(solved) Pathophysiological Assignment
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Added on 2020-09-03
(solved) Pathophysiological Assignment
Added on 2020-09-03
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People with life-longconditions
Table of ContentsINTRODUCTION...........................................................................................................................1TASK 1............................................................................................................................................1Introduction to the person interviewed........................................................................................1TASK 2............................................................................................................................................2Patho-physiology and potential illness trajectory of the individual............................................2Life span consideration and psychosocial impact on their life and their family.........................3TASK 3............................................................................................................................................4Multi-disciplinary team roles involved to handle lifelong condition..........................................4Requirement for nursing care needs based upon present condition............................................4TASK 4............................................................................................................................................5Nursing partnership in New Zealand context..............................................................................5Nursing care strategies.................................................................................................................5CONCLUSION................................................................................................................................6REFERENCES................................................................................................................................7APPENDIX......................................................................................................................................81
INTRODUCTIONA stroke occurs when there is an interruption in flow of blood to a part of brain. It can leadto interruptions in supplying oxygen and nutrients to the blood. It can also result in speechimpairment, loss of memory, loss of reasoning ability and full body or partial paralysis as well(Kuo and et.al., 2016). The report makes a comprehensive discussion of the case of Kylie whofaced stroke, 15 weeks ago. The report discusses pathophysiological features experienced byKylie. Moreover, role of multi-disciplinary teams will also be assessed in dealing with the stroke.In the end, the report discusses, nursing partnership from New Zealand context. TASK 1Introduction to the person interviewedThe growing chronic lifelong conditions generated the requirement of health careproviders and increased cost of health care services (Smith-Johnson and et.al., 2015). Theindividual who was interviewed to understand different aspects of stroke is a 60 years oldwoman named Kylie who has a past history of hypertension. She resides in the outskirts ofHamilton, New Zealand. She belongs to a middle-class family and have limited resources tospend her livelihood. She works as a primary teacher in a school. Her husband is a 65 years oldretired merchant navy officer and resides with him only. She has 2 children who both resides inAuckland. She is 5 feet 6 inches in height with 60 kgs of weight. She is physically andemotionally strong and having quite a positive attitude towards her life. She has been quite activein sports during her young days. She is quite a social person and goes to various parties andgatherings for socializing. After getting stroke, she has left her job due to her inability tocommute and manage. She moved to a rest home where a good care is extended by nurses andhealth care professionals. Moreover, they also help her in conducting daily activities. Since, shehas long past history of hypertension, the incidence of stroke in her is more. Her father also diedof stroke which increased the risk of stroke in her as well. After her experience to first stroke, herright side of the body got paralysed. It has made it difficult for her to walk properly for dailycourse of activities. Other issues faced by her in daily life includes difficulty in swallowing, poorbalance in the body, loss of fine motor skills, painful spasm in muscles, changes in vision, etc. Itmakes difficult for her to conduct usual activities. After stroke, certain mental changes have alsooccurred in her body (Bright and et.al., 2018). These are like; she sometimes finds difficulty inspeaking, remembering certain recent events, learning or remembering any new information, etc.2
It results in changing the personality, attracting poor judgements and having quite an impulsivebehaviour as well. Due to these mental and physical changes, she is also facing emotional issueswhere she easily gets frustrated, angry and depressed on certain events that are taking place inher life after the first stroke. TASK 2Patho-physiology and potential illness trajectory of the individualA stroke is the sudden weakness paralysis, numbness, aphasia, slurred speech, vision issuesand other manifestation denoting sudden interruption in blood flowing process in a particulararea of the brain (Turner and et.al., 2017). The common sign and symptoms of stroke are,weakness in an arm or leg, face drooping, difficult in speech, dizziness, confusion, behaviouralchanges, muscle stiffness, involuntary eye movement etc. Pathophysiology of stroke is quitecomplex which includes, inflammatory pathways, oxidative damages, neuroprotectionexcitotoxicity mechanism and angiogenesis (Warren and Smalley, 2014). The primarypathophysiology that has been noticed with respect to this disease is underlying blood vessel orheart disease. Some of the common pathologies of stroke include, dyslipidaemia, heart disease,hyperlipidaemia and atherosclerosis which is leading to coronary artery disease. There are twocommon types of stroke which are haemorrhagic and ischemic (Richardson and et.al., 2016). The women interviewed has a long past history of stroke. Hence, the chances of stroke inher were already high. Possibilities of stroke increases with the growing age (Olaiya and et.al.,2017). For the patients above age of 55, the probability of occurrence of stroke gets doubled withevery 10 years of increase in age. The evidences stated that incidence of stroke is higher in menas compared to that of women who are under the age of 55 years. However, the probability ofoccurrence is same in men and women after the age of 55. Family history also plays an importantrole. Patients whose immediate family members, such as, mother, father, siblings, who have hadthe stroke can also increase its incidence (Leipert, Regan and Plunkett, 2015). In that scenario,the chances of this disease in the individual also gets increased in comparison to the one whodoes not have family history of stroke. Woman who was interviewed had a family history ofstroke as her father was suffering from this disease. It increased the incidence of stroke in her aswell. People with hyper tension acts as a disadvantage which led the woman to her first stroke.3
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