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 …show more content…
Coloxyl is a laxative, or a stool softener. It works by assisting with the mixture of water into the faeces. Its infrequent adverse effects include abdominal cramping, colic, diarrhea, rash, excessive loss of water and electrolytes. Senna is also a laxative. The adverse effects are also abdominal cramping, and diarrhea. (Reference)
* Panamax / panadiene forte PRN for pain relief
Paracetamol is the generic name for Panamax. It is indicated for mild to moderate pain, fever, migraine and tension headache. Paracetamol can interact with Warfarin, and it is suggested that 3.5-7.0g of paracetamol can elevate INR levels. Panadiene is paracetamol with codeine. Constipation is a common side effect of codeine. (Reference)
* Diazepam elixor for control of seizures
Diazepam elixor is a benzodiazepine. It is indicated for treatment of acute seizures, drug and alcohol withdrawal seizures, and muscle spasm. Some common adverse effects are drowsiness, hyper salivation, aggression, irritability, and hyperactivity. Alcohol should be avoided with this drug because it can increase CNS depression. (Reference)
* Ventolin nebs. PRN for asthma …show more content…
Although the health care workers where there to assist Mary, she did not know any of them, and was in unfamiliar surroundings, with these difficulties as well as all of the other patients receiving care within close proximity had an impact on Mary 's anxiety levels (Hafsteinsdottir & Grypdonck, 1997). Now that Mary is in more of a home environment she is more relaxed and comfortable with her surroundings. She now has developed nurse/patient relationships with the Nursing Staff in the Nursing Home. Mary is at risk of developing a dependence on the nursing team and care is taken so this does not get out of control for