Nursing Care Practices - Assignment
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Added on 2021-04-16
Nursing Care Practices - Assignment
Added on 2021-04-16
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0NURSING CARENursing CareName of the studentUniversity nameAuthor’s note
1NURSING CARETable of ContentsIntroduction............................................................................................................................2Section 1:................................................................................................................................2Patient background.....................................................................................................................2Reason for admission.................................................................................................................3Diagnosis....................................................................................................................................3Past medical history...................................................................................................................3A-E assessment of the patient with expected findings typical of embolic stroke......................4Section 2:................................................................................................................................5Pharmacological treatment for embolic stroke..........................................................................5Evidence based rationale for medication and nursing care........................................................5Conclusion..............................................................................................................................7References..............................................................................................................................8
2NURSING CAREIntroductionThe current assignment focuses on the nursing care practices for the management of Embolic stroke. Embolic stroke could be referred to the condition when a blood clot which forms elsewhere in the body travels to the brain via the blood stream. It blocks the adequate supply of blood to the brain leading to ischemic stroke. This cuts off the required amount of oxygen and nutrients from reaching the brain. Some of the factors which further increase the chances of contraction of the disease are- being over 40 years of age, possessing autoimmune disease such as diabetes, presence of heart disease (Holmes Jr et al., 2015). Cerebrovascular accidents (CVA) are one of the biggest killers in Australia. It has been found that 80% of the strokes could be prevented which in turn adds up to a sufficient amount of healthcare costs (Mozaffarian et al., 2016). Therefore, effective nursing care could be designed for control andmanagement of the condition of the patient. The assignment discusses in detail the efficacy ofevidence based pharmacological intervention methods.Section 1:Patient background In the current assignment we have focussed upon medication management and nursing care for embolic CVA. For designing of an effective care management the patient background needs to be taken into consideration (Hart et al., 2014). Here, the patient was a 58year old man named John who had been brought and admitted to the hospital on grounds of feeling numbness in his rights hands along with speech difficulty and light headedness. He worked as a construction site engineer with Quality enterprises and solutions located in the Osborne region of New South Wales. As reported by his family John had normally reported to work for the day. However, he started feeling uncomfortable in the afternoon and was
3NURSING CAREunable to work till he started feeling dizzy and had numbness in his right arms. Later he was admitted the daffodils hospital on encountering blurred vision, slurred speech.Reason for admission John had been feeling dizzy at his place of work and had difficulty in breathing. He later on developed slurred speech and blurred vision which made work difficult for him. His fellow workers felt that he needed immediate medical intervention and got him admitted to the hospital. John was immediately attended by a resident doctor. He reported that John had poor pulse rating, high BP along with slow breathing. The patient also reported signs of face muscle twitching along with slurred speech. Therefore, based upon these symptoms he was shifted to the medical examination room.Diagnosis Based upon the range of a number of clinical symptoms such as slurred speed, blurredvision, numbness in the right hands which gradually spread to the entire arm along with face muscle twitching and dizziness, John was suspected of embolic stroke. The tool used in orderto access the condition of the patient was the FAST framework. Here, FAST stands for face, arms, speech and time. Here, the patient exhibited constant face muscle twitching along with difficulty in raising both his arms straight. Therefore, the preliminary diagnosis was given that the patient might be experiencing an embolic stroke. Therefore, the patient was suggested a blood test a along with CT scan. The CT scan confirmed the presence of ischemic stroke in the penumbra region of the brain.Past medical history The diagnosis of the past medical history of the patient plays a crucial role in the designing of effective care treatment for the patient. Here, John had a past history of
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