Yun Case Study - Impulsive Issues - Nursing Assignment Help

Assignment Task

Case Study
Yun is a 79 year old Asian gentleman who presented to the Emergency Department with new onset left-sided facial drop, left-sided arm and leg weakness, slurred speech and a sudden onset of a severe headache.  These symptoms have been present for the last 1 (one) hour.  
A 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 lack of physical exercise.
A CT scan has revealed a right-sided thrombotic cerebrovascular accident (CVA).  Treatment is commenced with tissue plasminogen activator (tPA).

Post the CVA, Yun has been admitted to the rehabilitation ward that you are working on.  Yun has the following issues:
• Left sided hemiplegia and neglect
• Impulsive issues
• Impaired judgement

The aim for Yun is to discharge him to home. Yun lives with his wife and son.  His son works full-time.  Yun’s wife will be his primary care giver.

1. Describe two (2) risk assessments that you would perform on Yun.  
Why would you perform these assessments?

2. Identify one (1) issue that Yun may have with meeting his activities of daily living needs.  
Why has this issue occurred?  
How will you assist him to meet this need?
Provide one (1) aid that Yun could use to help him meet his activity of daily living needs.

3. You are required to perform a health assessment on Yun.

Describe two (2) principles that you will follow when performing a health assessment.

4. Using a wellness approach to health, how will you ensure that Yun’s physical needs have been met?

5. Using a wellness approach to health, how will you ensure that Yun’s physiological needs have been met?

6. Using a wellness approach to health, how will you ensure that Yun’s psychosocial needs have been met?

7. Yun’s wife expresses concern to you about her ability to care for Yun at home.  
Describe two (2) referrals you could make to assist her in Yun’s care.  
Identify and describe one (1) support service available for her as a primary care giver.

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