A 50-year-old male patient who recently had a stroke and is now staying in a rehabilitation facility. He uses a wheelchair and has a right-side weakness of his arm and leg with difficulty speaking. He meets the discharge criteria. The driver from the rehab facility is waiting to take him back. However, the surgeon has not written the discharge orders and has left the facility. The driver from the rehab facility states that he must leave to get another patient at another facility and will return. Will this work?
Ans) This won't work, as patient is suffering from stroke & discharge instructions are mandatory for this station regarding going home also as physical limitations.
- Moving around and doing normal tasks may be hard after a stroke.
Make sure your home is safe. Ask your doctor, therapist, or nurse about making changes in your home to make it easier to do everyday activities.
-
Family and caregivers may need to help with:
Exercises to keep your elbows, shoulders, and other joints
loose
Watching for joint tightening (contractures)
Making sure splints are used in the correct way
Making sure arms and legs are in a good position when sitting or
lying
If you or your loved one is using a wheelchair, follow-up visits to
make sure it fits well are important to prevent skin ulcers.
Check every day for pressure sores at the heels, ankles, knees,
hips, tailbone, and elbows.
Change positions in the wheelchair several times per hour during
the day to prevent pressure ulcers.
If you have problems with spasticity, learn what makes it worse.
You or your caregiver can learn exercises to keep your muscles
lose.
Learn how to prevent pressure ulcers
A 50-year-old male patient who recently had a stroke and is now staying in a rehabilitation...
A 50-year-old male patient who recently had a stroke and is now staying in a rehabilitation facility. He uses a wheelchair and has a right-side weakness of his arm and leg with difficulty speaking. He meets the discharge criteria. The driver from the rehab facility is waiting to take him back. However, the surgeon has not written the discharge orders and has left the facility. What reasonable discharge plan and objectives can be made at this point?
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...
Scenario: H.S. is a 65-year-old male recently admitted to the long-term care facility for rehabilitation after a two-week hospitalization for exacerbation of COPD. He is receiving physical therapy (PT), medical social work (MSW), registered nutrition (RD), and nursing services. His length of stay is expected to be two months or less and then he is to be discharged home. The patient’s spouse talks with the RN, saying: “I thought things would calm down after his hospital discharge. He still needs...
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...
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...
Scenario: H.S.is a 65-year-old male recently admitted to the long-term care facility for rehabilitation after a two-week hospitalization for exacerbation of COPD. He is receiving physical therapy (PT), medical social work (MSW), registered nutrition (RD), and nursing services. His length of stay is expected to be two months or less and then he is to be discharged home. The patient's spouse talks with the RN, saying: "I thought things would calm down after his hospital discharge. He still needs so...
Mr. J is a 62 year-old patient who has a history of GERD, Rheumatic Heart Disease, hyperlipidemia and hernia repair. His wife brought him to the Emergency Department for suspected stroke at 6:30pm this evening. Mrs. J states that her husband began complaining of a headache shortly before dinner. Additionally, during their meal, Mr. J was unable to pick up his fork and was having difficulty speaking. Initial VS are as follows: HR 112 a-fib, RR 28, SAT 92% on room air, BP 175/100, Temp...
You are a nurse in a busy rehabilitation unit. The client you are caring for is an 18 year-old male who was critically injured in an automobile accident 2 months ago. He is comatose at the present time but stable, but his prognosis, though guarded, suggests that he should come out of the coma at some date. Residual neurological defects are unknown, but his physical injuries have healed. His mother is at his side holding his hand. She spent all...
Patient Profile #2 M.M. is a 90-year-old woman who recently had a stroke and is now in a nonresponsive state on the medical unit. She has one daughter, Jen, who has stayed with her day and night since M.M. was admitted. The health care provider informed Jen a few hours ago that there is little hope of her mother recovering. Jen is tearful and tense, questioning, “Why did this happen?” You are concerned about Jen’s health, especially with regard to...
Case Study, Chapter 67, Management of Patients With Cerebrovascular Disorders 1. 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. A 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...