NURS 6501 Week 8 Case Study 2020 – Mercer County Community College
Ischemic Stroke
A 74-year-old male with a history of hypertension and smoking is admitted to the ED for possible ischemic stroke. While eating dinne
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NURS 6501 Week 8 Case Study 2020 – Mercer County Community College
Ischemic Stroke
A 74-year-old male with a history of hypertension and smoking is admitted to the ED for possible ischemic stroke. While eating dinner, the patient’s wife witnessed her husband have a sudden onset of difficulty speaking, left sided facial droop with drooling, and weakness in his left hand. The purpose of this paper is to explore how ischemic stroke can affect the neurological and musculoskeletal systems. Also, the paper will explain the pathophysiology of the patient’s symptoms, the ethnic variables that may impact physiological functioning, and how the process interacts to affect the patient.
Pathophysiological processes that result in the patient presenting symptoms
Ischemic stroke occurs when there is an obstruction to arterial blood flow to the brain from thrombus formation, an embolus associated with atherosclerosis, or hypoperfusion related to decreased blood volume or heart failure (McCance & Huether, 2019). The inadequate blood supply results in ischemia and can progress to infarction
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Ischemic stroke is a medical emergency that requires immediate attention. Ischemic stroke deprives the brain of blood and oxygen that results in immediate cell death, causing the brain to not properly function. Many factors play a role in increasing the chances of having a stroke, such as high blood pressure and smoking. However, proper knowledge and education on stroke can minimize the chances of having one. As healthcare providers, it is important to assess patients thoroughly and educate them on modifiable risk factors to decrease the risk of a possible CVA to prolong life.
References
Centers for Disease Control and Prevention. (2020). Stroke. Retrieved from https://www.cdc.gov/stroke/facts.htm
Harvard Health Publishing. (2019, June 19). Blood pressure and your brain. Retrieved from https://www.health.harvard.edu/heart-health/blood-pressure-and-your-brain
Howard, J. J., Madsen, T. E., Kleindorfer, D. O., Judd, S. E., Rhodes, D., Soliman, E. Z., … Cushman, M. (2018, December 10). Sex and race differences in the association of incident ischemic stroke with risk factors. JAMA Neurology, 76(2), 179-186. doi:10.1001/jamaneurol.2018.3862
Hui, C., Tadi, P., & Patti, L. (2020). Ischemic stroke. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK499997/
McCance, K. L., & Huether, S. E. (2019). Pathophysiology: the biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
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