Name
Herzing University
Stroke
Sensory perception is the way our body receives stimulus, that stimulus then creates a nerve impulse, and that nerve impulse is sent to a part of the brain to interpret that information. We use our nose, mouth, ears, eyes, and touch, to see the experience the world around us. People recovering from strokes may have a hard time adjusting to life depending on the severity of the stroke and what part of the brain becomes affected. One of the ways a stroke can occur is when a blood vessel becomes clotted and deprives the brain of oxygen rich blood cells, therefore causing irreversible brain tissue damage. According to Kitko and Hupcey, Stroke is the third leading cause of death in the United States …show more content…
There are several problems accompanying a stroke and will be discussed later.
During our nursing assessment of a post-CVA patient, we will need to be as thorough as possible. The nurse would gather objective data from the patient, if able, or the family. The nurse would gather information on how the patient was feeling before coming to the hospital because studies show that the common signs of a stroke are general weakness on one side of the body and dizziness/lightheadedness. The nurse would also include questions to find out if there are any histories of strokes and looking at previous medical records, if any. After gathering the objective data, the nurse will proceed onto doing a head to toe assessment. The nurse might find confusion, weakness on one side of the body, difficulty speaking/swallowing and decrease in hearing/seeing. The nurse can assess the hearing of the patient by performing the Rinne and Weber test; and can assess the patient’s ability to see by asking him/her to read something on a board a few feet away. The nurse can assess the gait of the patient to see the weakness on one side of the body and to assess the …show more content…
Since the patient probably has dysphagia, one of the diagnoses would be: Risk for aspiration related to neuromuscular impairment as evidenced by right facial droop, difficulty swallowing, and drooling. According to Maslow Hierarchy of Needs, one of the most important needs to us is oxygen. Which means you would want to make sure the patient is not deprived of oxygen before worrying about anything else. So the nurses would need to special detail for this risk as it can cause more serious