Strokes are caused by a temporary or permanent decrease in cerebral blood flow resulting from a stenosis or arterial occlusion (Montagu‚ et al.‚ 2012). Despite being the predominant cause of acquired disability in England and Wales‚ a stroke can be both preventable and treatable (Lövblad‚ et al.‚ 2015). The societal costs arising from stroke‚ including treatment and productivity loss‚ account for approximately 5% of total UK NHS costs‚ at around £8.9 billion a year (Saka‚ McGuire and Wolfe‚ 2008)
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into the acute stroke unit eighteen hours after experiencing an ischaemic stroke. She has undergone a vital signs assessment including heart rate and blood pressure as well as a Glasgow Coma Scale test as part of a neurological assessment. This essay will discuss the key elements of the data recorded‚ the physical and focused assessments to be completed by the nurse receiving Mrs. Palmer and it will include the normal and abnormal parameters for this case study. Firstly‚ the nurse must consider the
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delegation‚ was a student nurse starting an IV on a patient. The registered nurse (RN) caring for this patient was not successful gaining IV access. She knew the student not only had experience with IVs‚ but worked on a unit where nursing assistance could start IVs. Once the RN was unsuccessful‚ the RN allows the student to start the IV nevertheless she was successful. Although this may be an appropriate task for a nursing assistant it was still not appropriate for a nursing student. Considering she
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disability‚ that a stroke is rarely‚ if ever an “accident” as we have strayed away from the term "Cerebral Vascular Accident". We now have the knowledge of controllable risk factors such as high blood pressure‚ smoking‚ Diabetes‚ CAD‚ high cholesterol‚ poor diet‚ obesity and
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Stroke is a leading cause of serious‚ long-term disability among middle-aged and older adults worldwide (1). After the age of 55‚ the risk of having a stroke doubles every ten years (2). Several factors are thought to be important for the long-term prognosis on functional recovery post stroke‚ including location and size of brain lesion‚ initial severity of motor impairment‚ spontaneous recovery capacities and the effects of rehabilitation (3). Active movement practice and repetition are thought
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the blood and CO2 from the blood. We done a CT scan which was clear of any brain bleeds that may have caused the stroke. Our Neurologist confirmed this to be a ischemic stroke due to a blood clot on the left side of the brain. When then diagnosed her with Hemiparesis which is weakness to the right side caused by the stroke‚ Hypertension which is high blood pressure‚ and ischemic stroke. We transferred Mrs.Martens to the ICU where she was given a medicine to help break down unwanted blood clots and
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Ischemic strokes occur with a complete or partial occlusion of arteries‚ which causes a region to fall below the level needed to maintain cellular function. As a result‚ cells begin to die‚ and an infarct can develop with necrosis. During an ischemic stroke‚ there is typically an inner zone of infarction‚ with an outer region of ischemia. An infarct can be prevented if the amount of collateral circulation around the ischemic area is adequate. (Chapey‚ 1994). Medical treatment usually targets
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Topic: Stroke Rehabilitation The aim of this assignment is to introduce the author (student) to the multifaceted role of rehabilitation‚ which affects most patients at some time in their treatment and to facilitate their awareness and understanding of the role of nurses within the team. The principles of rehabilitation will be approached through consideration of patient needs. The author will use the Rooper‚ N.Logan and Tierney model of nursing (2000) for daily activities of living. The author
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The aim of this essay is to demonstrate the development of existing skills in health assessment and critically utilise outcomes of advancing health assessment as the basis for expert decision making in stroke patient care. This assignment will compare four cases describing my journey through the development of health assessment skills using the medical model of assessment‚ ‘history‚ examination and diagnosis ‘and joining it with the nursing assessment to give
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Stroke I. Pathophysiology A. Ischemic Stroke 1. Results from blockage of a cerebral artery‚ leading to decreased blood flow. 2. Cerebral blood arteries dilate and constrict due a process called cerebral autoregulation. 3. This process is affected by stroke 4. One possible ischemic stroke occurs due to blockage of an intracranial vessel due to an embolus from a distant area (i.e. cardiogenic embolus)‚ 5. Another possible ischemic stroke occurs due to in situ thrombosis of an intracranial vessel
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