Stroke Case Study Physical Therapy

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Also known as cerebrovascular accident (CVA), stroke occurs when part of the brain is deprived of adequate oxygen due to an arterial blockage or rupture.

It accounts for more than 160,000 annual deaths in the United States, making stroke the third leading cause of death, following closely behind heart disease and cancer. There are two kinds of CVAs or stroke: an ischemic stroke (occurs when the blood supply to the brain is interrupted, usually by a blood clot) or a hemorrhagic stroke (happens when there is bleeding in or around the brain).

He asks the case manager to meet with Lucinda, and then with Mario when he is fully conscious.

When the attending case manager speaks with the wife, she asks about insurance coverage and verifies that the patient has adequate coverage through his employer’s health insurance plan.

When patients are treated by medical professionals soon after a stroke occurs, permanent brain tissue damage or death may be avoided.

The nurse informs Lucinda that the major identified risk factors associated with an increased risk of stroke include: * Age (older than 65 yrs) * Hypertension * Family or personal history of cardiovascular disease * Smoking * Obesity.The squad team then notified the receiving hospital of a possible stroke patient.A stroke can often times be catastrophic, especially when medical attention is not received immediately after it occurs.She adds that a healthy diet and lifestyle should be followed to assist in Mario’s recovery and prevent stroke recurrence, of which he is now at higher risk.The case manager tells Lucinda that it is important that both her husband as well as she, as a family unit, incorporate a healthy lifestyle indefinitely to aid in improving the patient’s BMI.He disliked physical activity and his idea of “exercise” was watching sports on television. When the nurse asks the wife if he had experienced any unusual symptoms prior to being admitted to the hospital, she tells her that Mario had complained of escalating migraines a couple of days ago.But she tells the nurse that this was not unusual since Mario had suffered migraines ever since his late thirties when he immigrated to the United States from his native Puerto Rico.His recent diagnosis of diabetes also was noted as well as the oral hypoglycemic agents he was taking.During the gathering of the patient’s medical history, the attending ER physician informs Lucinda that preliminary tests had indicated a diagnosis of stroke.In addition, the case manager reassures Lucinda that she will follow-up with Mario’s assigned stroke care team and recommend that he be provided ongoing educational materials and patient reinforcement regarding medication adherence, lifestyle choices, dietary choices and rehabilitation options for stroke.With the assistance and information provided by the ER case manager, Lucinda feels less anxious and more knowledgeable about how to help care for Mario, which can in turn, help propel the necessary action toward a critical and pivotal next step in the entire family’s plan of care.


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