System of Illness Condition

Clusters of Cues Organ/System Involved Normal Function Analysis

Subjective cues: The Cerebrum - The cerebrum or cortex is the
“Dih makahiwal in tunga largest part of the human brain, associated
sin baran sin taymanghud with higher brain function such as thought
ku,” as verbalized by the and action. The cerebral cortex is divided into
brother. four sections, called "lobes": the frontal lobe,
parietal lobe, occipital lobe, and temporal
Objective cues: lobe.
 Latest CT Scan  Frontal Lobe- associated with
result: reasoning, planning, parts of speech,
Intraparanchymal movement, emotions, and problem
hemorrhage, solving
subcortical left  Parietal Lobe- associated with
temporoparietal movement, orientation, recognition,
lobe and left perception of stimuli
capsuloganglionic  Occipital Lobe- associated with visual
area, cortical and processing
central cerebral  Temporal Lobe- associated with
atrophy. perception and recognition of
auditory stimuli, memory, and speech
 Right sided
immobility Basal Ganglia - Processing link between
thalamus and motor cortex. Initiation and
 Slurred speech direction of voluntary movement. Balance
(inhibitory), Postural reflexes.
 Risk for aspiration
Thalamus – Receives auditory,
somatosensory, and visual signals. Relays
sensory signals to the cerebral cortex and
motor control.
Hypothalamus - pituitary gland regulation,
blood pressure regulation, hunger and salt
cravings, feeding reflexes, thirst, body
temperature regulation ,hydration, heart
rate, bladder function  sided hemiplegia.
water preservation,
hormonal/neurotransmitter regulation,
ovarian function , testicular function, mood &
My patient’s final diagnosis is CVA,
intracerebral hemorrhage left basal ganglia-
thalamus secondary to hypertension.
Also, latest CT Scan impression include:
 Intraparanchymal hemorrhage,
subcortical left temporoparietal lobe
and left capsuloganglionic area,
cortical and central cerebral atrophy.
Cerebrovascular accident or stroke (also
called brain attack) results from sudden
interruption of blood supply to the brain,
which precipitates neurologic dysfunction
lasting longer than 24 hours. Stroke are
either ischemic, caused by partial or
complete occlusions of a cerebral blood
vessel by cerebral thrombosis or embolism or
hemorrhage (leakage of blood from a vessel
causes compression of brain tissue and
spasm of adjacent vessels). Hemorrhage may
occur outside the dura (extradural), beneath
the dura mater (subdural), in the
subarachnoid space (subarachnoid), or within
the brain substance itself (intracerebral).
My patient developed right sided immobility
as a result of CVA. Right sided immobility or
right hemiplegia is caused by a cerebral
hemorrhage specifically on the left
temporoparietal lobe. This left
temporoparietal lobe controls the association
of movement on the RIGHT side of the body
which explains why my patient has right
Furthermore, I also noted evidences of
slurred speech on the patient. Slurred speech
is a result of cerebral hemorrhage that might
behavioral functions, wakefulness, have affected the frontal lobe responsible for
metabolism, sleep cycles, energy levels       the parts of speech.

Amygdala - The main function of amygdala is Difficulty on swallowing or dysphagia may

emotional and social processing. It processes
and stores memories of emotional events and
is also involved in current emotional
response.
Hippocampus - According to recent studies,
its important role is in the formation of
new memories about experienced events
(episodic or autobiographical memory).
occur in up to 65 percent of stroke patients. If
not identified and managed, it can lead to
poor nutrition, pneumonia and increased
disability. That is why my patient’s feeding is
at sitting position to prevent ASPIRATION.

Cerebellum -  The cerebellum function

involves the regulation and coordination of
movement, posture and brain.