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I. INTRODUCTION
Cerebrovascular disease is a group of brain dysfunctions related to disease of
the blood vessels supplying the brain. Hypertension is the most important cause;
it damages the blood vessel lining, endothelium, exposing the underlying
collagen where platelets aggregate to initiate a repairing process which is not
always complete and perfect. Sustained hypertension permanently changes the
architecture of the blood vessels making them narrow, stiff, deformed, uneven
and more vulnerable to fluctuations in blood pressure.
A stroke is caused by the interruption of the blood supply to the brain, usually
because a blood vessel bursts or is blocked by a clot. This cuts off the supply of
oxygen and nutrients, causing damage to the brain tissue.
The most common symptom of a stroke is sudden weakness or numbness of the
face, arm or leg, most often on one side of the body. Other symptoms include:
confusion, difficulty speaking or understanding speech; difficulty seeing with one
or both eyes; difficulty walking, dizziness, loss of balance or coordination; severe
headache with no known cause; fainting or unconsciousness.
The effects of a stroke depend on which part of the brain is injured and how
severely it is affected. A very severe stroke can cause sudden death.
The 1990 Global Burden of Disease (GBD) study provided the first global estimate
on the burden of 135 diseases, and cerebrovascular diseases ranked as the
second leading cause of death after ischemic heart disease.
During the past decade the quantity of especially routine mortality data has
increased, and is now covering approximately one-third of the
world’s population. The increase in data availability provides the possibility for
updating the estimated global burden of stroke.
Data on causes of death from the 1990s have shown that cerebrovascular
diseases remain a leading cause of death.
In 2001 it was estimated that cerebrovascular diseases (stroke) accounted for 5.5
million deaths world wide, equivalent to 9.6 % of all deaths Two-thirds of these
deaths occurred in people living in developing
countries and 40% of the subjects were aged less than 70 years.
Additionally, cerebrovascular disease is the leading cause of disability in adults
and each year millions of stroke survivors has to adapt to a life with restrictions in
activities of daily living as a consequence of cerebrovascular disease. Many
surviving stroke patients will often depend on other people’s continuous support
to survive.

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II. OBJECTIVES
GENERAL OBJECTIVES
1. To be able to discuss the effect, signs and symptoms of the disease,
Cerebrovascular Disease.
2. How to diagnose, prevent and the treatment should the nurse give for the
patient full recovery.
SPECIFIC OBJECTIVES
1. To be able to discuss patients background ( lifestyle, history of the past
illness, family health history) to show how may this effect on the
occurrence of this disease.
2. To be able to discuss the anatomy and the physiology of the heart, for you
to be able to understand where the infection takes place.
3. To be able to discuss the pathophysiology of cardiovascular diseases and
also to know and understand the etiology of the disease.
4. To be able to discuss the patient activities of daily living. To know if there’s
a factor that triggers the disease
5. To be able to discuss, nursing care plan for our patient.
6. To be able to discuss, the medication / drugs that the patient taken and
the diagnostic test that being perform for the patient.
7. Lastly, to be able to discuss our discharge plan for fully recovery of our
patient.
III. PATIENT’S PROFILE
IV. PHYSICAL ASSESSMENT
GENERAL SURVEY

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I. INTRODUCTION Cerebrovascular disease is a group of brain dysfunctions related to disease of the blood vessels supplying the brain. Hypertension is the most important cause; it damages the blood vessel lining, endothelium, exposing the underlying collagen where platelets aggregate to initiate a repairing process which is not always complete and perfect. Sustained hypertension permanently changes the architecture of the blood vessels making them narrow, stiff, deformed, uneven and more vulnerable to fluctuations in blood pressure. A stroke is caused by the interruption of the blood supply to the brain, usually because a blood vessel bursts or is blocked by a clot. This cuts off the supply of oxygen and nutrients, causing damage to the brain tissue. The most common symptom of a stroke is sudden weakness or numbness of the face, arm or leg, most often on one side of the body. Other symptoms include: confusion, difficulty speaking or understanding speech; difficulty seeing with one or both eyes; difficulty walking, dizziness, loss of balance or coordination; severe headache with no known cause; fainting or unconsciousness. The effects of a stroke depend on which part of the brain is injured and how severely it is affected. A very severe stroke can cause sudden death. The 1990 Global Burden of Disease (GBD) study provided the first global estimate on the burden of 135 diseases, and cerebrovascular diseases ranked as the second leading cause of death after ischemic heart di ...
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