Mobility in stroke rehabilitation
Mobility in Stroke Rehabilitation
The purpose of this assignment is to identify the nursing role in the mobility rehabilitation of a patient who had a lacunar ischaemic stroke affecting the right corona radiata.The nursing care and the interdisciplinary management of the impairment will be critically evaluated as well as the patient progress during the stay in the hospital.
The patient that will be discussed in this assignment was given the pseudonym of Martha.
Martha is a 76 year old female who had a lacunar ischaemic stroke of the right corona radiata. She has relevant past medical history of hypertension.On admission, Martha was presented with weakness on her left side in both her leg and arm with sensation preserved and no cognitive impairments.
The corona radiata is a white matter that contains both descending and ascending axons that carry information from and to the brain cells that make up the cerebral cortex, an area of the brain that is responsible for the processing of conscious information and where the orders to initiate voluntary movements (walking, tapping your foot) first originate (Similima, 2011). These areas of the nervous system activate muscles all over the body to move. Therefore if the corona radiata is affected by a stroke, movement will be interrupted.
The type of stroke that affects the corona radiata is called “Pure motor stroke” and is the most common type of lacunar strokes, accounting for more than 50% of all cases (Similima, 2011). Pure motor strokes cause partial or complete weakness in the face, arm and leg on one side of the body. It can occur in any of these areas, alone or in combination with either of the other two. Most commonly, pure motor strokes cause either a combination of arm and leg weakness, sparing the face (this is the case of Martha), or a combination of arm, leg and face weakness. By definition, there is no loss of sensation anywhere in the body, no visual or speech symptoms or higher cognitive impairment
The purpose of this assignment is to identify the nursing role in the mobility rehabilitation of a patient who had a lacunar ischaemic stroke affecting the right corona radiata.The nursing care and the interdisciplinary management of the impairment will be critically evaluated as well as the patient progress during the stay in the hospital.
The patient that will be discussed in this assignment was given the pseudonym of Martha.
Martha is a 76 year old female who had a lacunar ischaemic stroke of the right corona radiata. She has relevant past medical history of hypertension.On admission, Martha was presented with weakness on her left side in both her leg and arm with sensation preserved and no cognitive impairments.
The corona radiata is a white matter that contains both descending and ascending axons that carry information from and to the brain cells that make up the cerebral cortex, an area of the brain that is responsible for the processing of conscious information and where the orders to initiate voluntary movements (walking, tapping your foot) first originate (Similima, 2011). These areas of the nervous system activate muscles all over the body to move. Therefore if the corona radiata is affected by a stroke, movement will be interrupted.
The type of stroke that affects the corona radiata is called “Pure motor stroke” and is the most common type of lacunar strokes, accounting for more than 50% of all cases (Similima, 2011). Pure motor strokes cause partial or complete weakness in the face, arm and leg on one side of the body. It can occur in any of these areas, alone or in combination with either of the other two. Most commonly, pure motor strokes cause either a combination of arm and leg weakness, sparing the face (this is the case of Martha), or a combination of arm, leg and face weakness. By definition, there is no loss of sensation anywhere in the body, no visual or speech symptoms or higher cognitive impairment