Case Study, Chapter 67, Management of Patients With Cerebrovascular Disorders 1. Penny Williams, a 74-year-old patient,...
John Green, 71-year-old patient, is being discharged from the rehabilitation unit 8 weeks after an ischemic stroke. The patient's spouse stated that they used to enjoy going to golf outings with their friends, but the patient has not played golf since he had the stroke, and she does not want to try to golf once her husband is discharged home because he has to use a walker and can barely ambulate. She also stakes that her husband skill has trouble...
John Green, a 71-year-old male patient, is being discharged from the rehab unit 8 weeks after an ischemic stroke. The patient’s spouse stated that they used to enjoy going to golf outings with their friends, but the patient has not golfed since her husband had the stroke, and she does not want to try to golf once her husband is discharged home because he has to use a walker and can barely ambulate. She also states that her husband still...
John Green, a 71-year-old patient, is being discharged from the rehabilitation unit 8 weeks after an ischemic stroke. The patient’s spouse stated that they used to enjoy going to golf outings with their friends, but the patient has not played golf since he had the stroke, and she does not want to try to golf once her husband is discharged home because he has to use a walker and can barely ambulate. She also states that her husband still has...
Penny Williams, a 74-year-old patient, is admitted to the telemetry unit with the diagnosis of acute ischemic stroke. The patient is experiencing paroxysmal atrial fibrillation with a controlled ventricular rate on the monitor. The CT of the head without contrast reveals no evidence of hemorrhage. The transesophageal echocardiogram reveals moderate mitral valve insufficiency and embolism as a primary cause of the stroke. The patient is on a weight-based heparin protocol. The patient received digitalis to keep the ventricular rate of...
Penny Williams, a 74-year-old patient, is admitted to the telemetry unit with the diagnosis of acute ischemic stroke. The patient is experiencing paroxysmal atrial fibrillation with a controlled ventricular rate on the monitor. The CT of the head without contrast reveals no evidence of hemorrhage. The transesophageal echocardiogram reveals moderate mitral valve insufficiency and embolism as a primary cause of the stroke. The patient is on a weight-based heparin protocol. The patient received digitalis to keep the ventricular rate of...
Neurological Disorders Case Study History of Present Problem: CV is a 68 year-old male was admitted to the skilled nursing care facility after a middle cerebral artery ischemic stroke. He was at City Center Hospital for 3 days and is coming for rehabilitation with physical therapy, occupational therapy and speech therapy. He presents with right sided weakness, difficulty speaking and swallowing. He has a history of hypertension, atherosclerosis, and smoked a pack of cigarettes a day for the last 40...
Case Study, Chapter 50, Assessment and Management of Patients With Biliary Disorders 1. Evelyn Bean, 52 years of age, is admitted to the same-day surgery unit for an elective laparoscopic cholecystectomy. The patient presents with jaundice of the skin and sclera. The patient's urine is dark and the patient stated that she has clay-colored stools. She stated she has occasional colicky pain in her right upper quadrant of her abdomen radiating to her back. The patient had preadmission testing 1...
Case Study, Chapter 50, Assessment and Management of Patients with Biliary Disorders 1. Evelyn Bean, 52 years of age, is admitted to the same-day surgery unit for an elective laparoscopic cholecystectomy. The patient presents with jaundice of the skin and sclera. The patient's urine is dark, and the patient stated that she has clay-colored stools. She stated she has occasional colicky pain in her right upper quadrant of her abdomen radiating to her back. The patient had preadmission testing 1...
A 45-year-old female was brought to the Emergency Department by ambulance at 8 AM. Upon awakening, the patient's husband noticed she had an unsteady gait and her speech was slurred. When they went to bed the night before, at 11 PM, the patient had no deficits. A head CT was negative for abnormalities. The patient's condition continued to deteriorate, and she required intubation and mechanical ventilation. TPA was not administered. The patient was admitted to the Intensive Care Unit for...
Mary J, 86-year-old, has a history of cerebrovascular accident (CVA), 3 years ago. She has right sided weakness and expressive aphasia with minimal dysphagia. Maria J. also has a medical history of atrial fibrillation and hypertension. She lives with her daughter since the stroke. Since admission to an acute care facility 4 days ago, Maria J. has gained some strength, has become more oriented to person and place, and is anxious to start her rehabilitation program. Below are instructions please...