UNIT TITLE: - Harriet Ellis · Web viewDiagnosis (300 words) FAST in first instance- Facial weakness, Arm weakness, Speech problems, Time to call 999 (reference textbook) Brain scans

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Assessor Andrea Beeney Diploma Nursing and Midwifery Subject Study SkillsUnit HC7/3/EA/047 Code CBF655 Credits 3

Task TitleProducing a Written

AssignmentTask no. for unit 1/2 AC 1.1, 2.1

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Essay PlanIntroduction  (100 words)

Evolution has caused us to be more likely to suffer from a stroke (direct reference TV) 15 million people worldwide per year have a stoke (direct reference TV) Around 110,000 people have a stroke every year in England. It is the third leading cause of death after

heart disease and cancer (direct reference newspaper) 2 types Caused by the blood supply to the brain being cut off (direct reference newspaper)

Main Body      (800 words)

Diagnosis                (300 words)    

FAST in first instance- Facial weakness, Arm weakness, Speech problems, Time to call 999 (reference textbook)

Brain scans (first 24 hours)- o CT – 3d picture of brain, used to tell if ischaemic or haemorrhagic stroke occurredo MRI – detailed picture of body, used when damage/location is unknown

Heart/blood vessel test – o Carotid ultrasound- shows narrowing/blockages in neck arterieso Echocardiography- images of heart to check if any abnormalities (ultrasound probe across chest)o Transoesophageal – ultrasound probe into gullet behind heart- clearer picture

Swallow test- swallowing effect early in stroke, 2 teaspoons of water without choking, then half glass. Send to therapist for detailed assessment if unable to.

Treatment- ischemic            (300 words)

Thrombolysis – injections of alteplase, dissolves clots/restores flow. Brain scan to confirm type first as makes hem worse

Antiplatelets- regular aspirin, platelets less sticky, reduce clots. Anticoagulants- changes chemicals of blood to stop clots Antihypertensive- BP too high, beta/alpha blockers, calcium channel blockers Statins- cholesterol too high, reduces in body by blocking enzyme liver produces. Carotid endarterectomy- narrowing artery by fatty plaque- if severe, surgery offered.

Treatment- Haemorrhagic              (200 words)

Surgery- remove blood from brain and repair vessels Surgery for hydrocephalus- complication – cerebrospinal fluid builds up in brain, headaches, sickness

and no balance. Artificial tube into brain to drain fluids.

Short term- Tube in tummy if can’t swallow, Nutritional supplements if malnourished, fluids if dehydrated and oxygen if low. (Internet influenced all above- reference to NHS website)

Conclusion     (100 words)

Stoke is medical emergency (direct reference text book)- Doctors diagnose via multiple tests as shown above

Many treatments depending on type of stroke had

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