condition of the patient. The GCS score of the patient was 13, which indicated that the
patient was suffering from mild head injury after falling that could possibly be the reason for
stroke. The size of the patient pupil was different, which exhibited that he might have developed
the condition of Anisocoria, due to lack of blood flow that is considered as the common
symptom in older patients (Sabarigirish et al. 2016).
Part 2:
The patient current health situation was assessed using primary, secondary and
focused assessment procedure. Primary assessment is considered as the initial assessment that
is conducted for identifying any life threating situation of the patient. The patient was
admitted to the emergency department due to stroke and was immediately taken under
primary assessment that helped the doctor to identify what was the possible reason or issues
that lead to stroke (Banks et al. 2015). From his physical symptom, the doctors could identify
the risk and what was the major health issue. In primary assessment the patient is assessed