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Group 3 Presents

May 29, 2018

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    GROUP THREE

    PRESENTATION

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    Education must award self-confidence the courage to

    depend on ones own strength

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    CEREBROVASCULAR ACCIDENT

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    1. Describe the incidence and socialimpact of CVA.

    2. Identify the risk factors of CVA and

    related measures for prevention.3. Relate the principle of nursing

    management to the care of the patientto an acute stage of ischemic stroke.

    4. Use the nursing process as frameworkfor a care of a patient recovering froman ischemic stroke.

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    INTRODUCTION

    DEMOGRAPHIC DATA

    PATIENTS HISTORY

    ANATOMY AND PHYSIOLOGY

    PATHOPHYSIOLOGY

    PHYSICAL ASSESSMENTDEVELOPMENTAL TASK

    LEVEL OF COMPETENCIES

    LEVEL OF FUNCTIONING

    MEDICAL MANAGEMENTTEST AND DIAGNOSTIC PROCEDURES

    ONGOING APPRAISAL

    DRUG STUDY

    NCP

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    INTRODUCTION

    The true measure of a man is how he treats someone

    who does him absolutely no good true beauty lies in theheart

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    Cerebrovascular disorders is an umbrella termfor that refers to any functional abnormality of thecentral nervous system (CNS) that occurs when the

    normal blood supply to the brain is disruptured.

    A sudden, non-convulsive loss of neurologic

    function due to an ischemic or hemorrhagicintracranial vascular event.

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    Hypertension

    Cardiovascular diseaseCoronary artery diseaseAtrial fibrillationHeart failureLeft ventricular hypertrophyRheumatic heart diseaseHigh cholesterol levelsObesityDiabetes mellitusSmokingExcessive alcohol consumptionDrug abuse

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    Advanced ageGender

    Race

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    TWO MAJOR CATEGORIES

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    Ischemic- 80-85%

    Mortality: 20%

    Hemorrhagic- 15-20%

    Mortality: 80%

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    There is disruption of the

    cerebral blood f low due toobstruction by embolus or

    thrombus

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    Large artery thrombosis

    Small penetrating artery thrombosis

    Cardiogenic embolicCryptogenic (Unknown)

    Others (cocaine use, migraine,

    coagulopathies, spontaneousdissection of the carotid or vertebralarteries)

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    Motor loss

    Communication loss

    Perceptual disturbances

    Sensory loss

    Cognitive impairment

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    Normal brain metabolism is impaired

    by interruption of blood supply,compression and increased ICP

    Usually due to rupture of intracranial

    aneurysm, AV malformation,Subarachnoid hemorrhage

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    Subarachnoid orintracerebral hemorrhage

    Intracranial aneurysm orrupturing of vessel

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    Sudden and severe headache

    Same neurologic deficits asischemic stroke

    Loss of consciousness

    Meningeal irritationVisual disturbances

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    To promote normal functioning

    of the individualPrevent current symptoms

    Prevent severe attackPrevent further complicationsand improve quality of life

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    Thrombolytic theraphyAnticoagulant

    Anti-platelet Drugs

    Administer Oxygen

    Anti-hypertensive drugs

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    a. Carotid endarterectomy

    b.Carotid Artery Stenosis Stentingc. Ventriculostomy

    d. Mechanical thrombectomy

    e. Aneurysm clippingf. Embolization of Cerebral

    Aneurysmg. Stereotactic radiosurgery

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    BLOOD TESTPHYSICAL EXAMINATION

    MRICT SCANCAROTID ULTRASOUND

    ARTERIOGRAPHYECHOCARDIOGRAMECG

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    Take your high blood pressure medicine regularly.

    Monitor blood pressure regularly.

    Do not smoke or drink too much alcohol.

    If you have atrial fibrillation (an irregular or fast heartbeat), you may need to take antithrombotic medicine.

    Having a recent heart attack may also require you to takeantithrombotics.

    Keep your blood cholesterol level in a normal range.

    Eat foods low in fat to decrease the risk of developingplaque (fatty deposits) in your blood vessels.

    Healthy lifestyle.

    Monitor and control your blood sugar level if you havediabetes.

    Health educating the patients and community people

    about recognition and prevention of stroke.

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    DEMOGRAPHIC DATA AND

    HISTORY

    The ultimate measure of man in moments of

    comfort, but where he stands in time of

    challenge and controversy

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    PATHOPHYSIOLOGYGENER

    AL SPECIFIC

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    The nursing profession, must be capable from

    within, ensuring competence and continuouslyprotecting the art and science of caring as life-long journey, a never ending process.

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    DEVELOPMENTAL

    TASK

    Happiness begins at the point of fulfilling

    task in positive way and involvedpersonality strength

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    LEVEL OFLEVEL OF

    COMPETENCIESCOMPETENCIES

    Smile at each other, smile at your friends, smile at yourpartner, smile at strangers- it does not matter who is it-

    This help you to grow up in greater love for each other

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    LEVEL BEFOREHOSPITALIZATION

    DURINGHOSPITALIZATION

    ANALYSIS

    PHYSIC

    AL

    MENTAL

    EMOTIONAL

    SOCIAL

    SPIRITUAL

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    What makes life exciting is when God gave you strength and

    courage to fight a losing battle in fact all you want to do is

    surrender

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    PATTERN BEFOREHOSPITALIZTION

    DURINGHOSPITALIZTION

    ANALYSIS

    EATING

    DRINKING

    SLEEPING

    BATHING

    URINARY

    BOWEL

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    When caring counts, count on us

    Caring patients is not just a job, a

    heartfelt profession

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    ONGOING

    APPRAISAL

    Improvement of the health condition of a client is theresponsibility of the people in the of health careprofessionals

    y PIX KUYA WILMAR

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    DRUG STUDY

    From time to time, we may learn, but time without maximizing

    experiences- knowledge might burn.

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