Onset left-sided facial drop-left-sided arm and leg weakness

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Reference no: EM133914056

Case Study

Yun Ding is 79-year-old man who was admitted to the emergency department with new onset left-sided facial drop, left-sided arm and leg weakness, slurred speech and a sudden onset of a severe headache. These symptoms have been present for the last hour.

A history revealed that Yun has had previous transient ischaemic attacks (TIAs) x 2 in the past year. He has hypertension and is overweight with a poor diet (high in salt) and lack of physical exercise.

A CT scan has revealed a right-sided thrombotic cerebrovascular accident (CVA). Treatment is commenced with tissue plasminogen activator (tPA).

Yun lives at home with his wife who is in good health. He is left-handed. He has a supportive family.

Question 1.

After the cerebrovascular accident (CVA), Yun has the following issues:

Issue Support Service/s Support Service purpose/role

L)sided hemiplegia

Disorganised ADL's

Speech Deficit

Urinary Incontinence

For each issue, identify one (3) or more supportive services Yun will require for discharge and their purpose/role.

Question 2.

From the case study data:

1. Identify one (3) or more potential risk factors contributing to Yun's CVA.

2. Identify one (3) modifiable risk factor and explain what Yun could have done to reduce his risk of CVA.

Reference no: EM133914056

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