Identify current evidence-based treatment modalities for the selected topic and discuss how the treatment impacts the disease process.
Conduct an evidence-based literature search to identify the most recent standards of care/treatment modalities from peer reviewed articles and professional association guidelines (www.guideline.gov). These articles and guidelines can be referenced, but not directly copied into the clinical case presentation. Cite a minimum of three resources.
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Include the following in your clinical case presentation:
A discussion the pathophysiology of the disease, including signs and symptoms
An explanation of diagnostic testing and rationales for each
A review of different evidence-based treatment modalities for the disorder obtained from guideline.gov or a professional organization
Next, address the following questions:
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How does the information in this case inform the practice of a master’s prepared nurse?
How would the master’s prepared nurse use this information to design a patient education session for someone with this condition?
What was the most important information presented in this case?
What was the most confusing or challenging information presented in this case?
Discuss a patient safety issue that can be addressed for a patient with the condition presented in this case.
*The purpose of the case study is to have you expand upon the pathophysiological disease process by searching for evidence-based practice treatment and advanced practice nursing role implications related to the disease*
MODEL ANSWER
Case Study CVA
Pathophysiology
CVA or stroke happens when the supply of blood to the brain becomes restricted or blocked denying the brain nutrients and | PLACE YOUR ORDER NOW AT writtask.com | a few minutes of reduced oxygen, the cells of the brain begin to disintegrate and ultimately die and cause neurologic dysfunctions lasting | PLACE YOUR ORDER NOW AT writtask.com | ischemic or hemorrhagic (Tadi & Lui, 2019). Ischemic stroke occurs when there is a complete or partial blockage of the | PLACE YOUR ORDER NOW AT writtask.com | can come from a blood clot (thrombus) that lodges in the brain’s arteries. Plaque (atherosclerosis) accumulation can also limit blood flow. Other types of debris or blood clots forming in other parts of the body like the heart may move through the blood and lodge in the brain arteries (Tadi & Lui, 2019). Haemorrhagic strokes happen when brain blood …
The symptoms and signs of a stroke include difficulty understanding speech and having trouble communicating, numbness, or paralysis of the arm, face, or leg usually on one side | PLACE YOUR ORDER NOW AT writtask.com | include trouble walking, headache, and difficulty seeing with one or | PLACE YOUR ORDER NOW AT writtask.com | risk factors for stroke include being obese or overweight, sedentary lifestyle, binge or heavy drinking, use illicit substances such | PLACE YOUR ORDER NOW AT writtask.com | include hypertension, high cholesterol, second-hand smoke inhalation or smoking cigarettes, diabetes, genetics, heart …
Evidence-Based Treatments
For ischemic strokes, a medication known as Alteplase of Tissue Plasminogen Activator (tPA) is the common form of | PLACE YOUR ORDER NOW AT writtask.com | should administer the drug within a few hours succeeding first symptoms. The medication works by dissolving the blood clot that is occluding the flow of blood | PLACE YOUR ORDER NOW AT writtask.com | either injects the drug through an IV tube or uses a | PLACE YOUR ORDER NOW AT writtask.com | is another treatment modality that does not necessarily dissolve the blood clots but inhibits the formation of new clots. Physicians must administer the drug within 48 hours…
However, the American Heart Association recommends talking to a physician before taking the drug because not all strokes emanate from blood clots but rather from a ruptured | PLACE YOUR ORDER NOW AT writtask.com | for ischemic stroke include mechanical | PLACE YOUR ORDER NOW AT writtask.com | doctor performs this endovascular method by inserting a stent retriever via a catheter through the groin to the location of the blood clot in the brain’s blood vessel. The retriever then opens and captures the clot allowing the physician to remove the | PLACE YOUR ORDER NOW AT writtask.com | modalities for hemorrhagic | PLACE YOUR ORDER NOW AT writtask.com | depend on what section of the blood is impacted as well as the reason for the bleeding. Abnormally shaped blood vessels in the brain known as arteriovenous malformations (AVMs), cause bleeding in the brain regions as well as bulging blood vessels known as | PLACE YOUR ORDER NOW AT writtask.com | causes bleeding in the brain (Tadi & Lui, 2019). Nonsurgical interventions include blood pressure control, halting medication that may cause further bleeding such as blood thinners, and transfusion of blood with clotting agents to stop the haemorrhage (Konkel, 2018). The …
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