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Cerebral Vascular Accidents
Definition of a CVA
A stroke is a serious occurrence that is considered to be a medical emergency, according to CDC.gov. Strokes happen when either a blood clot in the brain blocks blood flow carrying vital oxygen, or a blood vessel breaks within the brain and oxygen does not arrive at specified locations. (CDC.gov/Stroke Fact Sheet) Oxygen is imperative for brain function. According to CDC.gov, the brain utilizes approximately twenty percent of the body’s oxygen intake; without a continuous intake of oxygen, brain cells begin to die. According to stroke.org, every single minute before a stroke can be treated, an estimated 1.9 million neurons are lost, which is why it is important to know the signs and symptoms of
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a stroke or CVA (Cerebral Vascular Accident). Signs and Symptoms of a CVA Stroke.org discusses the signs and symptoms to look for when a CVA occurs. When any of these occur, they are very sudden and abrupt. (Stroke.org) Symptoms may include: one-sided numbness or weakness in parts of the body including the face and appendages, trouble talking or understanding with confusion, problems seeing with one or both eyes, having a hard time walking, loss of coordination and dizziness, and having a severe headache. (Stroke.org) CDC.gov has an acronym to go by if you think that someone is having a CVA. FAST stands for Face, Arms, Speech, and Time. (CDC.gov) For face, see if the person can smile. If only one side can smile, continue to the next step. For Arms, ask them to raise both arms. If one arm droops down, proceed to Speech. If the person cannot repeat a phrase or has slurring of speech, continue to Time and call 911 right away. (CDC.gov) The faster a patient can receive treatment for a CVA, the better chance at recovery and damage prevention. CDC.gov states that patients need to get medical help within three hours of a CVA in order to receive the best treatment. Pathogeneses of a CVA There are ways to help prevent a stroke, including changes in lifestyle. CDC.gov promotes eating healthy, keeping a healthy weight, exercising, not smoking, and not drinking much alcohol if any. Other medical conditions, such as cholesterol, blood pressure, diabetes, and heart disease may contribute to raising the risk of a stroke, as discussed by CDC.gov. Body Changes as a Result of a CVA There can be many changes to the body after a stroke occurs. Stroke.org discusses these changes, including: tiredness and fatigue, problems swallowing, movement and balance issues, headaches, issues with behavior and communication, emotional changes, issues with memory and how one thinks, problems with vision, and differences with taste and smell. It can be difficult recovering from a CVA, thus support from family members and friends can assist on the road to recovery. Affected Body Systems of a CVA CVAs have the ability to affect many systems in the human body.
The brain and nervous system is probably the system that is hit the hardest when this happens. Issues with many of the activities of the brain may occur, including things like memory and coordination. (stroke.org) The cardiovascular system may be affected as well, as blood clots or an aneurysm are usually the cause of a stroke. (CDC.gov) Another system that may be affected by a CVA is the urinary system as a victim may become incontinent afterwards. (CDC.org) Because coordination can be affected, the muscular/skeletal systems may be involved also if a patient needs assistance walking or with controlling movements in various tasks. (CDC.org)
Economic Impact of CVAs
In the United States, about every 40 seconds, a stoke takes place. (strokeassociation.org) Approximately 795,000 Americans will have a stroke each year, out of those, about 129,000 will die from this disease. (strokeassociation.org) Of these statistics, about 40 percent of deaths due to a stroke will occur in males and about 60 percent in females. (strokeassociation.org)
Conclusion
CVAs are a very prevalent cause of disability and death. They may strike at any age or in any ethnicity. It is vital that help is received in a timely matter when one is suffering a stroke in order to better the chances of survival and
recovery. References Stroke. (2016). Retrieved April 12, 2016, from http://www.cdc.gov/stroke/ Stroke Fact Sheet. (2015). Retrieved April 12, 2016, from http://www.cdc.gov/dhdsp/data_statistics/fact_sheets/fs_stroke.htm Signs and Symptoms of Stroke. (2014). Retrieved April 12, 2016, from http://www.stroke.org/understand-stroke/recognizing-stroke/signs-and-symptoms-stroke What problems do people have after a stroke? (2015). Retrieved April 12, 2016, from https://www.stroke.org.uk/what-stroke/what-problems-do-people-have-after-stroke Impact of Stroke (Stroke statistics). (n.d.). Retrieved April 12, 2016, from http://www.strokeassociation.org/STROKEORG/AboutStroke/Impact-of-Stroke-Stroke-statistics_UCM_310728_Article.jsp#.Vwx0Mo-cGUk
Carole Lauren is a 44 year old mother of two, a wife, and a school teacher by profession. Her story began 21 months ago when she had a cerebrovascular accident that left her hemiplegic. Almost two years passed since the event. Carole regained most of the lost function in her left leg, ankle, and foot. However, she still has limited function in her left arm and hand. She also has difficulty organizing her thoughts and read her message from a paper. Her story is about a journey through the health care system.
Mr. X is 84 years old. He was admitted to the hospital on January 4, 2014, due to hematuria in his urine and a suspected Transient Ischemic Attack (TIA). After the admission, he was sent for a CT scan, which confirmed Mr. X’s TIA in his right hemisphere. On January 5, 2014 Mr. X was transferred to CP1, an acute care stroke unit. His first TIA episode had been on August 28, 2012. His comorbidities include hypertension and type II diabetes. His activities are limited to bed rest as he has risk of falls; also he is on input-output with a Foley catheter. He has left side weakness and mild facial drooping on the left side. He is alert and oriented; however, he has trouble focusing on many people at one time. His care plan state...
Cerebrovascular Accident a) Overview - definition and the effects of the stroke on the body A stroke is a serious, life-threatening medical condition that occurs when the blood supply to part of the brain is cut off. (http://www.nhs.uk/conditions/Stroke/Pages/Introduction.aspx) This condition is a common cause of death and disability, especially in older people. Some predisposing factors include: • hypertension • atheroma • cigarette smoking • diabetes mellitus It occurs when blood flow to the brain suddenly interrupted, causing hypoxia. The effects include paralysis of a limb or one side of the body and disturbances of speech and vision.
Due to the lose in brain cells sometime facial nerve can become damage. Which is also a sign of a stroke. In stroke patient usually when ask to smile, only half of their facial muscle would be able to do so. While the other half remain drooped. The Circulatory system is affect as well. Remember in a Hemorrhagic stroke a ruptured blood vessel begins to bleed out into the brain. Once blood is secreted out side the blood vessel into the tissues, red blood cells will take away nutrient from the brain cells. In Ischemic, the blockage in the blood vessel does not allow the blood to circulated proper. As a result of lost blood supply brain cells will die in the area where it is not receiving nourishment. Traveling in our bloodstream is oxygen and glucose, which is constantly need for cells to preform they daily functions.
Stroke occurs when the blood supply to the brain is blocked or condensed. Blood works to transport oxygen and other beneficial substances to the body’s cells and organs, as well as the brain. There are two main types of strokes that are known as Ischemic strokes and Hemorrhagic strokes. When the blood vessels that provides for the brain becomes congested, is it referred to as ischemic stroke, the most common stroke within adults. Blood clots, a cluster of blood that sticks together, are the cause of Ischemic strokes. Ischemic strokes also takes place when arteries become backed up with plague, leaving less blood to flow. Plague is cholesterol, calcium and fibrous and connective tissue that sticks to the walls of blood vessels. Ischemic strokes eternally damage the brain and cause a person's body to no longer function habitually.Some risk factors that may increase stroke are high cholesterol, diabetes, high blood pressure, and obesity. Some stroke factors are also due to old age or having a family that has a history of strokes. Men are more likely to have a stroke but the most st...
It goes without saying that everyone’s health is important and should be taken care carefully. Everyone has heard of strokes before but many people do not really know its meaning, types, and the number of individuals of that dies due to this issue. According to Centers for Disease Control and Prevention (2015), strokes kills an average of 130,000 people a year and it is one of the most common deaths that happen in the United States. An average of 800,000 of people die from cardiovascular disease and strokes and it is also a reason of long-term disability (Centers of Disease Control and Prevention, 2015). Strokes, which can also be called cerebrovascular accident or CVA happen when the blood supply to the brain is interrupted or the blood vessel going towards the brain burst. Then part of the brain dies or become seriously injured because the brain cells do not receive oxygen and they eventually die. People’s lifestyle may also impact seriously on their health and increase the possibility of having a stroke. Some of the risk that can severely increase the cause of stroke would be high blood pressure, heart disease, diabetes, cigarette smoking, as well as strokes that
The bleeding of the brain also causes increased pressure on the brain and it presses against the skull. Symptoms of a hemorrhagic stroke vary upon the amount of blood tissues affected and the location of the bleeding. A transient ischemic attack only lasts for a few hours of the day or a day and it doesn't cause permanent brain damage like an ischemic stroke would. (TIA) transient ischemic attack is not considered to be a stroke, it is referred to as a warning signal before having a stroke. Ask yourself how does a stroke change a person's everyday life drastically? People who suffer from strokes have to live with a mental or physical disability that causes them to be limited.
It is caused by clot that blocks blood vessels from supplying blood to the brain through cerebrovascular events. If there is no blood in the brain, then there is no oxygen or nutrients because it is blood that supplies it to the brain. This can cause permanent brain damage which can cause inflammation. Fasting has there been known to be effective and efficient against stroke because it increases cognitive functioning and health of the brain. In addition, fasting has been known to increase neuro-protective proteins and reduction in inflammatory substance known as cytokines. This is critical reducing the chances of damaging the brain that can cause
Strokes are not only the leading cause of mentally disabling adults, but they are also the third most common reason for deaths worldwide (Jarvis, 2012). In general, a stroke, also called a “cerebrovascular accident,” occurs when blood flow of the vascular system is blocked from reaching parts of the brain (Jarvis, 2012). There are two types of stroke, an ischemic stroke or a hemorrhagic stroke, and they differ in the way they affect the vascular system. An ischemic stroke is the most common type of stroke, accounting for 80 percent of all strokes, and it is due to a thrombus or embolus blocking blood vessels supplying the brain (Durukan & Tatlisumak, 2007). A hemorrhagic stroke is less common, but is caused by the rupturing of a blood vessel in the brain and causes bleeding (Jarvis, 2012).
The World Health Organisation (2013) explains that an Ischaemic stroke occurs as a result of a blood vessel becoming blocked by a clot, reducing the supply of oxygen to the brain and, therefore, damaging tissue. The rationale for selecting Mary for this discussion is; the author wishes to expand her evidenced based knowledge of stroke since it is the principal cause of disability and the third leading cause of mortality within the Scottish population (Scottish Intercollegiate Guidelines Network (SIGN), 2008) and, therefore, a national priority. In response to this priority, the Scottish Government (2009) produced their ‘Better Heart Disease and Stroke Care Action Plan’. Additionally, they have introduced a HEAT target to ensure 90% of stroke patients get transferred to a specialised stroke unit on the day of admission to hospital (Scottish Government, 2012).
“Time is brain” is the repeated catch phrase when addressing the treatment and management of stroke (Saver, 2006). Access to prompt and appropriate medical care during the first few hours of stroke onset is critical to patient survival and outcomes. Recent changes in the guidelines for acute stroke care released by the American Heart Association (AHA) and the American Stroke Association (ASA) have improved patient access to treatment. Stroke treatment now follows the model of myocardial infarction treatment. Hospitals are categorized into four levels based on stroke treatment capability. The most specialized treatment is available in comprehensive stroke centers followed by primary stroke centers, acute stroke-ready hospitals, and community hospitals. The use of telemedicine now enables even community hospitals, with limited specialized capabilities, to care for stroke patients. Telemedicine puts emergency hospital personnel in contact with neurologists providing expertise in the evaluation of a stroke patient and determination of their eligibility for treatment with thrombolytic medication (Jefferey, 2013).
Stroke is a serious medical condition that affects people of all ages specifically older adults. People suffer from a stroke when there is decreased blood flow to the brain. Blood supply decreases due to a blockage or a rupture of a blood vessel which then leads to brain tissues dying. The two types of stroke are ischemic stroke and hemorrhagic stroke. An ischemic stroke is caused by a blood clot blocking the artery that brings oxygenated blood to the brain. On the other hand, a hemorrhagic stroke is when an artery in the brain leaks or ruptures (“About Stroke,” 2013). According to the Centers for Disease Control and Prevention (CDC), “Stroke is the fourth leading cause of death in the United States and is a major cause of adult disability” (“About Stroke,” 2013). Stroke causes a number of disabilities and also leads to decreased mobility in over half of the victims that are 65 and older. The CDC lists several risk factors of stroke such as heredity, age, gender and ethnicity as well as medical conditions such as high blood pressure, high cholesterol, diabetes and excessive weight gain that in...
It is a known fact that approximately 8% of all strokes occurring worldwide, are caused by the rupturing of brain aneurysms. Those are the unlucky people, fortunately, about 94% of all brain aneurysms do not rupture at all, and people are able to live their lives normally, just of course being careful not to do anything to severely damage their head (Nisacara). The “brain” is the control center for your body. Your brain receives messages from your body. It also sends messages to other parts of your body” (DeGezelle).
Stroke is a commonly known disease that is often fatal. This cellular disease occurs when blood flow to the brain is interrupted by either a blood clot halting the progress of blood cells in an artery, called an Ischemic stroke, or a blood vessel in the brain bursting or leaking causing internal bleeding in the brain, called a hemorrhagic stroke. When this happens, brain cells are deprived of oxygen and nutrients because the blood cells carrying these essential things are stopped, causing them to die. When the cells in the brain die, sensation or movement in a limb might be cut off and may limit an organism’s abilities. A person with stroke is affected depending on where in the brain the stroke occurs. In other words, symptoms of a stroke
An aneurysm is a disease of the arteries which due to a weak spot on a blood vessel, causes an outward bulging or ballooning of the arterial wall. It contributes to more than 25,000 deaths in the United States each year. The pathology of the disease is not well understood and even today there has yet to be a method of predicting a person’s probability of developing one such circumstance. Most un-ruptured aneurysms are incidentally discovered through CT scan or MRI and it has proven to be just as difficult to predict the risk of sudden rupture. According the Brain Aneurism foundation an estimated 6 million people in the United States have an un-ruptured brain aneurysm, at a rupture rate of 8-10 per 100,000 people. It is therefore of paramount importance to develop models that are capable of quantifying the response of the wall structure in the arterial vessel as it succumbs to this degenerative process.