NORTHWESTERN UNIVERSITY, INC

Laoag City, Ilocos Norte

Name: Alexa Bryanna G. Gano Year & Section: BSN3A

ACTIVITY 2 CASE STUDY/CRITICAL THINKING

Instruction: In this portion, I want you to elaborate on the following situation provided
below. Answer them enthusiastically. Enjoy learning!

SITUATION: Mang Mario, a 69-year-old man, arrives at the emergency room of MMMH
and MC with expressive aphasia, left facial droop, mild dysphagia, and left-sided
hemiparesis. His wife states that he stayed in bed when he woke up at 6:30 am, complaining
of a mild headache over the right temple and feeling slightly weak. She went and got coffee,
then, thinking it was unusual for him to have those complaints, went back to check on him.
She found he was having some trouble saying words and developed a left-sided facial droop.
When she helped him up from the bedside, she noticed weakness in her left hand and leg and
brought him to the emergency department. He has a past medical history of Paroxysmal atrial
fibrillation, hypertension controlled Hyperlipidemia, and a recent cardiac stress test with
normal findings. Medications are as follows; Flecainide (Tambocor) 100 mg BID, amlodipine
5mg OD, aspirin 81 mg daily, simvastatin 20 mg every hour of sleep, and lisinopril 10 mg
OD.

1. What is the possible condition of Mang Mario and what are the kinds of it? Discuss it
briefly.
Mang Mario's possible condition was stoke, also known as cerebral vascular accident
(CVA), brain attack or cerebral thrombosis, and apoplexy. A stroke is a medical
emergency that occurs when the blood supply to the brain is cut off. Brain cells begin to
die in the absence of blood. This can result in severe symptoms, long-term disability, and
even death. Transient ischemic attack, ischemic stroke, and hemorrhagic stroke are the
three main types of stroke.
2. When assessing the condition of Mang Mario, what should you evaluate and the initial
management? Discuss briefly.
To manage increased intracranial pressure, monitor vital signs every hour. Make sure
that the patients breathing, blood pressure, and heart rate are under control, as well as any

Care of Clients with Problems in Nutrition, and Gastro-Internal, Metabolism and Endocrine,
Perception and Coordination, Acute and Chronic

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 NORTHWESTERN UNIVERSITY, INC
Laoag City, Ilocos Norte

other symptoms. Obtain patient weight to get baseline data. Monitor its progress every hour
to decide what kind of care you'll give and how the patient reacts to your interventions.

3. Based on the above situation, make one actual and comprehensive NCP.

Nursing Diagnosis:
Self- care deficit related to partial paralysis related to secondary to stroke as evidence
by expressive aphasia, left facial droop, mild dysphagia, and left- sided hemiparesis.
Nursing Goal:
After 1 month of rendering effective nursing intervention the patient will demonstrate
techniques/lifestyle changes to meet self-care needs.
Nursing Intervention:
1. Avoid doing things for the patient that the patient can do for themselves, but offer
assistance as needed.
Rationale: To maintain self-esteem and promote recovery, the patient should do as much
for themselves as possible. Although assistance helps prevent frustration, these patients
may become fearful and dependent.
2. Be on the lookout for impulsive behaviors that indicate impaired judgment.
Rationale: It is possible that additional interventions and supervision are required to
ensure patient safety.
3. Maintain a supportive, firm demeanor. Allow enough time for the patient to
complete tasks. Take your time with the patient. Give positive feedback for your
efforts and achievements.
Rationale: Patients require empathy and assurance that caregivers will be consistent in
their assistance. Enhances the patient's sense of self-worth, promotes independence, and
encourages the patient to continue with his or her endeavors.
4. Encourage the SO to allow the patient to do as much self-care as possible.

Care of Clients with Problems in Nutrition, and Gastro-Internal, Metabolism and Endocrine,
Perception and Coordination, Acute and Chronic

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 NORTHWESTERN UNIVERSITY, INC
Laoag City, Ilocos Norte

Rationale: Restores independence, fosters self-worth, and aids in the rehabilitation

process. Note: Depending on the degree of disability and the time required for the patient
to complete an activity, this may be extremely difficult and frustrating for the caregiver.
5. Teach the patient how to comb their hair, dress, and wash.
Rationale: To foster a sense of self-sufficiency and self-esteem.
6. Make a referral to a physical and occupational therapist for the patient.
Rationale: Rehabilitation aids in the relearning of skills that are lost when a portion of
the brain is damaged. It also teaches new ways to complete tasks in order to avoid or
compensate for any residual disabilities.

Nursing Evaluation:
After 1 month of rendering effective nursing intervention the patient was able
demonstrate techniques/lifestyle changes to meet self-care needs.

Care of Clients with Problems in Nutrition, and Gastro-Internal, Metabolism and Endocrine,
Perception and Coordination, Acute and Chronic

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