Case study Stroke
Mr Marks, a 68 year-old male, was admitted to the Emergency Department at 6am after waking up with right-sided weakness, right facial droop and slurred speech. His family informed you that the patient has a history of hypertension that had been diagnosed two years ago. On admission to the Emergency Department the clinical manifestations were:
-Severe right-sided weakness
-right-sided facial droop
-Incomprehensible words
-Glasgow come score (GCS) 11/15 (Eyes 3/4 —-Voice 2/5 Motor 6/6)
-Right hemianopia
A diagnosis of Left MCA ischaemic stroke is made.
Question
Explain in an oral presentation the underlying pathophysiology of ONE of the clinical manifestations
that Mr Marks has presented with
AND
Describe ONE high priority nursing intervention you would do to improve the clinical manifestation.
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