a nurse is caring for a client who had a cerebrovascular accident 2 days ago This is a topic that many people are looking for. star-trek-voyager.net is a channel providing useful information about learning, life, digital marketing and online courses …. it will help you have an overview and solid multi-faceted knowledge . Today, star-trek-voyager.net would like to introduce to you Cerebrovascular Accident (Stroke). Following along are instructions in the video below:
Thats strange. My vision is blurred are you sick grandpa. Whats wrong.
I i cant see with my left eye. Thats it must be getting old you should talk to your doctor. Im pleased how well do davinas doing at school yes shes doing really good applause.
What is it whats wrong richard. Whats wrong lou devine. Come here ill call emergency.
You have had a stroke also known as a cva cerebrovascular accident in this film will show you the various stages of care. You will receive in the emergency ward to help you understand what has happened and enable you to identify possible signs of recurrence. We will also explain how to prevent having another cva sometimes an attack lasts.
Only a short time this is known as a transient ischemic attack or ti. A music possible cva high blood pressure accompanied by speech problems in weakness of the arm would you please alert the neurologist on call this film deals with both cbas and t ias. Which share the same warning signs function in a similar way and have identical risk factors.
A cva needs to be dealt with immediately every minute counts the faster the treatment the better ones chance of survival tighten your fingers can you see the fingers follow the finger your vital functions are carefully observed. While you are in the emergency ward treatment based on the cause of your cerebrovascular accident. Is adapted to your particular needs that earlier that he had a problem the day before the attack occurred.
Yes. He was reading his newspaper and then he suddenly had trouble seeing just dont understand hes normally very healthy. He had a cerebrovascular accident this means that not enough blood was getting to his brain and in particular to the cerebral arteries that control language and the right side of the body.
According to what you have said. I believe that what happened yesterday was a warning sign what we call a transient ischemic attack. This means that the clot that occluded his artery dissolved by itself now a new clot is formed.
We will treat him for this and try to open the artery. A cerebrovascular accident provokes a sudden disturbance of the cerebral blood flow the blood flow that brings oxygen to the brain. Most of the time a cva occurs when a blood clot obstructs.
A blood cell. This is known as an ischemic stroke. A ruptured blood cell can also cause a cerebrovascular accident.
However this is rare in such cases. It is known as an intracerebral hemorrhage or hemorrhagic stroke cva symptoms are persistent with a cerebral lesion often detected using radiology a ct scan or magnetic resonance imaging. A transient ischemic attack tiaa is similar to an ischemic cva in that it is caused by a blood clot in a blood cell and temporarily obstructs the cerebral blood flow tiaa symptoms.
Usually last less than an hour and no cerebral lesions appear during the radiological nation. The risk of having a cva in the days following at eia is very high. So even if your ti a symptoms have disappeared.
You must immediately consult. A doctor time is of the essence from the first symptom on most of the time. A ct scan will confirm that a cva has occurred.
A treatment called thrombolysis can be performed. If the symptoms began not more than six hours before this is the ideal situation as the doctor explained to you im going to inject a drug that will dissolve your blood clot. The first injection goes directly into the catheter.
Then ill install a syringe pump that will feed the drug into your system for one hour. Thats the treatment. The thrombolysis dissolves the blood clot that obstructs your blood vessel to ensure successful reira gatien of the brain.
You probably wont feel it in your veins or anywhere else. However you will be aware of it if your eyesight or if your speech improves or if your arm begins to move the use of doppler sonography. Enables us to visualize the cerebral arteries in order to measure how well the thrombolysis has dissolved the blood clot try to squeeze my fingers the right try again good very good very good now try to hold your arm out its working great if the intravenous thrombolysis doesnt have the desired effect.
The medical team may choose to perform an intra arterial thrombosis. If it is impossible to perform a thrombolysis either because the attack occurred more than six hours before or the patient does not meet certain medical requirements. Then he or she will be transferred to a neurovascular surveillance unit for optimal.
Rapid care. Do you know the symptoms of a cva partial paralysis or hemiplegia weakness of the muscles on one side of the body face arms and legs numbness of any part of the body. Difficulty in pronouncing.
Words. Finding the right ones. Understanding.
Simple questions. Incoherent. Speech.
Or slurring visual. Problems. Such as brief loss of vision.
In one. Eye. Seeing double or the absence of vision on one side dizziness and problems with balance feeling like one is at sea.
Persistent unusual headaches. Not responding to medication. If you experience one or several of these symptoms.
You must immediately contact the emergency number in your area medical care. Must be administered to a cva victim as soon as the health care workers arrive at their home. Weve installed the equipment needed to control your blood pressure and pulse.
You must stay in bed. Without getting up in order to ensure that your brain is successfully irrigated the first 48 hours of care and monitoring in the neurovascular unit will help you recover and improve your condition and just going to prick your finger. Okay.
Thank you very much youre welcome. The patient must absolutely stay in bed in order to ensure that the brain is well irrigated alone mr. Birju.
How are you ah your grip is improved. I feel better yes you are improving the drug treatment. We have given you is working.
Im just going to do some tests can you place your two arms in front of you like this yes. Thats so much better now please repeat. After me i am in hospital.
I am in hospital. Now show you teeth smile good. No thats real improvement.
Much better than it was a little while ago. Now youll have to stay in this intermediary carry you for now we will then transfer you to the next unit. Which is a special unit for stroke care.
You are now transferred to another sector of the neurovascular unit nurses and nurses aides attend to your personal hygiene and comfort 24 hours a day and adapt their care to your ability to function and your living habits. They administer the prescribed treatment while they observe changes in your state of health and physical condition. I want to tell you that since your stroke was essentially due to certain risk factors to those we have discovered in those who already knew about that is to say extremely high blood pressure.
We have instigated a drug treatment that must be taken over a long period of time your doctors will regularly adjust your treatment. They will also gladly meet with your family as the doctor has already mentioned. This is a long term treatment.
You must take the right dose at the right time. Mm. Hmm and you must inform your doctor.
If theres any problem you have to be serious about this. Yes youre going to get up so take it up to do so you need to use both arms lean forward very good a number of specialists work in close collaboration on your rehabilitation. These health care teams appraise your motor functions and sense awareness as well as any improvement in your ability to speak.
Understand. And pay attention music applause good thats good try i dont know if you feel it. But look your shoulder tends to move upward lower your elbow and place.
It. Where you can as the doctor. Said.
Mr. Verger will talk about risk factors do you still want to discuss this. Yes.
Thats fun id like you to look at this poster of risk factors do you already know them yes. Theyve gone on and on about it i know all about you know them well yes. Could you come nearer and move the slider to indicate which ones you think concern you okay so cholesterol thats one tobacco.
I have a problem with that yeah. Theres one here as well well maybe a little is seeing what youve indicated is there a particular risk factor. You plan to work on tobacco tobacco.
Yes smoking do you plan on smoking less. Ive stopped smoking here youve stopped. Its really hard not smoking room.
Yeah sometimes i want to especially since theres not much to do around no boredom pushes you to to smoke again. I suggest. Then that you meet.
The nurse who specializes in nicotine addiction. You have two possibilities upon leaving the neurovascular unit. Some patients like mr.
Berger can return home however rehabilitation in the boces your neuro rehabilitation service will be necessary for others ok today. Id like you to try washing your hands can you try rolling up your sleeves please open your hand the occupational therapists job is to evaluate re educate and invent things to help the patient have as much autonomy at home as possible try drying their hands. Ill help you there ok.
You know position yourself like this and try lifting your leg your left leg. Ah. You have good balance thank you ok a multidisciplinary team made up of doctors nurses nurses aides physiotherapists neuropsychologists speech therapists and social workers assists you in your rehabilitation although rehabilitation.
Brings indisputable benefits. It cannot heal brain damage. Our goal is to help you attain greater autonomy in your daily life music is that lettuce yes well use it all well of course.
Then well put it in the fridge richard burger has returned home. Although he speaks slowly. He hasnt had any problem performing his daily activities recuperating muscular strength and mobility varies from one person to another your sensory awareness might be diminished and you may sometimes experience pain.
Normally speaking. One recuperates. The most in the months following a cva.
If necessary you may continue your rehabilitation program as an outpatient now well try to apply pressure on this arm. Its still a bit weak. So now place your weight on your elbow.
Here as if you were lying on the beach and try to reach the ball with your other hand here where im holding it lets go mr. Berger visits his physiotherapist twice a week to work on certain right arm movements you can feel it each time. I push here works your shoulder.
I was it going tell me how things have been since he left oh ive greatly improved. I see my physiotherapist makes me do movements to help me more recover slowly on i still have a problem holding a needle and thread. But my wife usually does that anyway i wasnt allowed to do that before anyway otherwise im performing most of my normal activities again know about your cardiovascular risk factors and i must reiterate how important this is the risk of your having another stroke lies in the balance.
You must be rigorous in taking your medicine regularly and checking your blood pressure and the other risk factors in order to reduce your chances of having another attack ageing blood vessels as well as heredity play an important role in creating the conditions for having a cva. However more than half the cases are due to atherosclerosis this disease. Which affects both large and small arteries progresses slowly as bodily substances.
Mainly fats attach themselves in layers to the arterial walls forming plaques that reduce the diameter of ones blood vessels. And as a result also reduce the blood flow. Although age and hereditary predisposition are risk factors.
Which cannot be altered high blood pressure smoking. Cholesterol diabetes. The consumption of alcohol.
Stress sedentary. Living. And excess weight can be addressed drug treatment.
Depends on diagnosis. Antiplatelet and anticoagulant. A more rarely anticoagulants can be prescribed individual treatment is adapted to different kinds of lesions respecting.
Ones drug treatment is important in order to ensure positive long term improvement. One should never stop ones treatment without first consulting their doctor suffering. A cva hospitalization and rehabilitation are difficult for you and your loved ones for optimal treatment and in order to avoid a relapse your participation is essential recovery.
Demands enormous physical effort willpower and perseverance. Most patients find the necessary strength to adapt to these changes within themselves and their families health care. Teams are also there for your loved ones when the need arises music.
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