Highlights
Case Study
Mr Sam Kwon is a 74-year-old man (Medical Record Number (MRN) 684421). He was brought in by paramedics with right-sided hemi-paralysis, aphasia and facial drooping. He has a history of hypertension, congestive cardiac failure, and type 2 diabetes mellitus.
A CT scan without contrast suggested a probable left cerebrovascular accident, with increased density in the left middle and cerebral artery and possible early signs of oedema From these results, it is expected that Mr Kwon may also be experiencing homonymous hemianopia, but communication is difficult at this stage. As he is aphasic he requires a communication board, however, he can answer with a head nod to closed questions.
Mr Kwon's BGL is 9.4mmol/L. He has basal crackles and has been placed on oxygen at 2L/min via nasal prongs. A swallow review has been booked for today; meanwhile he remains nil by mouth. The time of the incident is currently unknown as his family have been out since early morning and did not find him until late last night.
You will be assessed on your ability to:
1. Identify and analyse key case findings and draw logical conclusions. (30)
2. Develop and prioritise care strategies that flow from your analysis. (30)
3. Explain your decisions in a clear and logical way. (20)
4. Incorporate relevant ideas from the literature in your writing that support your argument. (10)
5. Use academic English, grammatically correct sentences and APA style for references.
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