Case Study

 Case Study Essay

Student Number: 21127187

Module: Assessment and Therapeutic Care Management

Module Code: AN 602

Assignment Name: A Case analyze: Stroke Treatment Management and Pressure Ulcer Assessment Device

Word Depend: 3296

Particular date Submitted: 11th January, 2012

This educational work aims to present a clinical example of a individual who is clinically diagnosed of cerebrovascular accident (CVA), also called " stroke”, achieve a deeper knowledge of debilitating post-stroke complications employing an assessment guide and nursing concours to the nursing diagnosis of reduced skin integrity. This composition aims to integrate the utilization of a pressure ulcer grading assessment device to establish base assessment data and help ongoing twisted care managing in relation to pressure ulcers (PrUs) as one of permanent problems came across in the proper care of a stroke patient. A holistic assessment from the patient will probably be required, figuring out activities of daily living to allow the doctor to devise a plan involving the therapeutic group in line with discovered nursing diagnoses. Due to constraint on phrase count, the essay will focus even more on the present health status in relation to areas pertinent to PrUs management during the treatment process. With regards to this educational work, the person will be safeguarded by the Nursing jobs and Midwifery Council (NMC) Code of Conduct (2008) by usage of a pseudonym, ‘Mr. X'. Mr. X, is an 87 year-old elderly obese patient, with long-term associated with Hypertension (HPN) and Non-Insulin Dependent Diabetes Mellitus (DM), on protection medications, who had been recently clinically diagnosed of Cerebrovascular Accident (CVA). Mr. By was utilized in a nursing home after the acute hospitalisation for long term care. Brunner (2008) identifies CVA, Ischemic Stroke, or perhaps " Mind Attack” as sudden lack of neurologic working resulting from blood circulation disruption in cerebral veins. Stroke features two main types, Ischaemic and Hemmorhaegic: the former is caused by an infarct of blood clot in head artery and accounts for eighty % coming from all stroke circumstances; while the last mentioned is due to bleeding into the brain cells accounting to 20 % of stroke occurrences (Feigin et al, 2003). Stroke is definitely the third leading cause of death and is a major cause of adult neurological disability which affects approximately 145, 000 people a year in britain (National Review Office, 2005). Mr. By was clinically diagnosed of having left middle desapasionado artery (MCA) infarct several months ago resulting to neurological deficits on the contralateral side of the human body. The degree of deficits following stroke depends upon the affected cerebral artery and subsequent areas of brain tissue compromised of blood supply by damaged vessel (Porth, 2007). Upon examination, Mr. X has right side hemiplegia, contralateral physical impairment, dysphasia, bowel and bladder incontinence, and a preexisting Category We PrUs on both heels. The hemiplegia is the result of Brunner (2008) that mainly because motor neurons decussate, a disturbance of motor control on one part of the human body may echo damage to the motor neurons on the opposing side from the brain. Williams et ing (2010) claims that carrying out a MCA infarct, there is amendment of the brain's ability to method and understand sensory data which results in Mister. X's sensory impairment. Porth (2007) identifies aphasia as being a general term with various degrees of lack of ability to comprehend, incorporate, and communicate language. Porth (2007) even more states that a stroke on the MCA territory is the most common aphasia-producing heart stroke. It is after that imperative to comprehend the pathology of damaged areas of the brain to anticipate presence of motor, sensory, and speech deficits where the nurses and whole therapeutic team can intervene. For the purpose of data gathering and assessment, Gordon's Functional Overall health Pattern (1987) is put to use as a construction of this article. The model presents 14 functional overall health patterns grouped systematically intended for...


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