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Stroke and Mr Greens

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Stroke and Mr Greens
68-year-old gentlemen called Mr Greens, who has suffered a right side ischaemic stroke. He is experiencing weakness in the left side, dysphasia and sporadic periods of unconsciousness and has been admitted to the medical ward.

Nursing care will be explained over the first 48 hours of Mr Greens’ care with evidence-based rationales from academic sources. The integration of the multidisciplinary team will show the importance of ongoing treatment and rehabilitation of Mr Greens.

INTRODUCTION:

An ischaemic stroke, also known as CVA-cerebrovascular accident (Smeltzer et al 2008, p.2206) or a brain attack (Swearington 2008, p.349) occurs when blood flow to the brain is blocked and oxygen supply is interrupted (Swearington 2008, p.349).

There are five types of ischaemic stroke (Smelzter et al 2008, p.2206). They include large artery thrombotic strokes occurring in the blood vessels of the brain; small artery thrombotic stroke penetrating one or more blood vessels; cardiogenic embolic strokes related to dysrhythmia; cryptogenic strokes of unknown cause and others related to illicit drug taking, migraine and cutting of carotid or vertebral arteries (Smeltzer et al 2008, p.2206). Atherosclerosis builds up fatty deposits in the coronary artery, causing them to narrow (Harris, Nacy & Vardaxis 2006, p.151) and is predominant cause of ischaemic stroke (Newby & Grubb 2005, p.38). Symptoms of ischaemic stroke may include confusion, headache, numbness on one side of the body, slurred speech and poor visibility (Smeltzer et al 2008, p.2207).

There is growing concern in the health care industry in regards to stroke being the second major cause of death worldwide (Black’s Student Medical Dictionary 2004, p.334). Ischaemic stroke is considered to be an urgent health issue (Smeltzer et al 2008, p.2206) with evidence to show that immediate treatment can improve its negative effects on the person (Hairon 2008, p.19). Primary care, prevention and education is being

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