New Stroke Case Studies

Strokes are one of the major causes of immobility in seniors. Recovery largely depends on the extent of the brain injury and the length of time before treatment. Nonetheless, most seniors require the assistance of a caregiver and this mainly requires planning and organization. Here are some ways you can take care of a senior post -stroke

No history of skin disease. Skin is pink, dry, and void of bruising, rashes, or lesions. No recent hair loss; head is normocephalic. Pupils equally reactive to light; no history of glaucoma or cataracts. Ears are in normal alignment; no history of chronic infections, hearing loss, tinnitus, or discharge. Nose and sinus history includes clear nasal discharge “since last October”, and occasional nose bleeds; states she use to get nose bleeds often as a child. Mouth and throat are absent of lesions; no bleeding gums, sore throat, dysphagia, hoarseness, or altered taste. Neck is void of pain, swelling,

After having a massive stroke in 2007, my mother ended up with paralysis on the right side of her body. Twenty-two years old at the time, I wouldn’t know the proper ways to take care of a post-stroke patient without the help of the home health nurses. Receiving the training from the Innovage Long Term Care, I became my mother’s relative caregiver to assist her activities of daily living. During that time, I continued working as a pharmacy technician and going to school, but it was quite a transition to be a caregiver on top of work and school, I decided to take some time off from school to take care of my mother.

Objective Information and Physical Exam Patients chart states she does not have any thyroid abnormalities. Has full range motion with no adenopathy. On November 10th 2016, patient’s temperature was 98 degree Fahrenheit, and respiratory rate was 12 breaths per minute.

We recommend that All stroke units should have protocols for screening for delirium, managing patients with established delirium and for preventing delirium in high risk patients particularly elderly patients. This may improve the prognosis .

Do the needs of a younger stroke patient differ from the older patient that experiences a stroke?

A 23 year old undergrad student was referred to us at Andrews University Speech and language clinic on the 15, of September 2015, because she was having difficulty with her expressive language. English is listed on her chart as the dominant language also there’s no mention of any previous language or speech problems, even after the stroke. It seems that the cause of her stroke can possibly be her diabetes, because diabetes increase the risk of blood clots in the brain, according to WebMD. She have two high risk factors that increased her risk of the stroke, which her diabetic and her African American background.

Stroke ranks high as a cause of adult long term disability in the world1 and interferes with patients’ quality of life2. Patients with stroke are unable to carry out their activities of daily living3. Despite extensive rehabilitation, the affected upper extremity is severely impaired in more than half individuals with stroke. The loss of input from the corticospinal system after stroke reduces the ability to selectively activate sets of muscles needed to perform skilled motor task. The recovery process after an episode of stroke has been shown to include the formation of new synaptic connections in undamaged cortical areas and the use of residual descending pathways. During the process of cortical reorganization new neural connections may affect

Several studies have highlighted the need for more formal staff training on oral health (Adams 1996, Preston et al 2006). However, there appears to be no improvement in oral care and the provision of training .patients who have had a stroke, the National Clinical Guideline for Stroke (2008) produced guidance for post stroke patients. However, studies shows that the education on oral care that nurses receive before and after qualification continues to be limited (Adams 1996, Longhurst 1998). Education is essential in empowering nurses to provide the best care for patients and to enable the nursing staff to change their attitudes and practices in relation to oral health care.

This case study aims to present a 55 year old lady suffering from Type II controlled Diabetes who presented to the Primary Care Interface clinic with symptoms of pain and snapping of left thumb. Painful clicking and snapping of thumb is a classical presentation of trigger finger. It can be associated with swelling, redness or warmth over the flexor tendon. such symptoms could also be due to infection or tendon tear or post-traumatic tendon entrapment however there causes were excluded by the clinician. If suspicious X-Ray can be considered, however, unnecessary in the diagnosis of trigger finger unless patient presents with an inflammatory disease or trauma (Katzman et al 1999).

Data was collected from 63 participants living with chronic stroke. The COPM assessments were separated by gender, 39 males and 24 females. The data from the COPM was analyzed to categorize activities by self-care, productivity, and leisure. Men reported a total of 170 performance problems, with individuals reporting a range of 2-5 performance problems (4.36 performance issues on average), and women reported a total number of 105 performance problems with a range of 3-5 (average of 4.37). Male participants reported the following: self-care (41%), productivity (18%), and leisure (41%). Female participants indicated the following: self-care (37%), productivity (24%), and leisure (39%). Researchers further analyzed the subcategories within self-care,

Time is important in the care of acute stroke patients, so improving time for thrombolysis will improve outcomes for patients with stroke. We have tried to improve efficiency of the acute stroke care by using IT (Information and Communications Technology). We aim to achieve the median DTN (Door-to-Needle) time of 30 minutes. In this paper, we explain the design of a protocol system “t-PA Scramble” that improve the efficiency by perspective, lean and concurrency, and technical solutions of an information system “Task Calc. Stroke” that is implemented to fulfill the role of communication, navigation and aggregation, describe the performance, and discuss our future

Approximately 15 million people suffer a stroke worldwide each year, of those 5 million die and another 5 million are permanently disabled Mackay et al (2004). Stroke tends to affect people over the age of 75 (Scarborough et al 2009). Since almost 70% of people over 75 retain some teeth (Todd and Laden 1998), maintaining a healthy mouth is important for elderly stroke patients. Not only does effective oral care play a central role in the prevention of infection, a healthy mouth also makes a real difference to a person’s quality of life (McGrath and Bedi 1998) and maintenance of nutritional status (Jones 1998) .For these reasons, this dissertation will examine the benefits of good oral hygiene for elderly stroke patients and nurses role in

The patient stated that he is still recovering from his stroke. That’s why patient’s right arm is still paralysed and weak. This shows that the patient has a left-brain stroke or it was the left side of the patient’s brain that got damage (Craft & Gordon, 2015). Furthermore, it also shows that patient’s stroke

Sitting at the catch, or front end, of the stroke is the most memorable part of the race. This moment happens each time you race. Whether it's against other teams or the girl next to you depends entirely on time.