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[COMPANY NAME] [Company address]Case Study Cerebral Vascular Accident (CVA), John Gates, 59 years old, (Latest 2023) Correct Study Guide, Download to Score A Cerebral Vascular Accident (CVA)
John Gates, 59 years old
Primary Concept
Perfusion
Interrelated Concepts (In order of emphasis) 1.Stress
2.Coping
3.Clinical Judgment
4.Patient Education
5.Communication
6.Collaboration UNFOLDING Clinical Reasoning Case Study: STUDENT
Cerebral Vascular Accident (CVA)
History of Present Problem:
John Gates is a 59-year-old male with a history of diabetes type II and hypertension who was at work when he had sudden onset of right-sided weakness, right facial droop, and difficulty speaking. He was transported to the emergency department (ED) where these symptoms continue to persist. It has been one hour from the onset of his neurologic symptoms when he presents to the ED. You are the nurse responsible for his care.
Personal/Social History:
John lives with his wife in their own home in a small rural community. He owns a hardware store where he remains active and involved in the day-to-day operations. His wife insists on being by his side and talking to John despite John’s frustration in not being able to answer her questions. His wife reports that the past week he has been complaining of episodes where his heart felt as if it was beating irregularly and fast but then resolved. His wife also states that he has been complaining of pain in his right foot the past week. John has been trying to quit smoking the past month and has been using a nicotine patch. His wife reports that he does not regularly check his blood glucose and
eats what he wants. He is 6 feet tall and weighs 250 pounds (113.6 kg/BMI of 33.9).
What data from the histories are RELEVANT and has clinical significance to the nurse?
RELEVANT Data from Present Problem:Clinical Significance:
Hx of diabetes type II and hypertension
Sudden onset of right-sided weakness, facial droop, and difficulty speaking
1 hour from the onset of neuro symptomsHypertension is the leading cause for stroke and diabetes leads to vascular
changes in the body, both of these conditions increases the patient’s risk
for stroke
These symptoms are some of the common symptoms for stroke, these
deficits can correlate with the areas of the brain that the stroke occurred
in
If this is an ischemic stroke, tPA can be administered within 3 hours of
the symptoms of stroke to increase the chances of recovery
[COMPANY NAME] [Company address]Case Study Cerebral Vascular Accident (CVA), John Gates, 59 years old, (Latest 2023) Correct Study Guide, Download to Score A Cerebral Vascular Accident (CVA)
John Gates, 59 years old
Primary Concept
Perfusion
Interrelated Concepts (In order of emphasis) 1.Stress
2.Coping
3.Clinical Judgment
4.Patient Education
5.Communication
6.Collaboration UNFOLDING Clinical Reasoning Case Study: STUDENT
Cerebral Vascular Accident (CVA)
History of Present Problem:
John Gates is a 59-year-old male with a history of diabetes type II and hypertension who was at work when he had sudden onset of right-sided weakness, right facial droop, and difficulty speaking. He was transported to the emergency department (ED) where these symptoms continue to persist. It has been one hour from the onset of his neurologic symptoms when he presents to the ED. You are the nurse responsible for his care.
Personal/Social History:
John lives with his wife in their own home in a small rural community. He owns a hardware store where he remains active and involved in the day-to-day operations. His wife insists on being by his side and talking to John despite John’s frustration in not being able to answer her questions. His wife reports that the past week he has been complaining of episodes where his heart felt as if it was beating irregularly and fast but then resolved. His wife also states that he has been complaining of pain in his right foot the past week. John has been trying to quit smoking the past month and has been using a nicotine patch. His wife reports that he does not regularly check his blood glucose and
eats what he wants. He is 6 feet tall and weighs 250 pounds (113.6 kg/BMI of 33.9).
What data from the histories are RELEVANT and has clinical significance to the nurse?
RELEVANT Data from Present Problem:Clinical Significance:
Hx of diabetes type II and hypertension
Sudden onset of right-sided weakness, facial droop, and difficulty speaking
1 hour from the onset of neuro symptomsHypertension is the leading cause for stroke and diabetes leads to vascular
changes in the body, both of these conditions increases the patient’s risk
for stroke
These symptoms are some of the common symptoms for stroke, these
deficits can correlate with the areas of the brain that the stroke occurred
in
If this is an ischemic stroke, tPA can be administered within 3 hours of
the symptoms of stroke to increase the chances of recovery
