Mental health and wellbeing
Jen's felling frustration and emotional with her difficulties, financial, wanting to have children
Identifying Jen's problems
Physical health problems
might affect with her activities with daily living (ADL's), messy eating with one hand, sometimes people difficult to understand what she says
The National of Health Stroke (NIH) score: 2
1. Jen's R) arm drifted down before full 10 secs (Motor Arm)
2. Jen's speech was slurred when reading the words (Dysarthria)
Legend:
Identify problems
process information
Colect Cues
Consider Patient (Ms Bogart) Situation
Hypertension (HTN)
Jen's situation
Presented to Emergency Department (ED)
INR: 1
Thrombolytic Therapy (Intravenous Alteplase)
To dissolve acute blood clots
Admitted to Stroke unit
Transferred to Stroke Rehabilitation Centre
Blood Pressure: 120/60 mm Hg
Saturation is 98% on Room Air
Respiratory Rate is 18
Heart Rate is 80 beats per minute
Temperature is 36.4 Celcius
Jen alert and no complain of pain at rest and movement
Blood pressure under control, will minimise the risk to have another stroke
Physio Therapist
Speech Therapist
Dysarthria
Weakness R) arm
Walking without assistance
Ischaemic Cerebrovascular Accident
(CVA)
Unable to move R) limbs
Subtopic
Jen's mouth dropped to Right (R) side
Difficulty speaking
Female, 34 yo
Ms Jen Bogart (JEN)
Processing Jen's information
Collecting Jen's cues
Aspirin 100mg daily
PRN (as required) Paracetamol 1g
4 hourly, max dose 4g in 24 hours
Ischaemic Stroke 2018
Fully recovered
Warfarin 5 mg daily
Stop taking warfarin, so can conceived, but Jen not consult with her doctor
Lisinorpil 10mg
Jen's doctor added 2 new medications
Her partner is Steve
HIgh school teacher
