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GENERAL OBJECTIVE:-
At the end of the health education patient’s relative acquire knowledge about the CVA and management of the various
problems, and care of the patient in home.

SPECIFIC OBJECTIVE:-at the end of the health education patients relative will be able to:
 define CVA.
 describe various types of CVA.
 enlist the causes of CVA.
 enumerate the various clinical manifestation of CVA.
 detail about diagnostic test for CVA.
 explain different types of management of CVA.
 discuss about prevention of CVA.
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CEREBROVASCULAR ACCIDENT

INTRODUCTION: - Cerebrovascular accident (CVA) is the medical term for a stroke. A stroke is when blood flow to a part of
your brain is stopped either by a blockage or the rupture of a blood vessel. There are important signs of a stroke that you should be
aware of and watch out for. Seek medical attention immediately if you think that you or someone around you might be having a
stroke. The more quickly you receive treatment, the better the prognosis, as a stroke left untreated for too long can result in permanent
brain damage.

S.No TIME SPECIFIC CONTENT TEACHING LEARNING A.V. EVALUATION

OBJECTIVE ACTIVITY ACTIVITY aids
1. 2min Define DEFINITION: - Cerebrovascular accident is the Discussion Listening. What is CVA?
CVA. sudden death of some brain cells due to lack of oxygen and lecture
when the blood flow to the brain is impaired by
blockage or rupture of an artery to the brain. A CVA is
also referred to as a stroke.
2. 3min Describe Discussion Listening. Flash How many
various and lecture card types of CVA?
types of TYPES OF CVA:-1. Ischemic stroke: - An ischemic
CVA. stroke is the most common and occurs when a blood clot
blocks a blood vessel and prevents blood and oxygen
from getting to a part of the brain. There are two ways
that this can happen. One way is an embolic stroke,
which occurs when a clot forms somewhere else in your
body and gets lodged in a blood vessel in the brain. The
other way is a thrombotic stroke, which is when the clot
forms in a blood vessel within the brain.
2.Hemorrhagic stroke:- A hemorrhagic stroke occurs
when a blood vessel ruptures, or hemorrhages, and then
prevents blood from getting to part of the brain. The
hemorrhage may occur in any blood vessel in the brain,
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or it may occur in the membrane surrounding the brain.

3. 5min Enlist the CAUSES:- Discussion Listening Flash What are the
causes of High blood pressure:- It's the biggest cause of strokes. If and lecture card cause o CVA?
CVA. your blood pressure is typically 140/90mmHg or higher.
Tobacco:-Smoking or chewing it raises your odds of a
stroke. Nicotine makes your blood pressure go up.
Cigarette smoke causes a fatty buildup in your main neck
artery. It also thickens your blood and makes it more
likely to clot.
Heart disease: - This condition includes defective heart
valves as well as atrial fibrillation, or irregular heartbeat,
which causes a quarter of all strokes among the very
elderly.
Diabetes:- Diabetes damages your blood vessels, which
makes a stroke more likely. If you have a stroke when
your blood sugar levels are high, the injury to your brain
is greater.
Weight and exercise:- Your chances of a stroke may go
up if you're overweight.
Medications:- Some medicines can raise your chances of
stroke. For instance, blood-thinning drugs, which doctors
suggest to prevent blood clots, can sometimes make a
stroke more likely through bleeding.
Age:- Anyone could have a stroke, even babies in the
womb. Generally, your chances go up as you get older.
They double every decade after age 55year.
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Family:- Strokes can run in families. You and your

relatives may share a tendency to get high blood pressure
or diabetes. Some strokes can be brought on by a genetic
disorder that blocks blood flow to the brain.
Gender:- Women are slightly less likely to have a stroke
than men of the same age. But women have strokes at a
later age, which make them less likely to recover and
more likely to die as a result.
4. 5min Enumerate SYMPTOMS:- the five warning symptoms of a Discussion Listening. Flash Which type of
the various stroke are: and lecture. card symptom seen
clinical in CVA?
manifestatio 1. Sudden weakness or numbness of the arms, legs, or
n of CVA. face, especially on one side.

2. Sudden vision problem in one or both eyes.

3. Sudden dizziness, loss of balance or coordination, or

difficulty walking.

4. Sudden confusion or trouble speaking.

Stroke symptoms include:

 difficulty walking
 dizziness
 loss of balance and coordination
 difficulty speaking or understanding others who are
speaking
 numbness or paralysis in the face, leg, or arm, most
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likely on just one side of the body

 blurred or darkened vision
 a sudden headache, especially when accompanied by
nausea, vomiting, or dizziness
5. 3min Detail about DIAGNOSTIC TEST:- Discussion Listening Which type
diagnostic and lecture test perform in
test for  Blood tests: Your healthcare provider may want to CVA?
CVA. test your blood for clotting time, blood sugar levels,
or infection.
 Angiogram: An angiogram, which involves adding a
dye to your blood and taking an X-ray of your head,
can help your doctor find the blocked or hemorrhaged
blood vessel.
 Carotid ultrasound: This test uses sound waves to
image the blood vessels in your neck. This test can
help your provider determine if there’s abnormal
blood flow toward your brain.
 Computed tomography (CT) scan: The test can help
your provider find the problem area or other problems
that might be associated with stroke.
 Magnetic resonance imaging (MRI): An MRI can
provide a more detailed picture of the brain compared
to CT scan
 Echocardiogram: This imaging technique uses sound
waves to create a picture of your heart. It can help
your provider find the source of blood clots.
 Electrocardiogram (EKG): This is an electrical
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tracing of your heart. This will help your provider

determine if an abnormal heart rhythm is the cause of
a stroke.

6. 5min Explain Discussion Listening What are the

different TREATMENT:- Treatment for stroke depends on the and lecture treatment of
types of type of stroke you’ve had. The goal of treatment for CVA?
management
ischemic stroke, for instance, is to remove the blockage.
of CVA.
Treatments for hemorrhagic stroke are aimed at
controlling the bleeding.

1. Ischemic stroke treatment:-To treat an ischemic

stroke, you may be given a clot-dissolving drug or a
blood thinner. You may also be given aspirin to prevent
a second stroke. Emergency treatment for this type of
stroke may include injecting medicine into the brain or
removing a blockage with surgery.

2. Hemorrhagic stroke treatment:- For a hemorrhagic

stroke, you may be given a drug that lowers the pressure
in your brain caused by the bleeding. If the bleeding is
severe, you may need surgery to remove excess blood.
It’s also possible that you will need surgery to repair the
ruptured blood vessel.

Remembering the acronym "FAST" helps people

recognize the most common symptoms of stroke:
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1. Face: Does one side of the face droop?

2. Arm: If a person holds both arms out, does one drift

downward?

3. Speech: Is their speech abnormal or slurred?

4. Time: It’s time to call 911 and get to the hospital if

any of these symptoms are present.

7. 5min Discuss PREVENTION:- Discussion Listening Flash How to

about and lecture card prevent CVA?
prevention  Maintain normal blood pressure.
of CVA.
 Limit saturated fat and cholesterol intake.
 Refrain from smoking, and drink alcohol in
moderation.
 Control diabetes.
 Maintain a healthy weight.
 Get regular exercise.
 Eat a diet rich in vegetables and fruits.

SUMMARY:- Cerebrovascular accident is the sudden death of some brain cells due to lack of oxygen when the blood flow to the
brain is impaired by blockage or rupture of an artery to the brain. A CVA is also referred to as a stroke. Cerebrovascular accident
(CVA) is the medical term for a stroke. A stroke is when blood flow to a part of your brain is stopped either by a blockage or the
rupture of a blood vessel. There are important signs of a stroke that you should be aware of and watch out for. Seek medical attention
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immediately if you think that you or someone around you might be having a stroke. The more quickly you receive treatment, the better
the prognosis, as a stroke left untreated for too long can result in permanent brain damage.

BIBLIOGRAPHY

1. LUCKMANN’S “TEXT BOOK OF MEDICAL-SURGICAL NURSING”

Edition: - 2016, Page no:-1001-1012, Published by: - Elsevier publication.

2. MOSBY “TEXT BOOK OF MEDICAL-SURGICAL NURSING”

Edition: - 7th edition, Page no: - 1112-1025, Published by:-. Elsevier publication.

3. BRUNNER AND SUDDARTH’S “TEXT BOOK OF MEDICAL-SURGICAL NURSING”

Edition:-.13th edition, Page: - 1200-1225, Published by: - Wolter’s kluwer.

4. ANSARI JAVED “MEDICAL SURGICAL NURSING-I”

Edition:-3rd, page: - 550-555, published by: - PV publication.

5. JOYCE M. BLACK “MEDICAL SURGICAL NURSING-I”

Edition:- 2015, page: - 600, published by:- Elsevier publication.

6. INTERNET:-

WWW.MEDIINDIA.COM
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GRACIOUS COLLEGE OF NURSING ABHANPUR RAIPUR (C.G.)

SUBJECT:- MEDICAL- SURGICAL NURSING- I

TOPIC:- HEALTH TALK

ON
GASTRITIS

SUBMITTED TO; SUBMITTED BY;

MS .OSIN CHANDRAKAR MR. TOPESHWAR KANWAR
DEMONSTRATOR,MEDICAL SURGICAL NURSING MSC NURSING 1st YEAR
GRACIOUS COLLEGE OF NURSING ABHANPUR RAIPUR.
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HEALTH TALK
NAME OF THE PRESENTER : - Mr. Topeshwar kanwar

COURSE & YEAR : - M.Sc. Nursing 1st year

NAME OF THE SUPERVISOR : - Ms. Osin chandrakar mam

SUBJECT : - Medical surgical nursing-I

TOPIC : - Cerebrovascular Accident

NO. OF GROUP : - 20 person (patient relative and patient)

DATE : - 26/01/2021

TIME : - 11:00am

VENUE : - Male, medical ward -11

METHOD OF TEACHING : - Explanation, discussion, lecture etc.

MEDIA OF TEACHING/ A.V. aids : - Flash card

PREVIOUS KNOWLEDGE LEVEL :- My group member less knowledge about definition, cause, clinical manifestation,
diagnostic evaluation and prevention of CVA.