Professional Documents
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By Wilson
4/29/2012
wilson chaman
Objectives
By the end of my case study presentation, listeners will be able to, Discuss the significance of this case study presentation Discuss patient's data Discuss evidence based Nursing diagnosis and interventions Develop a teaching plan.
4/29/2012
wilson chaman
Cont
4/29/2012
wilson chaman
4/29/2012
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Significance..
Stroke is the third most common cause of death and the first leading cause of disability in developed and developing countries. According to World Health Organization estimates, 5.5 million people died of stroke in 2002, and roughly 20% of these deaths occurred in South Asia.
4/29/2012
wilson chaman
4/29/2012
wilson chaman
Scenario
My pt was 50 year old female. GCS E:4, M:5, V:1 = 10/15 She was house wife . She had history of DM and HTN. She came to hospital with chief complain of right side stroke and was not able to eat , speak ,difficulty in chewing and to do other activities. Family history she had a family history of DM and HTN.
4/29/2012
wilson chaman
Genral Survey
Pt lying on bed in Rt. lateral position, was looking lethargic with hemiplegia. Overall skin was pinkish and physically looking overweight.
4/29/2012
wilson chaman
A-G assesment
A- air way clear B- breathing spontaneously at room air C- capillary refill 2/sec D- on soft diet E- Foleys catheter implaced F- aminovel @ 30 drops/mint G- pt looks lethargic and uncomfortable
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Stroke?
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WHO defined stroke as rapidly developed clinical signs of disturbance of cerebral (brain) function, lasting more than 24 hrs or leading to death, with no apparent cause other than vascular origin.
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causes
Artery blockage HTN High cholesterol Diabetes Smoking Obesity Embolism
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S/S
Weakness Confusion Walking trouble Lack of coordination Lack of swallowing Severe headache G.I disturbance Urine incontinence
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Interventions
Provide sponge bath Provide hand and foot care Provide back care Provide bed pan and urinal Provide N/g feed as prescribed
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Teaching plan
Stroke rehabilitation program. -ROM (active and passive) -Assist in daily life activity -Foot drop prevention Control of HTN. -Diet -Exercise
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Cont
Diabetic diet chart. Teach about glucose monitoring and normal ranges. Speech therapy
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Conclusion
In conclusion stroke is one of the most debilitating issues of the older people. Being nurses we should have the knowledge and skills to handle a patient with stroke. My patient suffered stroke because of diabetes and hypertension. These are the most commonest causes. In order to prevent stroke the prevention of theses diseases is essential.
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Refrences:
http://www.medicinenet.com/stroke/page3.htm http://www.ajmc.com/publications/supplement/2008/2008-06-vol14n7suppl/jun08-3376ps204-s211 Bhojo A. Khealani ( Department of Medicine, Aga Khan University Hospital, Karachi, ) Bilal Hameed,Uzma U. Mapari ( Department of Medicine, University of Alberta, Edmonton, Alberta, Canada. ) , Stroke in Pakistan. http://www.jpma.org.pk/full_article_text.php?article_id=1444
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