NRSG265: Principles of Nursing Medical - Nursing Assignment Help

Assignment Task :

Introduction 
The purpose of this presentation is to find out the possible complication which Mr Joni could face in the future. Mr. Joni is  obese, had a family history of stroke, hyperlipidaemia, hypertension, gout and AMI. Similarly, his recent blood report shows increase blood cholesterol and glucose level. So, I believe the potential health complication of Mr. Joni is  the risk of developing ischemic stroke. Let me explain about the ischemic stroke first. Ischaemic stroke is a sudden loss of function of the brain resulting from the disruption and blockage of blood supply in the cerebral arteries leading to the cerebral cell death. In this presentation, I will be using various steps of clinical reasoning cycle in order to explain why stroke is the potential complication for Mr Joni. Similarly, I will also be explaining the pathophysiology, clinical manifestation and consequence of ischemic stroke. Likewise, I will be writing about the goals to reduce its complication and relevant intervention to accomplish his goal.
 Consider the patient, collect cues and information

Mr Joni is 56 years old male from Fijian background who works  50 hrs/week. Because of his work, he could hardly involve in church activities and physical exercise. He smokes and drink alcohol and rely on the takeaway food. 

He has family history of hyperlipidaemia and stroke. He also has his own  history of  hypertension acute myocardial infraction , obstruction sleep apnoea and gout. His recent vital observation shows elevated BP and recent blood test result shows elevated total fasting cholesterol (9.2mmol/L), high urine ACR-10 mg/mmol (microalbuminuria) and elevated total fasting BGL is 9.6 mmol/L.

Mr Joni had a history of hypertension which is one of the risk factor of stroke. It damage endothelium by increasing  the hemodynamic pressure on endothelium  and may increase  the permeability of lipoprotein (Rafieian-Kopaei, Setorki, Doudi, Baradaran, & Nasri, 2014).

His blood cholesterol level is very high. High total blood cholesterol give rise of atheroma which are the yellow cholesterol substance deposited in the blood vessels  later develop as the atherosclerosis plaque ( Rafienian-Kopaei et al., 2014). 

Similarly, Atherosclerosis plaque is the main cause of ischaemic stroke. This is significant because about 50% of the ischaemic stroke occur due to large vessel atherosclerosis (Sommer, 2017).

According to Norrving (2014), other risk factors includes cardiovascular disease, obstruction sleep apnoea, diet, drinking, microalbuminuria, alcohol ,obesity with BMI> 32.17 kg/m2 and smoking.

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