Категории: Все - weakness - rehabilitation - therapy - hypertension

по Shirley Suwandi 4 лет назад

194

Ms Jen Bogart (JEN)

A 34-year-old woman named Jen presented to the Emergency Department with symptoms indicative of an ischemic cerebrovascular accident. Her NIH stroke score was 2, with notable symptoms including right arm weakness, slurred speech, and facial drooping.

Ms Jen Bogart (JEN)

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