Question

38 year old single male patient the other day who had had his second CVA in five months, obese, he is 5"11, 350+ lbs. He ate fast food for nearly all his meals. (Single, no kids, doesn't know how to cook.) He snacked on chips and coke/pepsi, Smoke, and had a morbidly obese family member who died (2 years ago today) at age 58.

Question : What childhood risk factors did the patient have?

Question: If you were that patient’s Nurse Practitioner (Provider) when the patient was a child, what kind of risk reduction and health promotion strategies would you have employed to improve the patient’s health?

Answer 1

Q1 - Stroke also known as Cerebrvascular accident,it is a medical emergency.Stroke occures when the blood supply to part of your brain is interrupted or reduced,so that oxigen and nutrients supply reduced and brain cells begins to die . Risk factors    -Smoking smoking raises his odds of strokes.Cigarette smoke causes a fatty buildup in the neck artery.It also thickens his blood and makes it more likely to clot.

-Obese Here the patient was obese that increases the chance of stroke may go up if the person was overweight.

-Family Strokes can run in families.Some strokes can occur by a genetic disorder that blocks blood flow to the brain.

-Gender Men have more chances to have stroke than womens.

-Food and life style One of the main causes of diet is due to the lifestyle changes arising from urbanization and industrulization and the role of nutrition in the causes and consequences of stroke will be crucial ,Fat is one of the diet variables that exerts direct influences causes thevascular risk factors.

-Stress these are the main risk facters in this case.

Q2- As a nurse practitioner we hve more responsibility and important role in the stroke prevention .In the primary prevention the nurse act as an educater role . The nurse should involved in health promotion first to do the risk assessment for stoke,then the practitioner have a crucial role in the parents education that can help to prevent recurrent strokes,provide life style advice,educate them for the risk of passive smoking,provide information about the modifiable risk factors of stroke such as the physical inactivity, high salt intake,passive cigarette smoking etc. In the secondary stroke prevention stratergies on the modifiable risk factors control and including the patient adherence to the prescribed medications and also educate the parents or health care provides about the occurence of secondary cardiovascular events. Maintain the integrated care services to the child,Maintain the knowledge management system,Quality management,Improve physical rehabilitation.

Nurses are the catalysts for healthier lifestyles through encouragement and teaching, healping the pateients and provide physical and emotional support and the preventi=ative services such as counselling,screening and precautionary procedure or medication and encourage and support the patient and their family can help them to gain their health.