Cases reported "Cerebrovascular Disorders"

Filter by keywords:



Filtering documents. Please wait...

11/20. primary nursing care of patients who have had a stroke.

    This article describes the care of two patients who had had a stroke. It explores how their primary nurse and her colleagues learned to identify communication needs, and examines the development of strategies to help meet those needs.
- - - - - - - - - -
ranking = 1
keywords = communication
(Clic here for more details about this article)

12/20. Direct carotid-cavernous sinus fistulas.

    1. Direct carotid-cavernous sinus fistulas usually result from multi-trauma or head injuries. These patients are more likely to be seen at trauma based hospitals. 2. Ocular manifestations of direct carotid-cavernous sinus fistulas include exophthalmos, swollen eyelids, ocular pulsation, pulsating exophthalmos, conjunctival chemosis, arterialization of conjunctival vessels, exposure keratopathy, a bruit over the affected eye (heard by the patient as a swishing sound), diplopia, visual loss, and ophthalmoscopic abnormalities that include moderate dilation of retinal veins, optic disc swelling, and intraretinal hemorrhage. 3. The ultimate diagnostic test for direct carotid-cavernous sinus fistulas is cerebral arteriography of both the internal and external carotid arteries. 4. The optimal treatment of a direct carotid-cavernous sinus fistula is closure of the abnormal arteriovenous communication with preservation of internal carotid artery patency. Detachable, flow-guided balloons are presently used to close most direct carotid-cavernous sinus fistulas.
- - - - - - - - - -
ranking = 1
keywords = communication
(Clic here for more details about this article)

13/20. The daily dilemmas of decision making in geriatric care.

    A case involving the care of an elderly stroke victim and his wife is presented. A great deal of care was given over the years, but in the end it seems we got it wrong. The case illustrates one of the recurring scenarios of decision making that can become mundane for the practitioner but is ever new for the patient and the family. The importance of developing a relationship of frank communication involving discussion of the hard issues before it is too late is highlighted.
- - - - - - - - - -
ranking = 1
keywords = communication
(Clic here for more details about this article)

14/20. aphasia: a care study.

    aphasia is a term used to describe any deficit in the production or comprehension of speech. Damage to various parts of the brain can give rise to aphasia. The communication problems experienced by patients with aphasia present a unique challenge to the nurse. It is vital that all patients receive a proper assessment of their needs. A holistic approach is required. nurses should be non-judgmental in their approach and remember the person behind the aphasia.
- - - - - - - - - -
ranking = 1
keywords = communication
(Clic here for more details about this article)

15/20. Perinatal superior sagittal sinus venous thrombosis.

    The initial clinical findings that form the basis for the diagnosis of puerperal SSSVT are frequently quite subtle. It is essential to a favorable outcome that clinicians maintain a high index of suspicion in relation to physical complaints of puerperal women. Meticulous, comprehensive, multisystem assessment is indicated to explore fully the presentation of headache, weakness, or other subjective data when discovered. Headaches can easily be attributed to a multitude of factors associated with birth. These include fatigue, stress, complications of anesthesia, fluid and electrolyte imbalances, and muscle tension and strain. It is imperative that clinicians not assume a benign etiology for headache. Rather, ongoing assessment focused on describing the problem in its entirety is indicated. Irritability, too, can easily be attributed to stress and exhaustion. Ongoing evaluation of responses to medication, nutrition, and rest will prevent overlooking a fulminant process such as SSSVT. patients frequently need advocates when symptoms are vague and inconsistent. Careful documentation of findings as well as open, ongoing communication with members of the clinical team will best serve the patient. Retrospective analysis of vague complaints and subtle clinical findings frequently forms the basis for diagnosis of SSSVT and for clinical management to follow. In the face of cost constraints and restrictive third party reimbursement, there is significant incentive for early discharge. For this reason, identifying fulminant processes is an increasingly significant role of the perinatal nurse. Data collected in routine assessments and then verified and aggregated by the members of the health care team will be critical to prevent a rise in morbidity and mortality in the early days following discharge. In a more hopeful tone, detecting and resolving complications will help to set up the newly established family for a positive start. Quite simply put, a healthy woman has more energy to take on the new role of mother and maintain her present roles of wife, mother, worker, member of a family, and member of a community.
- - - - - - - - - -
ranking = 1
keywords = communication
(Clic here for more details about this article)

16/20. Perioperative stroke in patients undergoing head and neck surgery.

    The risk of perioperative strokes has been demonstrated to be very low in general surgical procedures, and somewhat higher in cardiac and carotid artery procedures. We describe 5 patients who underwent major head and neck procedures not requiring carotid ligation and who postoperatively suffered strokes. These occurred between the first and ninth postoperative days. Four of the patients were thought to have had emboli, 3 to the cerebral hemispheres (2 ipsilateral and 1 contralateral to the neck dissections), and another to the lower brain stem. Hypoperfusion was thought to have caused the stroke in the fifth patient. All patients had risk factors for stroke. The cases in our series were difficult to diagnose because of the delayed onset and subtle nature of symptoms, as well as masking of speech and communication due to the operative involved. Thrombogenesis within the internal carotid and vertebral artery systems due to patient positioning and intraoperative cervical manipulation may be an important etiologic factor in this form of stroke.
- - - - - - - - - -
ranking = 1
keywords = communication
(Clic here for more details about this article)

17/20. Pragmatics: right brain communication.

    Neuroscience nurses as well as other health care providers are called upon to assess and implement intervention strategies to assist clients and family members and significant others to communicate in the presence of communication deficits. language, high level language skills and speech are frequently addressed in presentations and in the literature but pragmatics which includes prosody, attitude, emotions and gestural behaviors is rarely addressed. Pragmatic competence mediated by the right hemisphere, is an equally important and essential component of human communication. An understanding of pragmatics permits the neuroscience nurse to identify and evaluate pragmatic deficits so interventions to facilitate communication can be undertaken. Specifically prosody, that is melody, pause, intonation, stresses and accents, affective tone, subtle grades of meaning and varied emphasis; its components; and aprosodia (lack of prosody) will be discussed. kinesics, that is limb, body and facial movements, and referred to as pantomime and gestures, will be examined also as will facial expression. Suggestions for pragmatic assessment and therapeutic nursing interventions will be given.
- - - - - - - - - -
ranking = 7
keywords = communication
(Clic here for more details about this article)

18/20. Spontaneous carotid dissection.

    Spontaneous internal carotid dissection typically occurs in young or middle-aged patients. It is associated with a high rate of recovery and low mortality. Anticoagulant and antiplatelet drugs fail to demonstrate a significant improvement when compared with placebo. A 38 year-old woman with spontaneous dissection of the internal carotid artery diagnosed by MRI is reported. She had an excellent recovery without treatment and no recurrent attack occurred after one year of follow-up. The clinical manifestations, diagnostic tests and treatment of spontaneous internal carotid disection are briefly reviewed in this communication.
- - - - - - - - - -
ranking = 1
keywords = communication
(Clic here for more details about this article)

19/20. Paradoxical embolism following acute pulmonary embolism: diagnosis and outcome.

    We report on ten cases of paradoxical embolism that occurred following pulmonary embolism and emphasize the echocardiographic contribution. Two patients had a thrombus trapped in a foramen ovale. An embolectomy was performed on one of those patients and the outcome was post-operative death. The other patient died suddenly prior to planned surgery. The remaining eight had inter atrial communication or foramen ovale that were highly patent upon contrast echography. Two of them who presented cardiogenic shock died rapidly despite resuscitation measures. The remaining six patients were treated medically with anticoagulants and have experienced no recurrence of embolism after a mean follow up 34 /-31 months.
- - - - - - - - - -
ranking = 1
keywords = communication
(Clic here for more details about this article)

20/20. Multiple systemic emboli complicating the course of a patient with an atrial septal defect, an atrial septal aneurysm and an endocardial right atrial pacemaker lead.

    We describe an adult patient with a large atrial septal defect, an atrial septal aneurysm and thrombus formation on a transvenous right atrial pacing lead. Because of right-to-left shunting through the atrial septal defect, she developed multiple systemic emboli to the spleen and left kidney (with infarcts), to the left leg, and probably to the brain as a cerebrovascular accident. The fundamental guiding principle of avoiding endocardial pacing leads in patients with congenital intracardiac communications, was violated in this patient, leading to serious dire consequences and complications.
- - - - - - - - - -
ranking = 1
keywords = communication
(Clic here for more details about this article)
<- Previous || Next ->


Leave a message about 'Cerebrovascular Disorders'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.