NRSG374: Mr. Joni Case Study - Nursing Assignment Help

Assignment Task:

Incidence and justification
About 85% of the stroke is ischaemic stroke and only 8% of the ischaemic stroke results in death. 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 drinks alcohol and relies on takeaway food. He has a family history of hyperlipidemia 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 the 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 factors of stroke. It damages endothelium by increasing the hemodynamic pressure on endothelium and may increase the permeability of lipoprotein (Rafieian-Kopaei, Setorki, Daudi, 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).

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