In this paper I will be discussing a patient who at 49 years of age became incapacitated by a left sided cerebrovascular accident (CVA) following a motor vehicle accident. To keep her identity completely confidential, I will be referring to her as Mary. I will not refer to any medical staff or buildings by name for this same reason. Mary had two seizures while in hospital recovering from the motor vehicle accident (MVA). Mary's recovery was progressing normally but was compromised by a CVA following the seizures which left Mary with a permanent disability. Mary can not walk at all. She can stand with assistance for clothing adjustments. Mary can not talk properly, she responds with "yes", "no" or "oh no". Mary is cognitively disabled, although slightly, it can be difficult to tell when Mary is answering the questions or just responding to being spoken to.
Prior to the MVA and CVA, Mary had some health problems that include a long history of hypertension, asthma, an aortic valve replacement, diagnosed major depression, anxiety and epilepsy. The cerebrovascular accident has left Mary unable to perform any activities of daily living so has been forced to reside in a nursing home. Mary is surrounded by elderly patients primarily affected by dementia, leaving her susceptible to other possible problems such as depressive episodes, (although she is on medication for depression), boredom, or possible withdrawal just to name a few (Newcombe, 2005).
This paper will discuss how the nursing staff uses the nursing process to encourage Mary to be involved in activities and her surroundings and how they try to cater for a much younger patient living in the nursing home (Seaback, 2001). I will address areas such as medical and pharmacological management, mobility, and some of the other needs that Mary finds are now compromised, for example, spiritual, sexual, social, and cultural and the difficulties in general family contact.
Epidemiology & Aetiology...