NSG2ANB Nursing Assignment


This assessment requires you to explore the evidence base for nursing care of the patient who has had a stroke. You will need to analyse the current best practice nursing literature on nursing care of post stroke complications.

Only research articles are to be used for your identification of best practice. That is, unit protocols or guidelines, textbooks and other secondary sources do NOT qualify as suitable reference material for uncovering the evidence base for best practice. PubMed, The Cumulative Index of Nursing and Allied Health literature (CINAHL) and Medline are useful sources to locate the research evidence for this essay.Mr Steven Chan, a 68 year old male, awoke in the middle of the night and fell when he tried to get up to go to the bathroom. He fell because he was not able to control his left leg. His wife took him to the hospital, where he was diagnosed with an acute ischemic stroke. The stroke protocol was followed and Mr Chan has now been admitted to the acute stroke unit.

Upon arrival he is feeling depressed and fearful about having another stroke. His left leg and arm remain weak and numb. Left sided arm weakness 3/5 and leg weakness 4/5. He has decreased sensation on the left side, particularly in his hand. He currently has dysphagia and left homonymous hemianopsia.
Based on the case study provided identify three (3) complications (consequences) of acute stroke.
In your answer you will need to discuss;
The significance of these complication to the patient
What nursing intervention would be appropriate for these complications
Provide an evidence based rationale for your interventions

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