Nursing care of patient acute ischemic stroke at emergency department : Case study 2 case

Abstract

This study presents a comparative analysis of nursing care for stroke patients in the emergency room, focusing on two cases admitted to Uthumphonphisai Hospital between June 1, 2024, and August 31, 2024. The study utilized the five-step nursing process and relevant nursing theories to evaluate patient care and outcomes. The comparative case study revealed that Patient 1, a 77-year-old Thai male, presented with drowsiness, slurred speech, and left-sided weakness within one hour of symptom onset. He received thrombolytic therapy within three hours of onset. Patient 2, also a 77-year-old Thai male, experienced dizziness and progressive left-sided weakness and was transferred to the hospital four hours after symptom onset. He underwent a computed tomography (CT) brain scan and was subsequently referred to Sisaket Hospital for further evaluation and treatment. Standard nursing protocols were implemented in both cases, including neurological monitoring, vital sign assessment, blood pressure and blood sugar control, complication prevention, and caregiver education. Following treatment, Patient 1 exhibited a faster recovery compared to Patient 2, emphasizing the crucial role of early intervention in improving stroke outcomes. These findings highlight the importance of timely assessment and prompt treatment in emergency nursing care for stroke patients. Additionally, educating patients and caregivers about risk factor management, including hypertension, diabetes, and lifestyle modifications, is essential in preventing recurrent strokes.