Introduction Stroke can cause severe disability and death. Timely diagnosis and appropriate treatment can significantly reduce the risks of impairment and mortality (Kimera et al. 2010).
Mr David King, a 71 year gentlemen was admitted to emergency at 8.45am with unconfirmed diagnosis of a Cerebral Vascular Accident (CVA). At 7.30am this morning, he was found in the shower by his wife Mary. She reported the right side of his body was flaccid, his face and mouth had drooped, he had difficulty communicating with slurred speech, couldn’t raise his arms and was incontinent of urine. This report describes the assessment processes, priority health problems, short term goals, outcomes, interventions, and discharge planning for Mr King.
Mr King requires a full neurological assessment which will include the monitoring of ABC, vital signs, oxygen saturation, and blood pressure. The monitoring of ABC will ensure the immediate safety of Mr King, as any deteriorations may indicate an underlying condition (Summers et al. 2009). Vital signs assessment will give baseline measurements to monitor his continuing stability.
Mr King requires a clinical health assessment. It is important to determine time of symptom onset and prior medical history including a history of diabetes, seizures, hypertension, atrial fibrillation, heart disease, past transient ischemic attack (TIA) or CVA, and any trauma related to Mr King’s current event. It will also determine Mr King’s current medication regime including anti-coagulant medication which may influence future treatment (Summers et al. 2009, table 8).
Health Problems (in order of priority)
1. Ineffective cerebral perfusion caused by unconfirmed CVA, evidenced by symptoms of right si...
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...duresProtocols-HSD-SSS-1209.pdf?MOD=AJPERES&CACHEID=d15178004ca9fafea31cb3a496684d9f>, pp. 1-43
Smith, BJ 2011 'Thrombolysis for acute stroke in Australia', The Medical journal of Australia, vol. 193, no. 4, pp. 439-443
Summers, D, Leonard, A, Wentworth, D, Saver, J, Simpson, J, Spilker, J, Hock, N, Miller, E & Mitchell, P 2009 ‘Stroke patient: a scientific statement from the american heart association. Comprehensive overview of nursing and interdisciplinary care of the acute ischemic stroke patient’, viewed 16th April 2014,
Watkins, C & Lightbody, L 2011 ‘Depression after stroke may be missed--nurses can spot it', Nursing times, vol. 107, no. 26, pp. 11.
Wong, A & Read S 2008, ‘Early changes in physiological variables after stroke’ Annals of Indian Academy of Neurology, issue 11, no 4, pp. 207-220
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