Case Study

Case Study

Introduction

This is a case of Ms Singh a 69 year old women is actually a retired secretary. She lives down the road from her daughter and grandchild. She has become a socially withdrawn woman who chooses to spend most of her time in the garden or at her home. Yesterday night Ms Singh was brought in by ambulance (BIBA) to hospital in the emergency depart anent as her daughter found her on the floor of bathroom. According to the staff of ambulance she was found naked and not capable to call for aid for about eighteen hours. She was diagnosed as having had a cerebrovascular accident (CVA) with residual right (R) sided hemiplegia, dysphagia and dysphasia. After a very short period of time she was transferred to the acute medical ward. Ms Singh appears calm and sleepy. She is currently Nil by Mouth (NBM) at the same time as awaiting a speech therapist review. After 5 weeks on your ward Ms Singh's condition has shown no improvement. She requires full assistance with all aspects of her ADLs and still has dysphagia and dysphasia. Her daughter Nita says that her mother has an Advanced Health Directive and she has articulated her wish that no active interventions are to be taken in the event of cardiac or respiratory arrest.

Discussion

The Deficits of Ms. Singh

She had a cerebrovascular accident (CVA) is usually defined as a medical term that passes on to the damage to the brain which occurs when there is an interruption in the blood flowing to the brain tissues, it is usually caused by a ruptured or clogged artery, resulting brain tissue to expire due to the of lack of oxygen and nutrients (Alexandrov, 2004).

She also has Hemiplegia that is overall paralysis of the leg, trunk and arm. She has the same on the right side of her body. Hemiplegia is mush severe than hemiparesis, in which one half part of the body possess less marked weak points. Hemiplegia may be acquired or congenital from a stroke or an illness.

She was also facing the Dysphagia. This is a symptom of complexity in swallowing. Even though confidential under “signs and symptoms” in ICD-10, the term is occasionally used as a state in its own right. People who are suffering this are usually not aware of their dysphagia. As Ms. Singh was also not aware of her this problem (Palmer, 2008).

She was also diagnosed of having Dysphasia which a language problem that is just because of brain damage or stroke in the brain's left side. It is characterized by partial or complete loss of verbal communication function with ability to writing, reading, speaking and listening. The entire areas will be damaged to some extent; though a number of areas possibly pretentious more than others may. The sort of harshness of the verbal communication problem will base on the part of the brain that has been damaged.

Vital Sign Measurements

When she was taken to the hospital her temperature was ...