NURSING CARE OF PATIENT STROK : CASE STUDY OF 2 CASES

Abstract

     This study was case study aimed to study nursing care for patients with cerebrovascular disease: a case study of 2 cases. The study included 2 stroke patients who were admitted to Nongnakham Hospital. Data were collected from outpatient medical records and emergency patient assessment forms, patient and family interviews, and observation. Data were analyzed to compare risk factors for the disease, pathology, symptoms and signs, treatment, nursing problems and diagnoses, and nursing outcome assessment. Case study 1: A 72-year-old Thai male patient with major symptoms of stiffness in both arms and legs and no speech while watching TV. He was diagnosed with ischemic stroke 20 minutes before coming to the hospital. Case study 2: A 48-year-old female patient with major symptoms of lethargy and no speech and weakness in the right limb 1 hour before coming to the hospital. She was diagnosed with intracerebral hemorrhage.

     The results of the study found that patient 1, a 72-year-old male, came with symptoms of stiffness and weakness in both arms and legs, no speech, following with eyes, and leaking feces for 20 minutes. Patient 2, a 48-year-old female, came with symptoms of leaking urine and feces, a stiff tongue, no speech, and weak right limbs for 1 hour. It can be seen that the important nursing care during the critical emergency phase of stroke patients is the assessment and triage of the level of urgency. Both patients were triaged to level 2 and level 1 urgency and were transferred to a secondary hospital with higher potential within 30 minutes and 35 minutes, respectively, for a CT scan and urgent treatment.