Topics: Stroke, Nervous system, Myocardial infarction Pages: 35 (11267 words) Published: March 17, 2013
Southern Luzon State University
College of Allied Medicine
Lucban, Quezon

Cerebrovascular Accident
A Case study

In Partial Fulfillment
Of the Requirements of the Subject
NCM 103 Related Learning Experiences

Submitted to:
Mrs. Rosemarie F. Daya
Clinical Instructor

Submitted by:
Abastillas, Danesse R.
BSN III- B / Group 5
February 2013


A. General Objective
After ascertaining a nurse-patient interaction and wide-ranging assessment and providing care to the clients and attentive study of the client’s condition, student will be able to expand knowledge, developed skills, achieve comprehensive evaluation and augment attitude through the exploitation of the nursing process on the care and management of hydrocele patient.

B. Specific Objectives
Given opportunity to render care for the patient, the student will be able to: * Discuss the overview of the disease in the review of the Related Literature. * Identify its clinical manifestation.

* Present the Anatomy and Physiology
* Trace the pathophysiology of the disease
* Establish a good and therapeutic nurse-patient interaction. * Monitor patient’s progress.
* Determine the status of the patient through:
                        a. General Data                         b. Physical Assessment                         c. Present History of the illness                         d. Family Health History                         e. Personal and Social History

* Analyze laboratory results and correlate it with patient’s present condition. * Familiarize self with diagnostic procedures done to patient. * Study the drugs prescribed to the client, the indications, contraindications, side effects and the nursing responsibilities. * Render nursing care through implementation of Nursing Care Plan. * Provide psychological support to the client during anxiety period. * Evaluate the effectiveness of nursing care plan and medical management.

CVA happens when the blood supply to the brain is disturbed in some way. As a result, brain cells are starved of oxygen. This causes some cells to die and leaves other cells damaged. Strokes usually happen suddenly. No two strokes are the same and people can be affected in quite different ways. To an extent it depends on which area of the brain is damaged, because different parts control different abilities such as speaking, memory, swallowing and movement People who have had a severe stroke may lose consciousness. Unfortunately, the likelihood of such patients making a good recovery is poor. In the first few days after a stroke, treatment concentrates on making sure you are well hydrated and nourished. The next phase of treatment is recovery through rehabilitation. This involves a team of health professionals including physiotherapists, speech therapists, occupational therapists, nurses and doctors. Risk factors of CVA are caused by a blood clot, then taking a low-dose aspirin (eg Nu-seals 75mg) once a day may help make the blood less sticky and less likely to cause clots. High blood pressure does not cause any symptoms, so everyone over the age of 40 should have an annual blood pressure check. Smokers have double the risk of stroke as non-smokers. Irregular heart beat (atrial fibrillation) is fairly common in old age. It increases the risk of stroke by causing blood clots to form in the heart. Blood clots can be prevented from forming by taking warfarin (eg Marevan), a medicine that makes the blood less likely to clot. Warfarin treatment requires careful monitoring with regular blood checks and is a very effective way to reduce the risk of stroke. Diabetes affects 1 in 20 older people and can increase the risk of having a stroke. Good control of diabetes is important and requires attention to diet, regular urine tests or blood tests and probably some medication. Too much alcohol...
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