Question

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 speaking, and his short-term memory is not very astute so it would be embarrassing to be on golf outing with him. The patient's spouse has worn the same outfit to the rehabilitation unit the past 3 days, and the nurse notices the patient's hair is unkempt and his affect is flat. The rehab nurse nurse has made arrangements with the social worker for a physical therapist, speech therapist, and occupation therapist to provide three sessions of Therapy at the patient's home for the next 4 weeks, and then a reevaluation will follow to determine if the patient will need further therapy. The patient is able to sit independently, stand independently, and use a walker. The patient is able to ambulate another 30 feet. The patient slurs words occasionally and has hesitant speech. The patient has problems with short-term speech.
a.what educational topics should the nurse provide the family about home care for the patient after stroke?
b. What assessment of the spouse does the nurse need to make, and what should the nurse suggest?

Answer 1

a.what educational topics should the nurse provide the family about home care for the patient after stroke?

sudden weakness, numbness (especially on one side of the body), vision loss or dimming, trouble talking or understanding speech, unexplained dizziness, unsteadiness, or severe headache.

Intercessions for safe gulping and desire counteractive action.

Essentialness of limiting or treating the accompanying danger factors: diabetes mellitus, hypertension, elevated cholesterol, high Sodium consumption, weight, idleness, smoking, delayed bed rest, and unpleasant way of life.

Significance of taking endorsed meds routinely and on calendar. Try not to stop drugs unexpectedly.

Empower quiet/family to keep medication and seizure diagram journal.

Strengthen tranquilize organization directions.

Significance of keeping with the arrangements.

Clarify or educate family reactions of prescriptions.

Advise social insurance supplier if there is a huge weight gain or misfortune.

Educate to maintain a strategic distance from mixed beverages and OTC medications.

Empower oral cleanliness

b. What assessment of the spouse does the nurse need to make, and what should the nurse suggest?

Can barely ambulate – Positioning: Bedrest, it will help improve the patient’s condition, which will help increase activity level.

Trouble speaking – Speech treatment; Encourage patient to perform facial muscles works out; give a steady and loosened up condition for patient; give elective strategies for correspondence

Here and now memory

Same outfit and unkempt hair – help performing autonomously self-care; show capacity to versatile gadgets Influence is level.