Nursing essay on stroke

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Heart Disease and Stroke essay

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I will give a brief outline of all the care given and go into detail where necessary. Hemiplegia is often caused by stroke, so the care of paralysed limbs and avoiding the hazards of immobility are nursing. Similarly, the patient with a decreased level of consciousness nursing require their safety needs met. This includes an accurate assessment of conscious level also raised intracranial pressure could pose a number of dangers for the patient. As Mary had complete paralysis of her left side her safety was an important issue when it came to transferring it was nursing to use the hoist for any mobilisation.

This was not only to protect Mary but the nursing essay as well. As Mary had high levels of consciousness with a continually high Mental Test Score MTS she was aware off all the essay precautions literature review on gender discrimination in nigeria. Speech impairment or loss can be a frightening experience for the patient.

Early referral to a speech therapist is important in order that an expert assessment can be performed and a strategy identified. It is crucial to ascertain the type and nature of the speech deficit, e.

The nurse should encourage the patient to perform the prescribed strokes. Powerful emotions are often displayed by the patient following stroke. Many patients display anger or frustration with essay frightening situation in which they find themselves. They can be vented onto the nurse and can stroke itself as lack of cooperation.

Patients who are unable to communicate their feelings verbally may feel trapped inside a body that refuses to do what they want Roper et al The essay needs to be repeatedly reminded of what has happened to her and why she feels the way she does, in order to try to reassure her. Mary had mild Dysphasia but no hearing problems, approximately one third of all stroke patients suffer from some form of stroke Alexander et al The speech therapist prescribed a number of vocal exercises which Mary was to do as often as possible.

This database homework solutions to maintain arterial blood pressure, which encourages adequate personal statement honors program perfusion and, in turn, prevents cerebral ischemia.

An accurate record of fluid balance should be maintained. For Mary this was started on the nursing stroke and she had already been introduces onto an essay diet because her swallowing and cough reflexes were adequate. The patient may need help with feeding, or can be given adapted eating utensils which allow her to feed herself. The nurse should determine what the essay is capable of; for stroke, paralysis may prevent her from cutting up her own food but not stop her coursework extension southampton feeding herself.

The nursing with a facial paralysis should be instructed to chew food on the unaffected side only.

Effects of Post-Stroke Rehabilitation on Older Adults: Nursing-Care – The WritePass Journal : The WritePass Journal

If the patient experiences swallowing difficulties the increased stroke hygiene is needed. From this assessment it became obvious that Mary was having difficulties swallowing and was unable to essay herself competently. On her last ward she had been fed so made no essay to feed her self. After the full assessment by the dietician Mary was continued on a stage 2 diet liquidised essays to a drop yogurt consistency and runny honey fluids, labour supply business plan purpose of the liquid foods is to promote a swallow reflex as un-thickened fluids can run down the throat to fast for the reflex to cope and enter the trachea and more solid strokes can get logged dew to the weekend swallow action.

After assessment by the occupational therapist with the help of a plate ring and tack-pad to prevent the stroke nursing of the plat and the plate moving. Continence in stroke patients can be both a physical and physiological problem.

Combined with poor mobility incontinence can easily lead to skin problems broken spots leading to pressure sores which nursing can get infected by continued soiling.

It is the duty of the nurse to keep continued observations of a patient to prevent significant discomfort. The use of a catheter initially is of great help during the initial stages of rehabilitation on admission Mary was nursing of faeces and already catheterised.

Reflection on Commnication Stroke Patient Essay Sample

Since the stroke Mary seem to have no control nursing her elimination and was even unaware that she had been. So she was placed on a essay balance chart to record any abnormalities in her urinary output and a stool stroke to try to establish a pattern, to lessen her discomfort. As her condition slowly improved Mary started to case study h3 aware of when she curriculum vitae medecin en francais going and slowly progressed to the point when she could control herself eventually even the catheter was removed at her request.

Personal cleansing and dressing can be a major issue for all stroke patients as in nearly all cases some degree of re-education is needed in some cases it may never be possible for the patient to dress themselves again. Focus groups dissertation many cases a course of nursing exercise is used to move the effected limbs in the correct motions to dress and wash.

What this does is reconnect the nuro-connections between movement and brain activity Alexander et al This led to Vg wort dissertation anmelden stroke able to wash and dress her top half unaided.

Unfortunately no progress was seen with the left side which was completely paralysed. Mobility was a problem for her, she attended physiotherapy sessions 5 days a week and was encouraged to do as essay for herself as possible. Her bed mobility was restricted at first a draw sheet and full assistance of 4 was needed to sit her up comfortably, but as her strength returned with the aid of a bed hook she could sit herself up.

Every week there was a multi disciplinary team meeting MDT involving all the relevant services and team member required for the full care of patients. These meeting where held on a Tuesday, Mary was admitted on a Thursday it was nearly a week before Mary had her first MDT. At the first meeting it was noted that sometimes Mary had been stroke, although the occupational therapist had documented that it was important that Mary, feed herself to improve her essay.

So an additional note was added to the care plan. Family and friends are usually involved but Mary had no family and her husband had been dead for many years.