A CASE STUDY ON

CEREBROVASCULAR ACCIDENT

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Presented to the Faculty of the

Nursing Program in St. Marys College of Tagum, Inc.
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In Partial Fulfillment of the Requirement

In RLE 107

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Submitted by:
Batacan, Julian Mae C.

Redondo, John Patrick L.

Bernardino, Jose Mari O.

De Chavez, Krizal Alexandra A.

Dulfina, Ian Mizzel A.

Lerio, Lea Maura P.

Obra, Yvonne T.
January, 2015

Table of Contents
Table of Contents

ii

Acknowledgement

iv

I.
II.

INTRODUCTION
ASSESSMENT

1
5

A.

Biographical Data

B.

Chief Complaint

C.

Present Medical History

D.

Past Medical History

E.

Personal, Family and Socio-Economic History

F.

Patient Need Assessment

I.

Oxygenation

II.

Temperature and Maintenance

III.

Nutritional Fluid

IV.

Elimination

V.

Rest and Sleep

VI.

Pain Avoidance

VII.

Stimulation- Activity

VIII.

Safety-Security Needs

IX.

Love and Belonging needs

X.

Self- Esteem Need

XI.

Self- Actualization

Physical Assessment

11

General Survey

11

Integumentary System

13
ii

HEENT

13

Respiratory System

14

Cardiovascular System

14

Gastrointestinal System

15

Musculoskeletal System

15

Genitourinary

15

III. LABORATORY AND DIAGNOSTIC EXAMINATIONS

IV.REVIEW OF ANATOMY AND PHYSIOLOGY

16
21

V.ETIOLOGY OF THE DISEASE

31

VI. SYMPTOMATOLOGY

34

VII. PATHOPHYSIOLOGY

36

VIII. PLANNING

39

A.

Nursing Care Plan

39

B.

Discharge Plan

45

IX. PHARMACOLOGIC MANAGEMENT

51

X. SYNTHESIS OF CLIENTS CONDITION

60

A.

Conclusion

60

B.

Prognosis

61

C.

Recommendation

62

XI. EVALUATION OF THE OBJECTIVES OF THE STUDY

64

XII. BIBLIOGRAPHY

66

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Acknowledgement
We would like to thank the people behind who gave their contributions for making
this case study possible and a successful one:

To our loving and very supportive parents, for believing on us, who have given
their trust and provided us with emotional, spiritual and financial support to come

up with this kind of activity.

To our client, who trusted us and allowed us to accomplish a case study about
his condition and being open and honest to give the necessary information that

we need to know and record.

To the significant family members of our client, who collaborated with us to get

the necessary things about the clients condition that we need for this case study.
To the hospital personnel, for giving us the permission to use their confidential

documents and records about our client to be a source of information.

To our clinical instructor, Virginia B. Bellena, RN, MN, for guiding and assisting us

throughout our duty; and

Lastly, to Almighty God, our Father, whos giving us enlightenment, guides and
assists us, giving us good health and strength to face everything and most
especially imparting the knowledge and wisdom for us to finish the said study.
Without the abovementioned people, we cannot make all these things possible

and well not be able to internalize things especially the lessons that weve learned from
making this case study. Our warmest gratitude to everyone! May God bless us all.

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