NR305-10247: Health Assessment for the Practicing RN #4

Sample Solution

NR305 Week 4 iHuman Nurse Notes Template

Complete each item below:

S – Mrs. Washington is an African American woman in her 48s who has a history of high blood pressure and hypercholesterolemia. She arrived at the emergency room with symptoms like a stroke that started with a terrible headache last night at 8:00 p.m. after work. According to her spouse, she woke up around 0500 with slurred speech, left-sided weakness, and confusion. For nausea, she is taking IV Ondansetron 4mg. She is a full code, and she is in critical condition.

B – Both Mrs. Washington’s hypertension and hypercholesterolemia are out of control. Simvastatin 40 mg, metoprolol 50 mg bid, and acetaminophen for pain are the medications she uses. She lives with her husband, has no known allergies, and has all of her shots.

A – Mrs. Washington is lucid, vigilant, and oriented x 2. She lacks a sense of time. Hypertension, left-sided weakness, left-sided facial drooping, tongue deviation, and a failed bedside swallow test are all symptoms of hypertension. She hasn’t lost her gag reflex. 11 on the NIH stroke scale. No major vascular blockage is visible on the CT image. Positive for a potential acute right-sided cerebellar infarct but negative for hemorrhagic stroke or haemorrhage.

R – Mrs. Washington will get NIH stroke examinations every hour and will need to remain NPO until she has successfully completed a speech and language pathologist’s swallow evaluation. Q15 is the vitals. Telemetry, continuous pulse oximetry, and strict I/O. 30-degree angle at the bedhead. Mrs. Washington received treatment from numerous healthcare organizations. She was initially examined at the emergency room, evaluated for stroke-like symptoms, diagnosed, and given Ondansetron, oxygen, and IV normal saline. She was also transported to a floor for monitoring with telemetry, continuous pulse oximetry, vitals q15, and stringent I/O’s after having labs and diagnostics requested immediately. Until she could pass a swallow test, she would then be monitored on a unit and seen by a physical therapist and a speech-language pathologist. Depending on how far she had come, a rehabilitation team would need to evaluate her, or she would be able to take care of herself. She would require long-term follow-up with a healthcare professional to make sure she is helped in both her recovery and the future prevention of unfavorable health outcomes. The delivery of appropriate care along the stroke route is seen as requiring multidisciplinary teamwork. Numerous members of the healthcare team may be involved in the patient’s care, depending on their comorbidities.

1. Identify two other healthcare team professionals with whom you would collaborate when caring for Ms. Washington.

1) The occupational therapist and the neurologist are two prominent medical specialists who are involved in Mrs. Washington’s care. The capacity of a stroke patient to engage in activities of daily living is a topic that occupational therapists specifically address. Additionally, they might develop a strategy to increase the patient’s capacity for routine tasks like dressing and washing. Additionally, the occupational therapist can show the patient how to use home modifications including grab bars, raised toilet seats, and shower benches.
2) A doctor who specializes in conditions affecting the brain, spinal cord, and nervous system is known as a neurologist. Stroke prevention, care, and outcomes can be improved through a comprehensive team of caregivers. These specialized doctors can direct patients to the proper care, medication, or therapy after a stroke. In addition, they are very often the physicians who diagnose the stroke and can assess the damage

2. What findings in your iHuman assessment led you to select these two providers?
The following iHuman evaluation results prompted me to choose the occupational therapist and the neurologist as the two healthcare professionals who would benefit the patient the most:
History of stroke-like symptoms: A crucial finding is the patient’s history of stroke-like symptoms because it indicates that she may be at risk for having a stroke. A neurologist is an expert in the diagnosis and treatment of neurological conditions, such as stroke. A neurologist can evaluate the patient’s stroke risk factors, carry out the required tests to identify a stroke, and create a plan of action to treat or manage a stroke.
Potential for impaired function: A crucial finding is the patient’s history of stroke-like symptoms because it indicates that she may be at risk for having a stroke. A neurologist is an expert in the diagnosis and treatment of neurological conditions, such as stroke. A neurologist can evaluate the patient’s stroke risk factors, carry out the required tests to identify a stroke, and create a plan of action to treat or manage a stroke.

3. Describe the role each of the two identified healthcare professionals would have in providing Ms. Washington with individualized, patient-centered care.

Individualized, patient-centered care for Ms. Washington would be provided by an occupational therapist (OT). Occupational therapists (OTs) are experts in assisting people with impairments in acquiring the skills necessary to live independently and carry out activities of daily living (ADLs). The demands of the patient’s physical, mental, and social well-being are all taken into account by occupational therapists (OTs), who deal with patients of all ages and capacities. A neurologist is an expert in the diagnosis and treatment of neurological conditions, such as stroke. Neurologists are experts in the functioning of the neurological system. Additionally, they have received training in the diagnosis and management of a variety of neurological conditions, such as epilepsy, Parkinson’s disease, Alzheimer’s disease, and other dementias