HLT54115: Neurological System - Case Study - Medical Science Assignment Help

Assignment Task

Case Study

Yun Ding is a 79-year-old man who was admitted to the emergency department with a new-onset left-sided facial droop, left-sided arm and leg weakness, slurred speech and a sudden onset of a severe headache. These symptoms have been present for the last hour.

History revealed that Yun has had previous transient ischaemic attacks (TIAs) x 2 in the past year. He has hypertension and is overweight with a poor diet (high in salt) and a lack of physical exercise.

A CT scan has revealed a right-sided thrombotic cerebrovascular accident (CVA). Treatment is commenced with a tissue plasminogen activator (tPA).

Yun lives at home with his wife who is in good health. He is left-handed. He has a supportive family.

1. Identify and explain four (4) risk factors associated with cerebrovascular accident (CVA).

2. Describe what happens to cerebral blood vessels and cerebral cells during a thrombotic cerebrovascular accident (CVA).

3. Explain the difference between an ischaemic cerebrovascular accident (CVA), and a haemorrhagic cerebrovascular accident (CVA).

4. a. List four (4) clinical manifestations that someone experiencing a cerebrovascular accident (CVA) is likely to experience.

b. Which of these symptoms is Yun displaying?

5. When assessing a person that you suspect has a potential cerebrovascular accident (CVA) you can use the FAST assessment tool.

a. What does the FAST acronym stand for and what is used to assess?

b. If you suspect a person is having a CVA, what are some of the nursing actions you will undertake? Include in your answer how you will use the FAST assessment tool.

6. Yun has been diagnosed with R) thrombotic CVA. Identify two (2) actual or potential CVA-related problems that may impact Yun`s Activities of Daily Living (ADL’s)

7. After the cerebrovascular accident (CVA), Yun has the following issues:

• Left-sided hemiplegia
• Disorganised in planning and undertaking ADL’s
• Speech deficit/difficulties
• Urinary Incontinence

For each issue, identify one (1) supportive services Yun will require for discharge and their purpose/role.

8. From the case study data:

a. Identify two (2) potential risk factors contributing to Yun’s CVA.

b. Identify one (1) modifiable risk factor and explain what Yun could have done to reduce his risk of CVA.

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