Stroke Rehabilitation - a Student Nurses Case Study.

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Topic: Stroke Rehabilitation

The aim of this assignment is to introduce the author (student) to the multifaceted role of rehabilitation, which affects most patients at some time in their treatment and to facilitate their awareness and understanding of the role of nurses within the team. The principles of rehabilitation will be approached through consideration of patient needs. The author will use the Rooper, N.Logan and Tierney model of nursing (2000) for daily activities of living. The author will examine the theoretical principles of rehabilitation and the role of the multi-disciplinary team. The education and support provided to the patient and carer will be addressed. As a student the author will describe the level of competency and degree of responsibility which is utilised in the caring for patients recovering from the effects of a stroke.

In Britain Strokes or Cerebrovascular Accident (CVA) claims the second highest mortality each year, about 9% Department of Health (2004) . A stroke or CVA refers to a group of diseases that have in common a reduced blood supply to a portion of the brain. While Isaacs (1983), Thompson (1987) , defined a cerebrovascular accident as a sudden attack of weakness affecting one side of the body, resulting from an interruption to the flow of blood to the brain (by thrombosis, embolus or ruptured aneurysm). A stroke can vary in severity from a weakness in a limb to profound paralysis and considerable impairment. There are different types of strokes, for example there is thrombotic or embolic occlusion resulting in infarction Simon, Thompson, and Morgan (1990) or spontaneous rupture of a vessel resulting in intracerebral or subarachnoid haemorrhage.

By rehabilitating the female patient who will remain anonymous due to the NMC (2002) Code of conduct to protect patient confidentiality she will gain some level of independence throughout the assignment the patient will be referred to as "Mary", who is 64 years old. Mary...
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