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  • Essay / Nurses are the eyes and ears of the multidisciplinary team

    Case study of a QSENA patientComputer applicationOn February 11, 2014, a 64-year-old woman began experiencing tingling and numbness in her side straight and to the face. She informed her family and they called 911 to send an ambulance to her home. The ambulance transported her to the emergency room at Ellis Medicine on Nott Street in Schenectady. In the emergency room, her main complaints and symptoms were right-sided weakness, headache, nausea, and decreased level of consciousness. The symptoms were consistent with the signs and symptoms of a stroke. A CT scan and an MRI show a cerebral hemorrhage on the left side. The neuroscience team diagnosed him with amyloid angiopathy, a genetic disease that causes proteins to be deposited on the walls of blood vessels in the brain. The deposits cause the walls of blood vessels to rupture and crack. Blood seeps into the brain, causing damage and a hemorrhagic stroke (Angiopathy, 2013). The brain hemorrhage occurred in the left side of the brain, causing significant bleeding and brain damage. She has expressive aphasia and right-sided hemiparesis resulting from the hemorrhage. Expressive aphasia created a communication barrier. I found out who the patient was through photos, family, and the use of pen, paper, and a whiteboard. I learned that she worked full-time night shifts for Walmart, as a freight hauler, and lived alone in a one-story house in Schenectady, New York. Divorced with 4 adult children unable to provide care. The support systems in place are colleagues and a sister from Old Forge, NY. The key disciplines of the healthcare team are neurologist, physician assistant, speech therapist, physical therapist, occupational therapist, social worker, and nurse. During the morning assessment, first day, the Foley catheter bag with...... middle of paper...... At the elderly care site. Accessed March 12, 2014, from http://www.homeinstead.com/334/aboutus/Pages/AboutUs.aspxLippincott, W. (2013). Management of patients with cerebrovascular disorders. Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 12th ed. + nursing diagnosis, (p. 1895). Sl: Wolters Kluwer Health. Poslawsky, I., Schuurmans, M., Lindeman, E. and Hafsteinsdóttir, T. (2010). A systematic review of nursing rehabilitation of stroke and aphasic patients. Journal of Clinical Nursing, 19(1-2), 17-32. doi:10.1111/j.1365-2702.2009.03023The power to end the race. (2013). American Stroke Association. Retrieved March 12, 2014 from http://powertoendStroke.org/The Joint Commission. (2014). National Patient Safety Goals. Retrieved March 11, 2014 from http://www.jointcommission.org/standards_information/npsgs.aspx