Pat2Sub22.docx

Professor’s Comment:

The referencing and citing of scholarly work is mandatory to support the idea that is being presented in the participation discussion. ALL peer responses require an in text citation, a reference, and 5 or more sentences. References should be between 2018 to 2022.

Post 5 Stroke is a common cause of disability as people who suffer from it may lose their ability to care for themselves. Other common complications from stroke are difficulty speaking (dysarthria) and language difficulties (aphasia), decreased mobility due to inability to use one side of the body. 

After a stroke, some patients have difficulty speaking or expressing themselves to others. The effect of stroke/ aphasia makes the patients lose their ability to communicate in the language they knew before the stroke event. Dysarthria significantly affects patients' speech as the muscles used to speak are affected by stroke. Dysarthria or aphasia can severely affect patients' ability to communicate with people, and it can be difficult for the family to understand the patient, thus the family members may have challenges meeting the needs of the patient and can also cause stress to the family members (Prayi, 2013). 

Life post stroke can be filled with lots of challenges for patients and their families, some patients may fall into depression because of the temporary/permanent debilitation from the stroke. They may question their faith and beliefs thus health care professionals/ nurses must work to support the patient emotionally, psychologically, and spiritually. Support can be offered in the following ways: 

· The nurse can support the patient by listening, using touch, being present, using silence as appropriate, offering encouragement, and observing the patient for signs of distress and responding appropriately, praying with the patient on their request. These actions can be considered the act of integrating faith and work.

· The nurse ensures all care is rendered with respect and dignity, considering the patient's religious beliefs and culture. 

· Pastoral care/ chaplaincy services should be made available to attend to the needs of the patient and family as needed. 

· The services of physiotherapy and occupational therapy should be made available for the patient to help them regain their independence as their progress during therapy will have a positive impact on the psychological well-being (Falkner, & Green, 2018). 

References 

Falkner, & Green. (2018). Neurological, Perceptual, and Cognitive Complexities. In Grand Canyon University (Ed.). Pathophysiology and Clinical Applications for Clients. https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/#/chapter/2 

Prayi, E. (2013). How Does Stroke Affect Family Members?  https://www.healthclop.com/how-stroke-affect-family-members/ 

 

 

 

Post 6:

Stroke results when anything prevents blood flow to a brain region or when a brain blood vessel bursts. The brain either ages or suffers harm in both scenarios. A stroke may result in permanent brain injury, chronic disability, or even fatality (Baye et al., 2020). Stroke presents with abrupt paralysis or weakening, usually along one part of the body, in the forearm, face, or leg. It also offers unexpected difficulty speaking, comprehending speech, or perplexity. Besides, there are sudden vision problems in either both or one eye. Patients also present with sudden difficulty walking, lightheadedness, losing balance, or poor coordination (Baye et al., 2020). Lastly, another characteristic is an intense headache that is idiopathic.

​Changes in emotions and behavior are frequently seen after a stroke. Stroke can affect a person's attitude and mood, but it can also have a considerable impact on the brain due to the region of damage and possible chemical alterations (Le Danseur, 2020). Because a stroke affects the brain, which governs people's feelings and behavior, victims frequently experience psychological and behavioral problems after a stroke. Feelings of anger, amnesia, carelessness, or bewilderment may affect the patient, their partners, siblings, and parents. Anger, worry, and depressive thoughts are also frequent (Le Danseur, 2020).

​The purpose of nursing care while caring for stroke patients and their families is to provide a family-focused strategy that maximizes the patient's life quality by identifying, avoiding, and treating upsetting presentations and psychological distress. By involving the patients and their family members in care decisions and conversions, identifying possible primary healthcare necessities, carefully evaluating patients for psychological stress and advising the caregivers about symptom relief, promoting counseling referrals, welfare services, and spiritual healing, and reviewing objectives as requirements and predetermined outcomes change, nurses who work effectively with stroke patients and their families could enhance their emotional, psychological and spiritual necessities (Le Danseur, 2020).

 

 References

Baye, M., Hintze, A., Gordon-Murer, C., Mariscal, T., Belay, G. J., Gebremariam, A. A., & Hughes, C. M. (2020). Stroke characteristics and outcomes of adult patients in Northwest Ethiopia. Frontiers in neurology, pp. 11, 428. https://doi.org/10.3389/fneur.2020.00428

Le Danseur, M. (2020). Stroke rehabilitation. Critical Care Nursing Clinics, 32(1), 97-108. https://doi.org/10.1016/j.cnc.2019.11.004