Cerebrovascular Accident and Nursing Care: Patient Care Implications

This report, titled "Cerebrovascular Accident and Nursing Care," delves into the intricacies of strokes (CVA) and the crucial role of nursing care. It begins by defining CVA as a medical emergency caused by brain tissue damage due to oxygen shortage, discussing associated risk factors such as age, heart conditions, and lifestyle choices. The core of the report focuses on the clinical manifestations of CVA, which vary depending on the affected brain region, including paralysis, confusion, speech difficulties, and visual disturbances. The report emphasizes the importance of these manifestations in patient-centered care, highlighting how nurses must assess and evaluate these symptoms to create effective care plans and monitor patient progress, aligning with the standards of safe and effective nursing practice. The report also includes references to support the information provided.

Running head: CEREBROVASCULAR ACCIDENT AND NURSING CARE
Cerebrovascular accident and nursing care
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Table of Contents
Review of Cerebro-vascular accident:.............................................................................................2
Clinical manifestation of CVA and its implication in nursing practice:.........................................2
References:......................................................................................................................................4

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Review of Cerebro-vascular accident:
Cerebro-vascular accidents (CVA) can be described in simple terms as stroke, a medical
emergency characterized by the sudden death of brain tissues or cells facilitated by oxygen
shortage due to the blockage or rupturing of an artery to the brain tissues. There are various risk
factors associated with the onset of a stroke, such as age, blockage condition in the heart, blood
cholesterol levels, smoking, drinking, high blood pressure and even diabetes. The
pathophysiology of a CVA is associated with underlying conditions of the heart, presence of any
blockage and the past medical history of the patients. However, the most important factor
associated with a cerebro- vascular accident that has the most implication for the practice scope
of a nurse is the clinical manifestation of the CVA event (Naderi et al., 2014).
Clinical manifestation of CVA and its implication in nursing practice:
The clinical manifestation of a cerebro- vascular accident depends entirely on the brain
tissue that has been affected by the CVA event. The most common of the clinical manifestations
is the paralysis in one side of the body, especially affecting the face, arms and legs. Other clinical
manifestations of the stroke include confusion, troubled speech, blurred or blackened vision,
sudden severe headache accompanied by nausea, and sudden dizziness. The registered nurse
practice is based fundamentally on providing safe and effective patient centered care to the
patient (Ware & Moore, 2017). The importance of clinical manifestation is paramount in case of
patient centered care and as the particular symptoms exhibited by the patients will decide the
path that the care plan will take. Along with that, the registered nurse practitioners must take into
account the minute changes in the clinical manifestations of a stroke patients to check the
efficiency of the care plan, whether the patient is improving or deteriorating. Hence, correct

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assessment and evaluation of clinical manifestations of the patient after a CVA event is crucial
adhering to the patient centered safe and effective care standard of nursing practice (Naderi et al.,
2014).

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References:
Naderi, N., Masoomi, H., Mozaffar, T., & Malik, S. (2014). Patient characteristics and
comorbidities associated with cerebrovascular accident following acute myocardial
infarction in the United States. International journal of cardiology, 175(2), 323-327.
Ware, R., & Moore, M. (2017). Validity of measures of neurological status used for predicting
functional independence in adults after a cerebrovascular accident: a systematic review
protocol. JBI Database of Systematic Reviews and Implementation Reports, 15(3), 603-
606.