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Critical Thinking 7 - Joel Osterhout Med Surg Wed 14 Nov 06...

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Joel Osterhout Med Surg. Wed 14 Nov 06 Critical Thinking #7 Cerebrovascular vascular accident, the third leading cause of death in the U.S. occurs as brain ischemia or brain hemorrhage. Cerebrovascular accidents may impair the functional abilities of older adults and limit their ability to live independently. The scope of nursing interventions ranges from teaching older adults about risk reduction strategies to rehabilitation during recovery. So for a 50 year old male patient with type 2 Diabetes and HTN discharge instructions should include a not only the prevention of another stroke but instructions on how to manage his Diabetes and HTN. Since the patient lives alone in a small apartment a visiting nurse may be an option for the first few days or even months depending on the severity of the TIA, to assess how well the patient is adapting. The patient stated that he did not know any of his neighbors the nurse might suggest to the patient to consider introducing himself to one or two of the neighbors closest to him so that someone is aware and can keep an eye on him.
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