Essay Criteria: Case Study
Mrs Georgia Cook is a 39 year old lady who is day 3 post L) sided CVA. Three days ago she was suddenly unable to verbalise words whilst talking on the phone. Mrs Cook was found by her husband 30 minutes later and taken to the Emergency Department; he stated that she didnt seem to recognise him and was unable to move very much. On arrival she had dense R) sided hemiplegia was aphasic incontinent and displaying signs of agnosia. A head/brain CT scan revealed an ischaemic area no bleed was seen.
Medical History Mrs Cook is a maths teacher at a middle school she is mildly overweight on the oral contraceptive pill (OCP) has mild hypercholesterolemia Type II Diabetes Mellitus and had a cholecystectomy two years ago. Her medications include: OCP atorvastatin metformin and multi-vitamins.
Social History Mrs Cook is married to Tom and they have 2 young teenagers (Sommer 13 Damon 15); she is active in her childrens school committees and plays social netball twice a week.
Nursing Notes Overnight Mrs Cook received regular pressure area care. At times she appeared uncomfortable; paracetamol was offered and eventually given with good effect. She remains hemiplegic though RN Bronwyn (the morning shift nurse) thought she elicited a response from her R) hand. Mrs Cook is now showing signs of expressive aphasia but is frustrated++. An NGT is insitu and she is for dietician review ASAP as her weight continues to decrease. The speech pathologist will also have some input to assess her dysphagia. Her BSL and vital observations remain stable though patient hypertensive -150/88
Medications charted: Clexane S/C Aspirin 100mg Atorvastatin Ramipril multivitamins Omeprazole IV Metoclopramide N/Saline 8/24.
Currently Mrs Cook has an IDC insitu draining well. Her bowels have been loose and she has developed some redness to her perianal area. There is also some concern about mild pressure area at her r) heel. RN Bronwyn also voiced some concerns about unilateral neglect; the doctor will investigate this further today.
Mrs Cooks husband is handling the situation well as can be expected but is struggling with her condition and is worried about the future. When her children come in to see her they are unsure what to do or say. Often Mrs Cook is teary when they leave.
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