Nursing 101
My patient had suffered a CVA otherwise known as a stroke. This is a broad term that includes a variety of disorders that influence blood flow to the brain and result in neurologic deficits. CVAs result when there is inadequate supply of blood to the brain (cerebral ischemia) or cerebral hemorrhage within the brain (Lewis, Heitkemper, and Dirksen, 2000 p. 1645). Strokes are the third leading cause of death and is the leading cause of serious, long-term disability in the United States. The risk factors for a stroke include gender, age, race, and heredity. African-Americans are more likely to suffer from a stroke, then those of another race. After the age of fifty-five, there is a greater risk of a stroke occurring. This higher incidence is also increased with hypertension. The clinical manifestations of stroke vary, depending on the area of the brain affected (Gulanick, Klopp, 1998, p. 573). The defining characteristics of altered tissue perfusion of a stroke include: headache, visual changes, dizziness, ataxia, motor deficits, and vertigo. The risk factors for an ineffective airway clearance include neurological dysfunction, obstruction, and secretions. My patient was a sixty-four year old, African-Am
Why the Article was Chosen After working with a stroke patient, I found the diagnosis extremely interesting. My patient, when in bed, was constantly at a 15 to 30 head level elevation. I was surprised to see that the one patient in the study was so similar to the patient I had worked with. This article has given me knowledge, and I plan on using this knowledge to my advantage the next time I am able to care for a patient that has had a cerebro. Five of the studies were on women, while the other six were on men. I was looking through more nursing journals and just happened to stumble across this article. Nurses caring for patients that have had a stroke must be aware of the effects of their care on patient outcomes. Although a 30 head elevation has been advocated for patients with a variety of neurologic disorders, this position is perhaps more advantageous for patients who experience increased ICP (Wojner, 2002, p. The focus of the study, featured in the article I chose, was focused more on left sided strokes than right sided strokes. A loving wife, daughter, son, and grandchildren put a smile on his face, no matter how depressed he was feeling. was on strict swallowing precautions also. Due to the weakness on his right side, S.
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Acceptance Essays
