Cerebrovascular Accident Nursing: A Comprehensive Case Study

This nursing case study focuses on the management of a 61-year-old patient, Michael, who experienced a cerebrovascular accident. The case details his symptoms, medical history, and social habits. The primary nursing diagnoses identified are knowledge deficit related to misinterpreted understanding of hypertension and ineffective self-health management due to excessive alcohol consumption. The planning phase includes the use of assistive devices, aspiration prevention, promotion of self-care, addressing sensory perceptions, fall prevention, monitoring vital signs, ensuring adequate nutrition, and improving physical mobility. Implementation involves assessing swallowing ability, regular impairment assessments, assisting with ADLs, providing IV nutrition, vigilant blood pressure monitoring, and offering supportive feedback. The evaluation phase focuses on the patient's understanding of risk factors, adherence to the therapeutic regime, and ability to meet self-care demands. The case study emphasizes the importance of a comprehensive nursing approach in managing cerebrovascular accidents and improving patient outcomes. Desklib provides access to a wealth of similar solved assignments and past papers to aid students in their studies.

Running head: NURSING CASE STUDY
NURSING CASE STUDY
Name of the Student:
Name of the University:
Author Note:

1NURSING CASE STUDY
Assessment
The patient, Michael is a 61 year old patient who experienced a sudden onset of the
slurring of speech along with a facial droop that occurred on his left hand. This was
associated with the weakness experienced on the left upper and the lower limbs. From this the
medical diagnosis for the patient was concluded as a cerebrovascular accident.
Diagnosis
The nursing diagnosis of the patient as derived from the case study reports the deficit
of knowledge which is related to the misinterpreted analogy of hypertension. This is deduced
from the fact that the patient is involved in consuming about 10-15 beers and this increases
after the golf sensations. The nursing diagnosis also involves the infective self-health care
management that is associated to excess drinking.
Planning
 Use of the assistive ambulatory devices for facilitating safety of transfer
 Aspiration needs to be prevented since the stroke patient might have impaired
swallowing and often suffer from high risk of aspiration that too from their own oral
secretions.
 There is a need to promote self-care since most of the patients lack the ability to care
for themselves due to the deficits present.
 There is disturbed sensory perceptions
 Fall prevention measures needs to be carried out in order to prevent injury
 The vital signs needs to be monitored especially the blood pressure.
 Promotion of adequate nutrition.
 Improve physical mobility

2NURSING CASE STUDY
Implementation
 The ability of the patient to swallow, clarity of speech and the ability to protect the
airway needs to be reviewed. A suction equipment should be present at the bedside of
the patient at all times.
 Assessment of the impairment needs to be done on regular basis. The position of the
patient should be changed in every 2 hours.
 The ability of the patient to perform ADLs needs to be assessed on a scale of 0-4. The
patient must be allowed sufficient time to accomplish the tasks (Doenges, Moorhouse
& Murr, 2014).
 In order to promote nutrition the patient must be given IV at most times.
 In order to maintain the blood pressure, a vigilant check must be kept on the patient at
all times.
 A supportive and firm attitude should be maintained. The patients should be provided
positive feedbacks for their accomplishments and efforts (Zargaran et al., 2013).
Evaluation
 There should be an understanding of the situation or the risk factors of the therapeutic
regime and safety.
 Maintaining position of function and meeting the therapeutic self-care demands
(Zargaran et al., 2013).

3NURSING CASE STUDY
References
Costa, T. F. D., Costa, K. N. D. F. M., Fernandes, M. D. G. M., Martins, K. P., & Brito, S. D.
S. (2015). Quality of life of caregivers for patients of cerebrovascular accidents:
association of (socio-demographic) characteristics and burden. Revista da Escola de
Enfermagem da USP, 49(2), 0245-0252.
Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2014). Nursing care plans: guidelines for
individualizing client care across the life span. FA Davis.
Kim, R., Baumgartner, N., & Clements, J. (2013). Routine left atrial appendage ligation
during cardiac surgery may prevent postoperative atrial fibrillation–related
cerebrovascular accident. The Journal of thoracic and cardiovascular
surgery, 145(2), 582-589.
Souza, R. C. S., & Arcuri, E. A. M. (2014). Communication Strategies of the nursing team in
the aphasia after cerebrovascular accident. Revista da Escola de Enfermagem da
USP, 48(2), 292-298.
Zargaran, A., Zarshenas, M. M., Karimi, A., Yarmohammadi, H., & Borhani-Haghighi, A.
(2013). Management of stroke as described by Ibn Sina (Avicenna) in the Canon of
Medicine. International journal of cardiology, 169(4), 233-237.