This is a 71-year-old male pt of Derby health & Rehab with the problem of weakness and CVA. What I learned is if a pt is weak it can impair the ability to maintain activity. My pt is weak secondary to stroke which impaired the ability to maintain activity caused by destruction of motor neurons in the pyramidal pathways. Also I learned that CVA is the leading cause of serious, long term disability. Store occurs when blood supply to the brain is blocked or restricted. Currently the pt left side arm is weak and he is totally dependent now for mobility because of stroke. He is also wearing O2 at 4 liters.
Care Plan Interpretation
Problem 1 CVA Ineffective Cerebral Tissue Perfusion
Therapeutic intervention
Administer oxygen therapy as prescribed daily
Rationale
Oxygen saturation needs to be greater than 90%. Increasing
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Rationale
Rest between activities provides time for energy conservation and recovery.
Safety intervention
Anticipate the patient’s needs for example keep telephone and tissues within reach every shift.
Rationale
Attention to placement of commonly used supplies can reduce the risk for falling while reaching.
Diagnostic intervention
Assist in assigning priority to activities to accommodate energy levels
Rationale
With a reduced functional capacity, pacing of priority tasks first may better meet the patient’s needs.
Referrals intervention
Refer pt to PT for ROM and strengthening exercises daily.
Rationale
Exercise promotes increased venous return, prevents contractures, and maintains/ increases muscle strength and endurance.
Narrative
0700 Pt in his room awake getting ready for breakfast with the assistance of CNA. No sign of distress noted at this time………………………………...L.Gotora PNS2/WATC
0830 Pt went with Physical Therapy for exercise assisted by PT via wheel chair. Good appetite this morning, Ate 80 % of his breakfast……………………L.Gotora
Recently, former NFL players have appealed a $1 billion plan to address concussions because it excludes the key brain disease that has commonly been associated with football known as chronic traumatic encephalopathy. This is a type of brain decay that has been found in dozens of past football players after they died. Critics of the NFL's plan have insisted that the deal includes future payments for encephalopathy.
Nearly everyone knows about the infamous incident involving former Florida State University football player Jameis Winston leaving a Tallahassee Publix Supermarket without paying for $32.72 worth of crab legs. But what about the time former University of North Carolina offensive lineman Ryan Hoffman, homeless and hungry, who was arrested for stealing an eight-piece fried chicken bucket from a supermarket?
This hospital was enormous compared with the clinic. However, I didn’t have opportunity to look to the equipment because I just wanted to see how a physical therapist perform his job with patients. In the hospital there was a patient recovering from a stroke. The patient could not move half of his body specially his hand. This case gain all my attention because my mother had a stroke time before. The therapist was so nice because she tried to communicate in the best way with the patient. The patient speaks Spanish, and the therapist was an American lady but she could said a lot of words in Spanish. She help her patient by helping him to strengthen and stretch his hand. The family of the patient were there also. So the therapist told one of the family members that the patient needed to continue doing some exercises to improve the mobility of his hand. For example, weight bearing exercises because these exercises can help facilitate movement. Weight bearing can be done on the hand while sitting at the edge of the bed or it can be done with the hand on a
As you well know concussions are not to be taken lightly. Throughout the past few years I have dealt with several concussed athletes but none as severe as this particular case. The severity of second impact syndrome is an evident threat to the future health of an athlete’s brain. In this case, you will see the effect of second impact syndrome on a 17-year-old female varsity hockey player and her struggle to finish 11th grade. This athlete was playing for a league outside of her varsity school team when she sustained her initial concussion. During the game, she sustained a blow to the head and did not feel “normal” after it occurred, however she did not mention this to any coaches, players or therapists. As she continued to play her headache got progressively worse but played through it
I arrived at 7:45 am that Wednesday morning and introduced myself to Mandi Yanagibashi, a supervisor to the Radiology department. Mandi wrote out a schedule consisting of six different modalities within the department. I was granted one hour of observation in each area and was instructed to keep an eye on the time, as it would be my responsibility to get myself from place to place. My day was arranged as follows: Nuclear Medication (NM), X-ray (XR), Computed Tomography (CT), Ultrasound (US), lunch, Magnetic Resonance (MR), and finally CT/XR Emergency (ER).
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en traumatic brain injury occurs to the frontal area, it is impacting the brain’s largest lobe. Located at the front of each cerebral hemisphere, this lobe is responsible for conscious thought, voluntary movement, and individual personality characteristics. When you are searching for just the right word to say, it is this section of the brain upon which you rely.
For nearly a century, researchers, clinicians, doctors, etc., have been aware that chronic traumatic encephalophy (CTE), previously known as dementia pugilistica, is positively correlated with gradual neurological decline (McKee et al., 2009). Although CTE has affected athletes since the 1920s, it has recently received more attention due to many athletes, namely National Football League (NFL) players and boxers, being diagnosed with and suffering from CTE (McKee et al., 2009). Therefore, the remainder of this paper will discuss the clinical symptoms of CTE, diagnostic criteria, and several case studies of athletes with CTE.
The aftermaths of repetitive brain trauma - symptomatic concussions and other blows to the heads of different severity - has been a topic of medical discussion since the 1930’s...Yes the THIRTIES. There have been a lot of scientific research into the effect of concussions and how coaches, personnels and teams should deal with players who have been concussed. In 1933, the NCAA educated all of its schools on the correct procedures of dealing with a concussed player. The NCAA thought that brain trauma weren’t taken seriously as they should be. A procedure in the NCAA medical handbook that stands out is to not allow concussed players to practice until the symptoms don’t show for 48 hours. If the symptoms are present after 48 hours, they should
Directions: Click the link below to watch Living with a Traumatic Brain Injury (about 29mins). Complete Video Guide by typing directly into this word document, save and load to the D2L dropbox. https://www.youtube.com/watch?v=dyqGys9Htbo
Traumatic Brain Injury (TBI) has continually garnered concern from the public. Effects of a TBI range from headaches to loss of motor functions in more severe cases. Normally when one hears that term, their first thought is about military personnel in a war zone. Now, that is definitely true; however, military personal are not the only ones who can receive a TBI. Anyone can suffer damage to the brain resulting in a TBI. A person’s head doesn’t even have to come into contact with another object for this to occur.
Providing physical therapy in the early phase of cardiac rehab in the Intensive Care Unit (ICU) is both daunting and gratifying. I had a 76 years old male patient named Phil (not real name) who in day one, status post off the pump coronary artery bypass graft x 4. As part of the early cardiac rehab program, sternal precautions education is being reviewed on open-heart surgery patients to ensure safety during functional mobility task. However, due to the effects of pain medication, the patient's focus and carry over are both diminished
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The writer call Nina AFC Home Mgr to follow up regarding the consumer. According to Nina the consumer went to bed at 3:00am due to his behavior he was shadowing boxing and he flip his bed over. Nina states she call the COPE office and no one came out to check on the consumer. Nina also states that the consumer did calm down and went to sleep. However, the writer wanted to know what time did the consumer get up today? Nina report that the consumer got up around 12:00pm eat and went back to bed about an hour later.
Traumatic Brain Injury (TBI) incorporates concussions and results from a hit to the head, bringing about shaking the cerebrum (Gleadhill, 2014). The trouble with conclusion is that a blackout might be asymptomatic. One investigation of Canadian hockey players found that lone 19% knew that they had endured a blackout (Edwards, 2014). Numerous concussed competitors have typical cerebrum work for a considerable length of time to come. On the off chance that concussions do have side effects they incorporate everything from dazedness, to tiredness, to twofold vision, or despondency, yet losing awareness is not an essential component (Gleadhill, 2014). Optional blows are more risky and long haul impacts may incorporate CTE. Early recognizable proof and treatment is fundamental and instruction of players, guardians, coaches, staff, and leagues are additionally basic. This is profoundly identified with youth health and extremely basic morally. Sports fans may expect that blackout research is progressing to the point that the dangers are known, blackout can be precisely distinguished and treated, and come back to play choices are cleverly made by medical staff. The fact of the matter is altogether different and loaded with morally hard choices for all partners (McNamee, 2015). The absence of clarity of the idea and uncertainly of conclusion implies that educated assent and game instruction of players, guardians, coaches, and others are traded off. The National Collegiate Athletic