Case Study Amelia is a 68 years old woman who was brought in to ED by her neighbour. Amelia awoke this morning at 0600 hours with a 5/10 headache. At 0700 she called their neighbour and asked her to take her to hospital as she began to feel weak and her headache increased to 7/10.  Upon arrival to ED  one side of her face began to “feel strange”. Amelia has a past medical history of Atrial fibrillation (AF), hypertension (HT) and dyslipidaemia which she manages with Apixaban 2.5mg BD, Sotolol 80mg daily, Amlodipine 5mg daily, Irbesartan/hydrochlorothiazide 300/25mg daily, Rosuvastatin 10mg daily. Amelia used to smoke 20 cigarettes/day but states she quit 5 years ago. When she was brought in to ED, she told staff that she did not take her medications this morning as she was too distracted by her increasing headache. You are assigned to care for Amelia. As you are about to enter her room, you overhear Amelia crying to her neighbour, explaining that she is worried as her mother had died of an ischemic stroke and had similar symptoms leading up to the event. You will need to consider the patient situation, identify normal and abnormal cues and identify at least three highest priority nursing problem. For the nursing problem you consider the highest priority you will need to: Establish at least 3 goals using the SMART acronym. Devise at least 6 holistic nursing actions in order of priority and specify if it is a dependent or independent nursing action. You must consider the medical, pharmacological, social and educational requirements of the patient. Provide a rationale which associates pathophysiological and psychosocial principles with each selected nursing action  Describe how you would evaluate the effectiveness of the care provided (i.e. how will you know that your actions were beneficial to the patient?)

Case Study

Amelia is a 68 years old woman who was brought in to ED by her neighbour. Amelia awoke this morning at 0600 hours with a 5/10 headache. At 0700 she called their neighbour and asked her to take her to hospital as she began to feel weak and her headache increased to 7/10.  Upon arrival to ED  one side of her face began to “feel strange”.

Amelia has a past medical history of Atrial fibrillation (AF), hypertension (HT) and dyslipidaemia which she manages with Apixaban 2.5mg BD, Sotolol 80mg daily, Amlodipine 5mg daily, Irbesartan/hydrochlorothiazide 300/25mg daily, Rosuvastatin 10mg daily.

Amelia used to smoke 20 cigarettes/day but states she quit 5 years ago.

When she was brought in to ED, she told staff that she did not take her medications this morning as she was too distracted by her increasing headache.

You are assigned to care for Amelia. As you are about to enter her room, you overhear Amelia crying to her neighbour, explaining that she is worried as her mother had died of an ischemic stroke and had similar symptoms leading up to the event.

You will need to consider the patient situation, identify normal and abnormal cues and identify at least three highest priority nursing problem. For the nursing problem you consider the highest priority you will need to:

• Establish at least 3 goals using the SMART acronym.
• Devise at least 6 holistic nursing actions in order of priority and specify if it is a dependent or independent nursing action. You must consider the medical, pharmacological, social and educational requirements of the patient.
• Provide a rationale which associates pathophysiological and psychosocial principles with each selected nursing action 
• Describe how you would evaluate the effectiveness of the care provided (i.e. how will you know that your actions were beneficial to the patient?)