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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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