Preview

Stroke and Mr Greens

Powerful Essays
Open Document
Open Document
2243 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Stroke and Mr Greens
68-year-old gentlemen called Mr Greens, who has suffered a right side ischaemic stroke. He is experiencing weakness in the left side, dysphasia and sporadic periods of unconsciousness and has been admitted to the medical ward.

Nursing care will be explained over the first 48 hours of Mr Greens’ care with evidence-based rationales from academic sources. The integration of the multidisciplinary team will show the importance of ongoing treatment and rehabilitation of Mr Greens.

INTRODUCTION:

An ischaemic stroke, also known as CVA-cerebrovascular accident (Smeltzer et al 2008, p.2206) or a brain attack (Swearington 2008, p.349) occurs when blood flow to the brain is blocked and oxygen supply is interrupted (Swearington 2008, p.349).

There are five types of ischaemic stroke (Smelzter et al 2008, p.2206). They include large artery thrombotic strokes occurring in the blood vessels of the brain; small artery thrombotic stroke penetrating one or more blood vessels; cardiogenic embolic strokes related to dysrhythmia; cryptogenic strokes of unknown cause and others related to illicit drug taking, migraine and cutting of carotid or vertebral arteries (Smeltzer et al 2008, p.2206). Atherosclerosis builds up fatty deposits in the coronary artery, causing them to narrow (Harris, Nacy & Vardaxis 2006, p.151) and is predominant cause of ischaemic stroke (Newby & Grubb 2005, p.38). Symptoms of ischaemic stroke may include confusion, headache, numbness on one side of the body, slurred speech and poor visibility (Smeltzer et al 2008, p.2207).

There is growing concern in the health care industry in regards to stroke being the second major cause of death worldwide (Black’s Student Medical Dictionary 2004, p.334). Ischaemic stroke is considered to be an urgent health issue (Smeltzer et al 2008, p.2206) with evidence to show that immediate treatment can improve its negative effects on the person (Hairon 2008, p.19). Primary care, prevention and education is being

You May Also Find These Documents Helpful

  • Better Essays

    If the patient was known to have a partial obstruction on the right carotid artery 2 years ago, we can assume a thrombus which originated from this obstruction was later lodged downstream causing the stroke in the right hemisphere. It is also evident that the partial obstruction in the internal carotid became further constricted overtime because of the buildup of plaque and atherosclerosis further…

    • 1481 Words
    • 6 Pages
    Better Essays
  • Good Essays

    HS200 Unit 4 Project

    • 717 Words
    • 3 Pages

    A stroke, sometimes referred to as a cerebrovascular accident (CVA), is the rapid loss of brain function due to disturbance in the blood supply to the brain. This can be due to ischemia (lack of blood flow) caused by blockage (thrombosis, arterial embolism), or a hemorrhage.…

    • 717 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Mr. K. was diagnosed as having an acute cerebral vascular accident. This disorder can also be described as a “stroke”. It occurs when there is an interruption of normal blood flow in one or more of the blood vessels that supply the brain. Thrombosis, embolism, and hemorrhage are the primary causes of a CVA. (Sommers and Johnson 2002) The tissues of the brain become ischemic, leading to hypoxia or anoxia with destruction or necrosis of the neurons, glia, and vasculature. Complications of CVA include unstable blood pressure, sensory and motor impairment, infection, pneumonia, contractures, and pulmonary emboli. CVA is the third leading cause of death in the United States and affects more than 500,000 Americans annually. (Sommers and Johnson 2002)…

    • 3123 Words
    • 9 Pages
    Good Essays
  • Good Essays

    Cerebrovascular accident is well known as a stroke and affects around 800,000 people every year (Mclntosh, 2016). There are three types of strokes: ischemic, hemorrhagic and transient ischemic attacks (TIAs) (Mclntosh, 2016). Ischemic stroke is the most prevailing type of strokes with an 85 percent average rate (Mclntosh, 2016). It is cause by the reduction of blood flow, because of a narrowed or blocked artery in the brain (Mclntosh, 2016). Also, it is a rapid loss of blood supply which kill the cells of the brain and limits oxygen to go to that side of the brain (Mclntosh, 2016). For example, in the arteries that travels gets blocked because of a blood clots called thrombus (Mclntosh, 2016). Hemorrhagic stroke is the…

    • 1024 Words
    • 5 Pages
    Good Essays
  • Better Essays

    Cerebrovascular

    • 1077 Words
    • 5 Pages

    Cerebrovascular accident (CVA) is the medical term for what is commonly termed a stroke. It refers to the injury to the brain that occurs when flow of blood to brain tissue is interrupted by a clogged or ruptured artery, causing brain tissue to die because of lack of nutrients and oxygen.…

    • 1077 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    Stroke like symptoms, such as muscle weakness or paralysis on one side of the body…

    • 4292 Words
    • 18 Pages
    Powerful Essays
  • Good Essays

    Stroke- where arteries that connect to the brain become blocked resulting in reduced blood flow, these blockages are usually caused by blood clots.…

    • 845 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Frank Stroke

    • 1635 Words
    • 7 Pages

    A stroke is an immediate medical emergency, and someone who is having one needs to seek help as quickly as possible. Stroke is also more likely to affect people if they are age 55 or older, overweight, do not exercise much, drink heavily, have a personal or family history of stroke, smoke or use illicit drugs. Frank fits in to the age category for this and does have other existing medical issues. There are several main symptoms of stroke. One is confusion, as in understanding something or speaking. The second is headache, along with vomiting and loss of consciousness. The third is numbness usually on one side of the body such as arms, legs, and face. They can also have dizziness and lack of co-ordination. In Frank’s case he did not have all of these but he did have some as in the headache, unable to use left side, and slurred speech. Strokes can lead to long-term problems but depends on how quickly it is treated and diagnosed. The patient can have some permanent or short term problems after the stroke occurs. Other than the problems already listed, patients can also experience trouble controlling or expressing emotions, bladder or bowel control problems, pain in the hands and feet that gets worse with movement and temperature changes, depression, paralysis or weakness on one or both sides of the body (J.M, 2016). Frank’s problems after his stroke were deficits in perception, figure ground, and spatial relations. He demonstrates right/left confusion and a profound left neglect. He is showing poor attention span, insight, judgement, and safety awareness. He has difficulty maneuvering around his room and the hospital environment, constantly bumping into things on the left side. Sensation testing finds impaired sensation for the light touch and sharp/dull pain, as well as impaired stereognosis on his…

    • 1635 Words
    • 7 Pages
    Good Essays
  • Powerful Essays

    Annually, around 800,000 Americans have strokes when a blood blocks the circulation to the brain or when a blood vessel in the brain breaks. When this happens, brain cells are deprived of oxygen and die off. Additionally, memory, muscle control and other abilities controlled by that area of the brain are lost.…

    • 696 Words
    • 3 Pages
    Powerful Essays
  • Good Essays

    Speech to Inform

    • 620 Words
    • 3 Pages

    Thesis: Today I am going to explain the acronym F A S T. These letters represent the signs to watch out for when someone may be developing a stroke. F stands for face, A stands for the arms, S stands for speech and T stands for time. It will briefly outline the most common types of strokes; ischemic, hemorrhagic and transient strokes.…

    • 620 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Embolic Stroke

    • 580 Words
    • 3 Pages

    Stroke is one of the leading causes of disability. A stroke occurs when the blood supply and part of your brain is interrupted or severely reduced. Which deprive brain tissue of oxygen and nutrients. Eventually, brain cells begin to die. Prompt treatment is very crucial. Early action can minimize brain damage and potential complications. However, a stroke may be caused by a blocked artery or the leaking or bursting of a blood vessel. Some people may experience only a temporary disruption of blood flow to their brain. According to the American Heart Association, the vast majority of strokes is eighty-seven percent are ischemic strokes.…

    • 580 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Stroke

    • 950 Words
    • 4 Pages

    A stroke is the sudden death of the cells in a specific area of the brain caused by inadequate blood flow. Another name for it is cerebral vascular accident (CVA). A stroke is also called a brain attack.…

    • 950 Words
    • 4 Pages
    Powerful Essays
  • Better Essays

    Post-Stroke Rehabilitation

    • 1035 Words
    • 5 Pages

    Allen, Claire L., Bayraktutan, Ulvi. (2008) Risk Factors for Ischaemic Stroke. International Journal of Stroke, 3: 105-116.…

    • 1035 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Essay On Heart Disease

    • 581 Words
    • 3 Pages

    symptoms of a stroke are numbness on one side of the body, confusion, trouble with speech,…

    • 581 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Stroke In America

    • 261 Words
    • 2 Pages

    Stroke has been around for many years. Galen first recognized stroke over 2,400 years ago. Americans managed to cut the stroke death rate in half during the 1970s and the 1980’s. Greek physician Hippocrates described it as a medical condition in which people suddenly lose the ability to walk or speak. Because of the typically sudden and extreme nature of the symptoms, Hippocrates referred to the condition as apoplexy, a Greek term meaning, “struck with violence.” Today this condition is known as stroke. He also described cases in which right-arm paralysis was accompanied by impaired speech, possibly the first clinical description of aphasia . In 130–210 C.E., Greek physician Galen describes four symptoms often accompanying apoplexy/stroke a loss of consciousness, changes in speech, a breathing pattern resembling that seen in deep sleep, and alterations of pulse. (Gillard)…

    • 261 Words
    • 2 Pages
    Good Essays