Question

R. B. is an 80-year old English woman who is visiting a friend in the United States. One morning her friend noticed that upon awakening, R. B. had slurred speech, a R-facial droop, and was disoriented. She was transported to the hospital where a CT scan confirmed the diagnosis of intracranial hemorrhage. Because of the location of the bleed, surgery was not possible and over the next couple days R. B.’s R-facial droop progressed to a totally flaccid R-side. R. B. was transferred to your rehabilitation facility for therapy. Ten days after the initial insult, R. B. still has some confusion, memory problems, difficulty swallowing, slurred speech, and profound R-sided weakness. She is hoping to be able to return to England soon.

1. Define CVA.

2. List 3 main causes of a CVA and describe how they disrupt the O₂ supply.

3. List 10 factors that increase the risk of a CVA.

What is the overall goal of rehabilitation

R. B. is an 80-year old English woman who is visiting a friend in the United States. One morning her friend noticed that upon awakening, R. B. had slurred speech, a R-facial droop, and was disoriented. She was transported to the hospital where a CT scan confirmed the diagnosis of intracranial hemorrhage. Because of the location of the bleed, surgery was not possible and over the next couple days R. B.’s R-facial droop progressed to a totally flaccid R-side. R. B. was transferred to your rehabilitation facility for therapy. Ten days after the initial insult, R. B. still has some confusion, memory problems, difficulty swallowing, slurred speech, and profound R-sided weakness. She is hoping to be able to return to England soon.

1. Define CVA.

2. List 3 main causes of a CVA and describe how they disrupt the O₂ supply.

3. List 10 factors that increase the risk of a CVA.

What is the overall goal of rehabilitation

R. B. is an 80-year old English woman who is visiting a friend in the United States. One morning her friend noticed that upon awakening, R. B. had slurred speech, a R-facial droop, and was disoriented. She was transported to the hospital where a CT scan confirmed the diagnosis of intracranial hemorrhage. Because of the location of the bleed, surgery was not possible and over the next couple days R. B.’s R-facial droop progressed to a totally flaccid R-side. R. B. was transferred to your rehabilitation facility for therapy. Ten days after the initial insult, R. B. still has some confusion, memory problems, difficulty swallowing, slurred speech, and profound R-sided weakness. She is hoping to be able to return to England soon.

1. Define CVA.

2. List 3 main causes of a CVA and describe how they disrupt the O₂ supply.

3. List 10 factors that increase the risk of a CVA.

What is the overall goal of rehabilitation

R. B. is an 80-year old English woman who is visiting a friend in the United States. One morning her friend noticed that upon awakening, R. B. had slurred speech, a R-facial droop, and was disoriented. She was transported to the hospital where a CT scan confirmed the diagnosis of intracranial hemorrhage. Because of the location of the bleed, surgery was not possible and over the next couple days R. B.’s R-facial droop progressed to a totally flaccid R-side. R. B. was transferred to your rehabilitation facility for therapy. Ten days after the initial insult, R. B. still has some confusion, memory problems, difficulty swallowing, slurred speech, and profound R-sided weakness. She is hoping to be able to return to England soon.

1. Define CVA.

2. List 3 main causes of a CVA and describe how they disrupt the O₂ supply.

3. List 10 factors that increase the risk of a CVA.

What is the overall goal of rehabilitation

R. B. is an 80-year old English woman who is visiting a friend in the United States. One morning her friend noticed that upon awakening, R. B. had slurred speech, a R-facial droop, and was disoriented. She was transported to the hospital where a CT scan confirmed the diagnosis of intracranial hemorrhage. Because of the location of the bleed, surgery was not possible and over the next couple days R. B.’s R-facial droop progressed to a totally flaccid R-side. R. B. was transferred to your rehabilitation facility for therapy. Ten days after the initial insult, R. B. still has some confusion, memory problems, difficulty swallowing, slurred speech, and profound R-sided weakness. She is hoping to be able to return to England soon.

1. Define CVA.

2. List 3 main causes of a CVA and describe how they disrupt the O₂ supply.

3. List 10 factors that increase the risk of a CVA.

What is the overall goal of rehabilitation

Answer 1

CEREBROVASCULAR ACCIDENT (CVA) IS THE MEDICAL TERM FOR A STROKE.A STROKE IS WHEN BLOOD FLOW TO A PART OF YOUR BRAIN IS STOPPED EITHER BY A BLOCKAGE OR THE RUPTURE OF A BLOOD VESSEL.

CEREBROVASCULAR ACCIDENT = THE SUDDEN DEATH OF SOME BRAIN CELLS DUE TO LACK OF OXYGEN WHEN THE BLOOD FLOW TO THE BRAIN IS IMPAIRED BY BLOCKAGE OR RUPTURE OF AN ARTERY TO THE BRAIN .. A CVA IS ALSO REFERRED TO AS A STROKE.

THE MAIN CAUSES OF CVA OR BRAIN ATTACK

THE MAIN CAUSES OF STROKE : A BLOCKEED ARTERY ( ISCHEMIC STROKE )

OR LEAKING OR BRUSTING OF A BLOOD VESSEL (HAEMORRHAGIC STROKE )

SOME PEOPLE MAY HAVE ONLY A TEMPORARY DISRUPTION OF BLOOD FLOW TO THE BRAIN ,KNOWN AS ATRASIENT ISCHEMIC ATTACK (TIA)

IMP;in ischemic stroke -thrombus and anoxia developed may due to highcholestrol ,blood pressure

from thrombus the oxygen-carrying blood cannot reach the brain ,resulting in oxygen deprivation .

the fatty acid deposits in the blood vessels form thrombous or clot .it reduce the blood flow and affect the oxygensupply to the brain

when a blood clot or a piece of an atherosclerotic plaque ( a cholestrol and calcium deposit on the wall of the artery affect the blood flow and the oxygen supply to the brain

A .ISCHEMIC STROKE

BRAIN BLOOD VESSELS BECOME NARROWED OR BLOCKED ,CAUSING SEVERLY REDUCED BLOOD FLOW ... BLOCKED OR NARROWED BLOOD VESSELS ARE CAUSED BY FATTY DEPOSITS THAT BUILD UP IN BLOOD VESSELS OR BY BLOOD CLOTS OR OTHER DEBRIS THAT TRAVEL THROUGH YOUR BLOOD STREAM.

2..HEMORRHAGIC STROKE

HEMORRHAGIC STROKE OCCURS WHEN A BLOOD VESSEL IN YOUR BRAIN LEAKS OR RUPTURES

3. TRANSIENT ISCHEMIC ATTACK

TIA OCCURS WHEN A CLOT OR DEBRIS REDUCES OR BLOCKS BLOOD FLOW TO PART OF YOUR NERVOUS SYSTEM

HOW THE CAUSES AFFECT THE O2 SUPPLY

1.....HIGH BLOOD PRESSURE

HIGH BLOOD PRESURE PUTS AN EXTRA STRAIN ON ALL THE BLOOD VESSELS IN YOUR BODY .THIS CAN MAKE A STROKE DUE TO A CLOT (ISCHEMIC STROKE ) MORE LIKELY,BECAUSE HIGH BLOOD PRESSURE DAMAGES THE BLOOD VESSELS AND MAKES THEM BECOME STIFFER AND MORE NARROW.

HIGH BLOOD PRESSURE CAN CAUSE THE ARTERIES THAT SUPPLY BLOOD AND OXYGEN TO THE BRAIN TO BRUST OR BE BLOCKED ,CAUSING A STROKE .

2..SMOKING

THE CARBON MONOXIDE REDUCES THE AMOUNT OF OXYGEN IN YOUR BLOOD ,AND THE NICOTIN MAKES YOUR HEART BEAT FASTER AND RAISES YOUR BLOOD PRESSURE .THIS INCREASE YOUR RISK OF A STROKE .

SMOKING CAN ALSO TRIGGER AN EPISODE OF ATRIAL FIBRILLATION ,A HEART CONDITION THAT IS A RISK FACTOR FOR STROKE.

3.. THROMBOSIS

THE BLOCKAGE OF AN ARTERY IN THE BRAIN BY A CLOT ( THROMBOSIS) IS THE MOST COMMON CAUSE OF A STROKE .THE PART FOR THE BRAIN THAT IS SUPPLIED BY THE CLOTTED VESSEL IS THEN DEPRIVED OF BLOOD AND OXYGEN SUPPLY

RISK FACTORS

LIFESTYLE RISK FACTORS

BEING OVER WEIGHT OR OBESE

PHYSICAL INACTIVITY

HEAVY OR BINGE DRINKING

MEDICAL RISK FACTORS

HIGH BLOOD PRESSURE

CIGARETTE SMOKING

HIGH CHOLESTROL

DIABETES

CARDIOVASCULAR DISEASE

OTHER FACTORS

AGE

RACE

SEX

HORMONES

THE GOAL OF REHABILITATION

THE GOAL OF STROKE REHABILITATION IS TO HELP TO RELEARN SKILLS TOU LOST WHEN A STROKE AFFECTED PART OF YOUR BRAIN .STROKE REHABILITATION CAN HELP TO REGAIN INDEPENDENCE AND IMPROVE THE QUALITY OF LIFE .THE SEVERITY OF STROKE COMPLICATIONS AND EACH PERSONS ABILITY TO RECOVER VARY WIDELY.

WHEN A PATIENT IS NO LONGER ACUTELY ILL AFTER A STROKE ,THE AIM TURNS TO MAXIMIZING THE PATIENTS FUNCTIONAL ABILITIES.THE REHABILITATION PROCESS CAN INVOLVE SPPECH THERAPY TO RELAERN TALKING AND SWALLOWING ,OCCUPATIONAL THERAPY FOR REGAINING DEXTERITY OF THE ARMS AND HANDS , PHYSICAL THERAPY FOR IMPROVING STRENGTH AND WALKING . THE GOAL IS FOR THE PATIENT TO RESUME AS MANY OF THEIR PRE-STROKE ACTIVITIES AS POSSIBLE.