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Stroke (Nursing interventions (motor fxn
passive range of motion
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Stroke
Nursing interventions
motor fxn
passive range of motion
positoin is joint higher than the joint proximal to it to prevent dependent edema
trochanter roll at the hip to prevent external rotation
hand cone to prevent hand contractures
arm supports with slings and lap boards to prevent shoulder displacement
avoidance of pulling the patient by the arm to avoid shoulder displacement.
posterior leg splintsfootboards or high top tennis to prevent foot drop
and splints to reduce spasticity
discharge
total care is considered medications
nutrition
mobility
exercises hygiene and toileting.
follow up care physical speech and occupational
therapy.
identify community resources.
communication
communicating frequently and meaning
allowing time for the patient to comprehend and answer
using simple short sentences
using visual cues
structuring conversation so that it permits simple answers by the patient
praising the patient honestly for improvements with speech.
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2 types
ISCHEMIC
2 TYPES
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EMBOLIC
embolus lodges in and occludes a cerebral artery resulting in infarction and edema of the area supplied.
number 2 cause of stroke.
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HEMORRHAGIC
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SUBARACHNOID
intracranial bleeding into the cerebrospinal fluid filled space b/t the arachnoid and the pia meter on the surface of the brain.
commonly caused by an aneurysm
higher in women.
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S/SX
motor activity
elimination
intellectual fxn
spatial-perceptual alterations
persoanlity
affect
sensation
swallowing
communication
RIGHT BRAIN DAMAGE
paralyzed left side
left sided neglect
spatial perceptual deficits
tends to deny/minimize problems
rapid performance short attention span
impulsive
impaired judgement impaired time concepts.
LEFT BRAIN DAMAGE
paralyzed right side
impaired speech language aphasis
impaired right/left discrimination
slow performance, cautious
aware of deficits
impaired comprehension related to math and language