...Narrative Report - Left sided hemiparesis due to an ischemic stroke by Clifford Choi on Saturday, December 3, 2011 at 12:47am · I thank my mentors in neurology, integrative medicine, and my patient for his determination to overcome this. He is an atheist but believed in me and himself. The patient reports full recovery. Here is his letter 4 months later. He has given permission to publish the report. He is back to work, travelling, driving, and has no known deficits. 80% of ischemic strokes survive the stroke, but it is uncertain how many fully recover 100% function. _________________________________________________ Dear Dr. Clifford Choi, I tried to call the number you once gave me, but they told at the hospital SEIMC that you were not working there anymore. Anyway I just wanted to touch base and say hello to you and thank you and the colleagues you had at the hospital. The recovery has been very amazing. I was last week at this intensive rehabilitation (or so it was called) session at the _________ University hospital. I was supposed to be there the whole week, but they said that I’m actually in too good shape to gain anything from this anymore, so I left Wednesday morning. I’m allowed to drive now, and officially I will be back to work on August 26th. I can call you, if you want. But then I would need your phone number. The world is a small place, so maybe we some day run into each other. You never know. Best regards, patient x The report below was submitted...
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...days post stroke and has been on rehabilitation ward for 1 week, education should have been provided to her and her family. As the acute and subacute phase of stroke are stressful and emotional for patients and their family, education provided in these stage should be brief and reinforced through repetition (Woodson, 2014). Therefore, we will split the education into 2 sessions, and firstly we will re-educate her on stroke, its impacts, proper handling for her shoulder and discourage her learned non-use. As she presents with a moderate to severe hemiparesis and some weakness around her shoulder, she is at risk of developing a subluxed shoulder. We will educate all staff, Samantha and her family on proper manual handling and positioning to minimise trauma to the shoulder and to prevent shoulder subluxation.(National Stroke Foundations, 2010). Samantha’s attempt on not to use her affected arm has to be discouraged. Learned non-use of the hemiparetic limb could lead to poorer...
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...NURSING MANAGEMENT OF A STROKE PATIENT INTRODUCTION Stroke is the only largest cause of adult disability which leaves a devastating and lasting effect on people and their families (DoH, 2007a). The government of the United Kingdom had recognized stroke as a health care priority. Several government agencies developed clinical guidelines which are being implemented today in local health care settings (Williams et al, 2010a). This essay will focus on stroke as the cause of impaired mobility and will tackle on the patient-centered rehabilitation care plan along with its evidence-based rationales. Health and social care policies and its effect on the patient’s chosen journey will also be discussed. PATIENT PROFILE This is a case of a 68 year-old, married female who lives in the south of England. Mrs. G was admitted on 12 October 2010 with a presenting complaint of left-sided weakness. Prior to admission, she experienced persistent pain on the back of the head for 2 days, which was unrelieved by Paracetamol intake. On the morning of admission, she collapsed in the bathroom and was found by the husband after 3 hours. She was brought to the hospital via ambulance and upon initial assessment, no shortness of breath, slurred speech, dizziness, palpitation and chest pain were noted. Her vital signs were as follows: blood pressure of 169/59 mmHg, pulse rate of 80 bpm, respiratory rate of 18 breaths per minute, body temperature of 37.5 degrees...
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...Quantitative analysis of fatigue after stroke: The patient’s perspective Gwendoline Bungansa NRS 433-0501 Grand Canyon University Phoenix Arizona July, 17 2016 Introduction Waking up to a new normal is how a stroke patient describes his experience after a stroke. A stroke is a brain attack which happens when part of the brain is being deprived of blood supply. Stroke is not planned hence, stroke survival face varied problems as a result of the stroke incident. Fatigue is a common problem post stroke and though people experience fatigue prior to a cardiovascular accident, the fatigue post stroke as reported by patients is different. Post stroke fatigue is not related to energy exhaustion from being active (www.stroke.org.). Barbour and Mead’s research is praised for their methodology in protecting human participants, data collection, data management and analysis, and discussion of finding in an investigation of patients’ perspective of fatigue post stroke. Problem and Purpose Given that stroke patients face varied complication post a cardiovascular accident including fatigue, it was worth investigating if fatigue matter to these patients. It is reported that fatigue is common and depressing for stroke survivors. A survey of 88 patients posts stroke, 68% complaint of fatigue while 40% stated that fatigue was their worst problem post stroke. When another researcher studied 90 stroke survivors, fifty percent of the patient reported that fatigue was their major problem...
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...Running Head: Physical Activity and Stroke Physical Activity in the Prevention and Treatment of Stroke His/her Name University Name Abstract Researchers and scientists have always favored preventive measures to avoid the conditions which result in undergoing a rigorous treatment. In this view physical activity or fitness training programs have been found having significant effects in the prevention of strokes as well as at post care stage as treatment and a measure of rehabilitation in survivors of cardiac arrests. Further, it has been noted in recently conducted studies that quite a remarkable evidences are discovered in favor of physical activity as therapeutic as well as rehabilitative in nature. Organized physical activity in the form of exercise, tailor made programs according to the needs of the patients at post care stage and fitness training exercise therapy have been found considerably helpful in rehabilitation in the survivors of stroke. In addition, further research is proposed to explore the different types of organized exercise programs according to the physical and mental conditions of survivors and as preventive measures among them. Physical Activity in the Prevention and Treatment of Stroke Cardiac arrest is a one of the growing and leading causes of death around the globe. According to available data, more than 130,000...
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...10.1 STROKE This concept was taken from module 10 “Assessment of nervous system”, Sub-topic 3 “common abnormalities and assessment findings of nervous system”. Stroke is a condition of both the nervous and cardio-vascular system. Stroke is a condition of brain damage which results due to shortage of blood supply. The blood supply to the arteries of the brain is reduced leading to brain damage. This result from shortage of blood supply and glucose supply to the brain. In the US it is the fourth leading cause of death. Stroke is also known as cerebro-vascular accident and it is a medical emergency. TYPES OF STROKE There are two main types of stroke namely ischemic stroke and hemorrhagic stroke, though some authors belief that transient...
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...factors for stroke The etiology of stroke is multifactorial as the interaction of many risk factors seems to be accountable for the development of this clinical syndrome. The risk factors are classified according to their potential for modification into modifiable and non modifiable risk factors. Some risk factors for stroke we simply can not do anything about. According to the vast majority of literature non modifiable risk factors include; advanced age, previous stroke, heredity, race, and gender. 1. Advanced age: It is widely accepted that stroke increases dramatically with age and it is more likely to affect the elderly. The risk of suffering a stroke roughly doubles for each decade of life after age 55. The majority of strokes occur at 7th decade of life and it rarely occurs at the ages below of 35 years old. 2. Previous stroke: People who have previously suffered a stroke or a “mini stroke” (Transient ischemic attack or TIA) are at higher risk. Survivors of stroke or TIA are at risk of new vascular events. Statistics show that a previous stroke or TIA increases the risk of a future stroke in the next 5 years by 25 to 40 percent. 3. Heredity: Risk is greater if a parent, grandparent or sibling has had a stroke. Family history of both parents may be related to increased stroke risk. Genetic predisposition has been documented in humans and studies have shown that monozygotic twins have a 5- fold increase in stroke incidence...
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...Stroke The Causes And Effects Health And Social Care Essay ukessays.com /essays/health-and-social-care/stroke-the-causes-and-effects-health-and-socialcare-essay.php In this assignment I discuss Paul who is a 65 year old male and has suffered a stroke. My aim is to explain what a stroke is, the causes and effects, and give you my understanding of how I as a Health Care Worker can help identify, meet and care for the client's needs following a stroke. For this assignment I will bring together the knowledge I have gained as a health care assistant student to date along with some research also. I have carried out my research using the internet, Irish heart foundation, stroke centre organisation, stroke.ie. My focus as a health care assistant is to explain what care my client should receive after his stroke, identify the assistance needed and give recommendations to meet his rehabilitation, to help him keep abilities and gain back lost abilities and also take care of his needs such as physical, emotional, social and intellectual needs. Introduction "A stroke is caused by an interruption of the blood supply to part of the brain, the term stroke comes from the fact that it usually happens without any warning, 'striking the person from out of the blue" (ihf.com) A stroke can happen to anyone, some people are at higher risk for different reasons such as age and family history. Other risk factors include high blood pressure, smoking, being overweight, diabetes, and high cholesterol. "2...
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...into depth about five different brain injuries that include blood clots, hematomas, concussions, strokes and cerebral edema. Once we have covered brain injuries we discuss the functions of neural plasticity in brain injuries. An important thing that is discussed with neural plasticity is the recovery from a brain injury, what is required during recovery and how long recovery from a brain injury can take. The last thing that is discussed in this paper is the limitations of neural plasticity with brain injuries. Keywords: brain, injuries, plasticity, neural “Each year, traumatic brain injuries (TBI) contribute to a substantial number of deaths and cases of permanent disability. TBI is a contributing factor to a third (30.5%) of all injury-related deaths in the United States.” (cdc.gov) Robert has experienced a traumatic brain injury that is going to affect him for the rest of his life. Brain injuries are serious, and should be treated as such. For some people brain injuries go unnoticed and untreated leaving it to be deadly, but for others it is caught and treated but the healing process is extensive. In this paper we will discuss different kinds of brain injuries, the functions of neural plasticity and the limitations of neural plasticity. Blunt trauma often causes many different types of brain injuries. Some of these injuries are blood clots, hematomas, concussions, strokes and cerebral edema; all of them can damage nerves, neurons and brain tissue. Most of these injuries...
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...objective of living (WHO, 2012). This paper will review the purpose of health promotion as related to nursing practice, and how nursing roles and responsibilities have evolved in regards to health promotion and implementation on the prevention, management and long term maintenance and rehabilitation on Stroke patients, including preventing education to the public and communities, on a primary, secondary, and tertiary prevention level (Edelman & Mandle, 2010). A stroke is caused by the disruption of the blood supply to the brain, usually related to a blood vessel ruptures or blocked by a clot, as define by World Health Organization. The blockage of oxygen and nutrients to the brain’s tissues can cause permanent damage to the brain tissue. Warning signs of stroke are, sudden weakness or numbness of the face, arm or leg, most often on one side of the body. Other symptoms include: confusion, difficulty speaking or understanding speech; difficulty seeing with one or both eyes; walking, dizziness, loss of balance or coordination; severe headache with no known cause; fainting or unconsciousness. The effects of a stroke depend on which part of the brain is injured and how severely it is affected. A very severe stroke can cause sudden death (WHO 2012). Scientists outline health promotion as the course of action taken to enable individuals to have control over their health physically and mentally on ongoing bases and the awareness and knowledge to make changes and seek medical help as needed...
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...Biopyschologists believe that every mental event involves a brain event. Many people have experienced severe injuries and trauma to their brains in their lives. However after undergoing exercises, surgery or therapy it is able to help them repair their brains as well as change their minds and literally change their brains. The process whereby their brains change in response to experience is called neuroplasticity. There are various forms of neuroplasticity such as homologous area adaptation, map expansion, cross-modal reassignment and compensatory masquerade which occur through diverse forms of therapeutic rehabilitation and treatment. Many processes are involved in brain recovery, after an injury or trauma. Neural networks and how they trigger an action potential, neuroplasticity, learning experience and therapy in patient recovery or remission are very important in brain recovery. In this essay, case studies that underwent neuroplasticity due to brain damage will be shown as well as how the treatment they underwent both psychologically and physically ‘changed their brain’. In computer science and associated fields, artificial neural networks are computational models motivated by an animal's central nervous system (in particular the brain) which is competent of machine learning as well as pattern recognition. Artificial neural networks are usually conferred as systems of interconnected "neurons" which can calculate values from inputs (Elsevier, 1988). An action potential is...
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...oxygenation of the cells and vital organs of the body (Kim 2017, p. 43). While diagnosing the patient the airway and use of oxygen should be applied to prevent hypoxia that can occur due to obstructions and lack of oxygen intake (Kim 2017, p. 43). Additionally, the patient should be ordered isotonic fluids to maintain fluid volume levels in the body, this is due to hypervolemia being a common factor in stroke; during this stage the health care team will be conducting diagnostic assessments to confirm stroke as the diagnosis and to determine the location and severity (Kim 2017, pp. 44-5). Once a stroke is confirmed the physician is able to determine the best treatment regime dependant on the type, location and severity of the stroke; often treated through medication or thrombectomy procedures (Kim 2017, p. 44)....
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...Stroke Care at Hilo Medical Center The Care of a New Population of Patients Stroke Care at Hilo Medical Center The incidence of strokes among our population is increasing. According to the American Heart Association “It's the third largest cause of death, ranking behind "diseases of the heart" and all forms of cancer. Stroke is a leading cause of serious, long-term disability in the United States” ("Stroke statistics," 2011). Approximately 15 million people worldwide survive stroke annually (Seneviratne, Mather, and Then, 2009). Hospitals need to be able to care for the increasing number of patients being admitted due to strokes, and Hilo Medical Center is no exception. Currently at Hilo Medical Center, the vast majority of patients that are inflicted by CVA’s, or cardiovascular accidents, are transferred off island to better equipped medical facilities, such as Queen’s Medical Center in Honolulu. In the near future, that some of those practices will change. According to the nurse manager at HMC’s cardiovascular unit, Lisa Marie Nance, 6 beds will be added to the current 11 bed unit to accommodate some these patients. The unit will be changed to accommodate patients that are stable and do not meet criteria to receive thrombolytic therapy. It did seem odd that the hospital would be expanding the unit to care for a limited portion of the stroke patient population. I wanted to know more information regarding HMC’s plans, as well as what steps is needed to care for...
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...The Use of Music Therapy on Stroke Victims When normal blood flow to the brain fails, a stroke occurs, there are more than 780,000 strokes every year in the United States causing more serious long-term disabilities than any other disease that number is expected to increase in the coming years. (Know Stroke). While preventing strokes is obviously a goal, the development of successful rehabilitation strategies is equally important. Music therapy has shown promise as a way to help stroke victims recover a variety of lost functionality. In this paper I will be describing the beneficial effects that music has on stroke victims. There are two main types of stroke ischemic and hemorrhagic. Ischemic stroke occurs when blood vessels are blocked, usually by a clot. This accounts for four in five strokes. Hemorrhagic stroke is caused by a broken or leaking blood vessel in the brain (NIH). The effects of a stroke vary by its type, severity and location within the brain. A stroke may affect only one side of the body or part of one side. It can cause cognitive deficits, muscle weakness or paralysis. A stroke in the right half of the brain can cause visuospatial issues, impaired judgment and behavior, along with short-term memory loss. A stroke in the left half of the brain can cause speech and language problems, slow and cautious behavior, as well as memory problems. A stroke in the cerebellum can cause abnormal reflexes, balance problems, and dizziness, nausea, or vomiting (Office on...
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...Coronary Artery Disease. Coronary artery disease is the narrowing or blockage of the coronary arteries, usually caused by atherosclerosis. Atherosclerosis (sometimes called “hardening” or “clogging” of the arteries) is the buildup of cholesterol and fatty deposits (called plaques) on the inner walls of the arteries. These plaques can restrict blood flow to the heart muscle by physically clogging the artery or by causing abnormal artery tone and function. Without an adequate blood supply, the heart becomes starved of oxygen and the vital nutrients it needs to work properly. This can cause chest pain called angina. If blood supply to a portion of the heart muscle is cut off entirely, or if the energy demands of the heart become much greater than its blood supply, a heart attack (injury to the heart muscle) may occur. Your coronary arteries are shaped like hollow tubes through which blood can flow freely. The muscular walls of the coronary arteries are normally smooth and elastic and are lined with a layer of cells called the endothelium. The endothelium provides a physical barrier between the blood stream and the coronary artery walls, while regulating the function of the artery by releasing chemical signals in response to various stimuli. Coronary artery disease starts when you are very young. Before your teen years, the blood vessel walls begin to show streaks of fat. As you get older, the fat builds up, causing slight injury to your blood vessel walls. Other substances traveling...
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