Self Management Nursing Report 2022

Running head: NURSING
NURSING
Name of the student
Name of the university
Author note

NURSING1
NURSING
Part one:
The symptoms and the history of Jason indicates the possibility of Transition
ischemia attack caused by a clot in a brain artery. The blockage of the artery can arise due to
a ruptured plaque induced by atherosclerosis or arterial hardening. Downstream debris from
shrunk carotid arteries or blood clots frequently develop in the heart and come to the brain
artery followed by a blockage (Tutwiler et al., 2016). The medical history of Jason also
support the probable disease condition. Jason was previously taking Ibuprofen for the
hypertension. Several reports indicated clear association regarding hypertension and transient
ischemic attack, which resulting in short-term occurrence of stroke. Jason also has extreme
body weight that add on with the risk of the disease (Webb et al., 2018). Jason also reported
to smoke at least two packets of cigarette in a day with adequate consumption of alcohol. The
lifestyle and eating-drinking habit of Jason also serve as a major factor in poor physical
conditions. Cerebrovascular disorders are the first source of female deaths, and the second
source of male death in developed nations. Smoking cigarettes is a significant indicator for
both men and women of cerebrovascular disorder. The risk of having ischemic stroke for
smokers is 1.92 times higher than non-smokers. Smoking raises the likelihood of thrombus
development in small arterial channels and leads to an elevated prevalence of plaque
atherosclerotics. Smoking also enhances the blood viscosity, the accumulation of fibrinogen
as well as platelets. It reduces the high-density lipoprotein (HDL) cholesterol that triggers
endothelial damage directly and also leads to higher blood pressure (Arboix, 2015).
Jason and his family will be in great trouble concerning the financial, emotional and
medical problems they will face for the transition ischemia attack (TIA). Jason has a son but
he is not agreed to take financial help from his son. Jane, the wife of Jason also lost her job
recently and struggle to achieve any job now. The treatment of TIA is not one time

NURSING2
investment and need to continue the medicines and therapies to eliminate risk of stroke. Jason
already diagnosed with atrial fibrosis and TIA , which adds up with the possibility of stroke.
The financial burden is huge in Singapore with the medication cost almost $200 per month
and more for the advance treatment like bypass surgery or percutaneous coronary
intervention (Moh.gov.sg, 2020). The financial trouble is not the only problem the family will
go through. Depression is another factor that the family will face due to the health
consequences. Post stroke depression is correlated with increased post stroke mortality.
However, there is not investigation about the impact of certain mental health problems on
post-stroke mortality which can clearly state the link. Post stroke depression exists in around
one-third of all patients of ischemic stroke and has been connected with poorer clinical
performance, delayed healing, and poor quality of life (Karamchandani et al., 2015).
Part Two:
The self-management framework for Jason need certain modification as per his
unique need, lifestyle and education. Guidelines for secondary stroke prevention suggest
prescribing and commitment to treatment, active education, and clinical therapy on potential
factors and lifestyle. Positive behavior must be embraced and sustained as a behavioral
preference to reduce repeated vascular accidents, and involving potentially proactive
improvement in behavior and self-management strategies can be effective to acquire that
(Salinas & Schwamm, 2017). International best practice guidelines for secondary prevention
of cardiovascular diseases propose multimodal approaches. It discusses prescribed
pharmaceutical items in combination with appropriate knowledge delivery. Jason, is a school
drop out and worked in various occupations to sustain. The educational background indicates
that there may be clear lack of his knowledge about the disease (Vaughn et al., 2014). The
approach fill the gap by educating him that can help in eliminating future risk factors. In