Evaluation of the case:
What is stroke?
The formation of a clot in the arteries leading to or within the brain causing an interruption to the flow of blood to a specific area of the brain. (National Stroke Association, 2014)
Symptoms of a stroke:
Weakness or a complete loss of sensation to a body part
Dizziness, loss of balance & coordination and difficulty sitting, standing and walking.
(National Stroke Association, 2014)
Age & gender risk factors - 55-year-old woman
The risk of having a stroke greatly increases with age.
Men are typically more at risk of having a stroke than women (The Heart and Stroke Foundation of South Africa, 2007)
Hypertension
Chronic hypertension leads to atherosclerosis (plaque build-up) which causes the walls of the arteries to harden and in turn can lead to blockage/clots.
Hypertension can also thin the walls of arteries/blood vessels weakening them. This may cause them to burst. (Beckman, WebMD 2013)
Medication for hypertension
Diuretics – S/E: Weakness, confusion, fatigue, light-headedness and muscle cramps.
Beta Blockers – S/E: Dizziness, low exercise tolerance, postural hypotension and weakness. (Issue of Harvard Women's Health Watch, 2009)
R CVA – L Hemi
Injury to the RIGHT side of the brain: o Controls the learning process, non-verbal communication and behaviour.
Damage can result in: o Excessive talking, memory problems and short attention spans.
Problems: o Spatial-perceptual deficits o Quick & impulsive
Considerations: o Don’t overestimate the pt’s abilities o Use verbal cues (demonstration may be difficult to understand) o Minimize clutter & use visual reference points o Avoid rapid movements
Facilitation is important!
(National Stroke Association, 2014)
Falling to the ...
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...n the ward or at home. Functional activities may trigger a memory of how the pt’s were once able to perform the activities. (Stroke association)
Make sure that you progress the exercises once the pt is able to perform the activities you have decided on. Make the activities more difficult by introducing more components or asking more of them during the treatment session (adding weights, making the pt stretch further, etc)
Incuse short-term and long-term goals relating to the main problem. Make sure that these goals are realistic and time frames are reachable. Note that some goals may take some time to reach and if the pt is discharges ask her to come back as an out patient or to be referred to a clinic to continue treatment.
1. What is the difference between a. and a. Introduction The main aim of this report is to present and analyse the disease called Cerebrovascular Accident, popularly known as stroke. This disease affects the cerebrovascular system, which is a part of the cardiovascular system.
A stroke can happen at any age but for patients who are 55 and older, their risk factor will increase due to age and physical activity. “While stroke is common among the elderly, a lot of people under 65 also have strokes”(“About Stroke” page 1). Also at risk are African Americans because of other health issues that can trigger a stroke, for example: high blood pressure, diabetes and obesity. Caucasians and Hispanics are also at. Not only does Ethnicity and age play a factor, but so does other health conditions. Patients who suffer from high blood pressure, diabetes, heart disease, obesity, alcohol and drug
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
Strokes. Generally, whenever we hear about someone who suffered from a stroke, the result is never good. Why is it that strokes are so dangerous and why is it so important for providers to recognize them as early as possible? What do we do when we suspect a patient is currently having an active CVA (cerebral vascular accident)? All of these are excellent questions that medical providers need to affluent in.
Hypertension, also known as high blood pressure is a medical condition where the arteries are constantly experiencing high blood pressure due to the force exerted on the walls of the arteries as the heart pumps blood throughout the body.
Treatment can be very boring for some people especially when it comes to physical therapy. Physical therapy is defined as “Process of doing a group of repetitive exercises in order to regain the range of motion
There are generally two categories of hypertension, primary hypertension and secondary hypertension. The causes of primary hypertension are usually unknown and it develops gradually over the years. As for secondary hypertension, the causes are mainly underlying other health problems and it develops in a sudden of time. (The Healthline Editorial Team 2013) First of all, hypertension can be related to renin-angiotensin-aldosterone system (RAAS). Renin is an enzyme secreted mainly via the juxtaglomerular apparatus of the kidney when the sodium retention and water retention are reduced in the blood. (Beevers, Lip, and O'Brien 2001) Renin will bind to a substrate which is angiotensinogen and form angiotensin I which is an inactive peptide. (Foëx and Sear 2004) After that, angiotensin I will be rapidly converted to an active peptide angiotensin II by angiotensin-converting enzyme (ACE) in lungs. As a result, vasoconstriction occurs due to presence of angiotensin II and this increases the blood pressure. Moreover, angiotensin II can stimulate the releasing of aldosterone by adrenal glands. Secretion of aldosterone raises the blood pressure by reabsorbing sodium salts and water to increase sodium and water retentions. (Beevers, Lip, and O'Brien 2001)
A disease or a disorder for the blood vessels can be fatal. The coronary arteries supply and maintain the myocardium. Coronary artery disease can cause a heart attack or hypertension when blood vessels get small or filled up with cholesterol, scar tissue, or calcium. Other problems can happen also. For instance disorders for the heart valves or for the heart muscle and pericardium.
Like every profession in the medical field even Physical Therapist need to be relaxed and determined. When a patient comes to a Physical Therapist for intervention they more than likely do not want to be there and think it is a waste of time. With this being said, the patient
The aim of this essay is to discuss Mary, a 75 year old retired teacher with a history of obesity and hypertension, who one month previously, suffered an Ischaemic stroke. In line with the Nursing and Midwifery Council (NMC) (2011) confidentiality guidelines, the identity of the service user has been kept anonymous by using the pseudonym ‘Mary’. In relation to Mary, the author will discuss the risk and resilience factors associated with stroke, the vulnerability impact of the disease, and the appropriate level of care which makes a difference to recovery.
As an occupation in the medical field, physical therapists have a very long strenuous list of duties. That list includes working with patients with limited use of their bodies due to injury or disability and improving mobility while reducing pain. Physical therapists provide care to people of all ages who have functional problems such as sprains, strains, fractures, arthritis, amputations, stroke, cerebral palsy, other injuries relating to sports, other injuries relating to work, other neurological disorders, and various other conditions. Some ways that physical therapist go about reducing pain levels of their patients is by using exercises, stretching, hands on therapy, and special equipment that is designed to help increase their mobility, prevent further injury, and smooth out the...
Physical therapy is always full of surprises, from new advancements in technology to new and improved therapeutic techniques. Although there are fun games and new technology that physical therapists can do with patients, the main struggle for physical therapists is to motivate their patients to complete their therapy exercises both in the clinic and in the outside world. This problem is very frustrating because the doctors who work at the clinic constantly push patients to complete their therapy so that they can heal; however, when patients are stubborn and reluctant to their treatment, yet constantly complain of pain, doctors must spend more time convincing them to do the therapy rather than completing the therapy itself.
The animals that stroke primarily affects are humans. This is likely caused by risk factors that humans attain, such as cigarette smoking, high blood pressure, diabetes, high blood cholesterol, a poor diet, stroke occurring in ancestors, and physical activity/obesity. Stroke has is also starting to become recognized in cats, dogs, and rabbits. According to the World Health Organization, 15 million people suffer from a stroke worldwide every year. Of the people diagnosed, 5 million die and 5 million are permanently disabled. In the United States, 795,000 suffer from stroke annually. 85 percent of the diagnosed strokes are ischemic and 15 percent of them are hemorrhagic As for the humans diagnosed, three fourths of the people that suffer from a stroke are elderly (over the age of 65). This is caused by raising cholesterol levels and the narrowing of arteries as someone ages. Ethnicity, as well as age can also affect a person’s risk to fall victim to a stroke. Africans have a much higher risk of death from a stroke than Caucasians do. This is partly because blacks have greater risks of high blood pressure, diabetes, and obesity. Research suggests Africans may carry a gene that makes them more salt sensitive, inevitably increasing the risk of high blood pressure. Fortunately, research is still being done to prevent stroke. Rats and mice are primary animal subjects for studying this deadly
Physical therapy is a fun and exciting healthcare profession that helps people. It is all about helping other people who have problems with their body, muscles, joints and other parts of their body. Patients includes accident victims and individuals with disabling conditions such as low back pain, arthritis, heart disease, fractures, head injuries, and cerebral palsy. Physical therapy will perform an evaluation of your problem or difficulty. They evaluate your problem by performing tests and measures to assess the problem. These tests includes muscle strength, joint motion, sensory and neurological, coordination, balance, observation, palpation, flexibility, postural screening, movement analysis, and special tests are designed for a particular problem. Next, they develop a treatment plan and goals and then manage the appropriate treatment to aid in recovery of a problem or dysfunction. Physical therapists are able to treat their patients by using many different treatments depending on the type of injury. Some of the treatments are electrical stimulation, hot and cold packs, infrared and ultrasound to reduce swelling or relieve pain. These treatments are used to help decrease pain and increase movement and function. Therapeutic exercises instructions will help restore strength, movement, balance, or skill as a guide towards full functional recovery. Physical therapy provides "hands on techniques" like massage or joint mobilizations skills to restore joint motion or increase soft tissue flexibility. They will focus on basic skills such as getting out of bed, walking safely with crutches or a walker, moving specific joints and muscles of the body. Physical therapists treatment includes patient education to teach them how to deal with a current problem and how to prevent the problem in the future. Such documentation is used to track the patient's progress, and identify areas requiring more or less attention. They encourage patients to use their own muscles. Their main goal is to improve how an individual functions at work and home.
Physical therapists are health care professionals that provide therapeutic services to their patients who have temporary or chronic physical conditions that were caused from injury or disease. Physical therapist also provided therapeutic services to patients after they have gone through surgery to help them gain back mobility and manage their pain. They can also work in preventive care by promoting healthy life styles and instructing individual patients or groups on preventing injury by using exercises that stretch and strengthen muscles. To help their patients try to recover they use massage techniques, wellness plans, and different types of equipment. When a physical therapist sees a patient for the very first time they must do an examination, evaluation, diagnosis, and then put together a physical intervention to start the rehabilitation process. They also work as a team with other health care professionals to help with their patients needs. Physical therapist can really make a difference in their patient’s lives by not only providing therapeutic services but also encouraging and motivating them so they can get better. The main goals of physical therapist are to help their patients retain or gain back lost physical mobility, eliminate or reduce pain, increase productivity and help promote a healthy life style so patients can have a better quality of life and become more independent.