Miami Dade College Ischemic Stroke Relevance to Nursing Essay

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Writing assignment about Ischemic Stroke

Your paper must be APA format and at least 750 words not to exceed 1000 words.

Double space your paper and use Times New Roman standard 12-point font.

Plagiarism free. present the proof of plagiarism including the references.

A minimum of two (2) references must be used. The two references will include the required class textbook and at least one outside scholarly source (ex. journal article). APA format must be used in citing and referencing sources.

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Assignment Introduce the topic. Explanation of topic’s relevance to nursing. Patient Description Include age, ethnic background (if relevant to the topic), gender, acuity level within hospital, (step down, floor, ICU ), relevant medical history, diagnosis, reasons for admission, length of stay, etc. Please be mindful of HIPPA. Patient Care Insert literature relevant, consistent, and related to the topic • What kind of care is the patient receiving? • How is the nursing staff currently addressing the patient’s health concerns? • Why are the current nursing interventions important for the patient’s overall health? • How do these interventions contribute to improving the patient’s health? Analysis Insert literature relevant, consistent, and related to the topic • How does the care the patient is currently receiving compare/contrast to evidence-based practice? • If the care provided differs from suggested practice, why did the nurse or student nurse choose to deviate? • If there is limited information available on patient care, what kind of care MIGHT the patient receive for their current ailment(s)? Why? Summary Summarize most important points from paper. Draw any final conclusions about topic. Reflection In this section, you may now begin to write in first person (I, me, my). Address these questions in this section in a narrative fashion: • What did you learn from the assignment? • How does this new information compare to your prior knowledge? • How do you feel about it? • How did it change you? • What new skills can you now apply? • How it will impact your practice in the future? • Did you experience any “a-ha” moment(s)? • What new connections did you make from your class, textbook, research, and experience? Patient Data Imaging/ ECG 12 lead electrocardiogram (ECG): Normal Sinus Tachycardia. Textbook information about Ischemic Stroke Authors Hoffman and Sullivan Medical Surgical Nursing. Making Connections to Practice. Second Edition
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Explanation & Answer

Attached.

Ischemic Stroke - Outline
I.

Patient Description
A. Demographics
B. Clinical presentation
C. Diagnosis

II.

Patient Care
A. Stabilization
B. Nurse interventions
C. Nurse actions

III.

Analysis
A. Evidence-based practices
B. Rationale
C. Effectiveness

IV.

Summary

V.

Reflection


Running head: ISCHEMIC STROKE

1

Ischemic Stroke
Name
Institution

ISCHEMIC STROKE

2
Ischemic Stroke

Ischemic stroke happens when there is an obstruction of the artery delivering blood to the
brain which leads to reduced oxygen and blood flow in the brain causing damage to brain cells
(Hoffman & Sullivan, 2020). The condition is important in nursing practice as quick
management can control the damage and avoid any permanent changes to the patient. About
87% of strokes are ischemic making it important for one to understand its manifestation and
evidence-based management (Pierot et al., 2019). Nurses should understand how to manage a
ient who presents with stroke-like symptoms as a matter of urgency to prevent further damage.
Also, learning how to deal with comorbidities that may occur with ischemic stroke and how they
can complicate care can help one be prepared for any emergency cases (Powers et al., 2019).
Research indicates that comorbidities such as hypertension, heart diseases, or diabetes could
complicate the management of stroke when it occurs.
Patient Description
The patient is 48 years old African American female presenting with stroke-like
symptoms in the emergency department. According to the husband’s report, she woke up with
slurred speech, disorientation, and left-sided weakness. The patient is hypertensive and has been
taking her medication but with little compliance. Instead of two doses per day, she has only been
taking one. She also has hypercholesterolemia. After the relevant tests were conducted, a strokelike diagnosis was given alongside an acute hypertensive crisis. The patient had a severe
headache, nausea, and an evident facial droop which was evident in neurological problems. She
was admitted also after her blood pressure could not be controlled despite three doses of labetalol
within thirty minutes. The patient also failed a swallow test and was restricted to nothing by
mouth until a further assessment was done.
Patient Care and Analysis

ISCHEMIC STROKE

3

Chugh (2019) noted that time was an important factor when dealing with a case of
ischemic stroke. The patient may continue to lose more brain cells if the right intervention is not
offered. The patient is receiving acute care at the moment to stabilize the increased blood
pressure which complicates ischemic stroke. Frequent neurological tests and vital signs data is
critical in the emergent stroke patient as they can show the deterioration or the resolution of the
symptoms (Smith et al., 2018). In the case patient, the blood pressure was not changing despite
the medication while nausea and headache had resolved after being given the relevant
medication. Nurse play an imperative role in ensuring that the patient is comfortable and
receiving the needed care (Powers et al., 2019). The nurse gave some antiemetic to help with
nausea and intravenous morphine to help with the headache. However, blood pressure was not
resolving and neither were any of the neurological problems.
The history of the patient has been critical in understanding...


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