Question

LP3.2 Assignment: Stroke Patient Prepare a 3-4 page, double-spaced paper (cite 3-4 reliable sources) that addresses the following scenario: Your neighbor's father has just had a stroke and is in the hospital. She has called upon you to consult with her, and gather information about alternative services they may use when he comes home to live with her. He is paralyzed on one side and must use a wheelchair. You report to her as a health care professional helping her with discharge planning. In this paper, you will detail: • all the options available based on his condition and her ability as a single, working woman to care for him • payment criteria and options in the continuum for her to consider such as rehabilitation, ADS, nursing facilities, assisted living, home health, etc. Submit this assignment to your instructor via the dropbox “LP3.2 Assignment: Stroke Patient.” This assignment is worth 60 points and will be graded according to the scoring guide below.

Answer 1

Stoke means it’s damage to the brain from interruption of its blood supply. This would be by surgery if it is major clot and will be managed if it is a minor clot. However in this scenario, it is presumed to be a major stroke since he has ended up with paralysis.

After the recovery, he has come out with one sided paralysis.

The expected disabilities are:

1. cognitive Impairment,
2. Bowel/Urine incontinence,
3. visual impairment,
4. pressure ulcers due to prolonged bed ridden.

Nursing and medical management should be tailored to this patient to prevent complication. If we can’t maintain good personal hygiene and genitalia care that may leads to urinary tract infection, fever and again leads to deteriorate.

So At home keep following things ready

1. Wheelchair
2. Air bed
3. Proper ventilated room
4. Medicines and antiseptic poweder to prevent wounds
5. Bed pan
6. If patient is transferred with trachiostomy tube arrange for suctioning and pulse oxymeter.
7. BP apparatus
8. Arrange for home health nurse for few days at least
9. Arrange for physiotherapist for the fast recovery.

I have seen people they have recovered from paralysis with aggressive physiotherapy

Proper nutrition to be maintained.

If we wish to shift her father to rehabilitation centers, we will first go and see the facilities as it should have peaceful atmosphere, all the medical emergency equipment, sufficient staff and house keeping

We will check for the amount to be paid to the particular rehabilitation centers.

We will also take suggestion from the doctors and take his opinion whether this patient can stay home or required care in rehabilitation center. We ask concerned nurse to explain discharge summary what care needs to be provided to the patient at home.

We also make sure about his medications and his next follow-up, we will keep in touch with doctor to convey his improvements and further management.

Nutritional support, psychological support if he is conscious, aggressive physiotherapy and proper medical management will help him for the fast recovery.