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Posted: September 12th, 2022
Increased weakness and slurred speech
Nursing homework Help
Nursing care plan for :
CC: Increased weakness and slurred speech
HPI: The affected person is a 61 yo gentleman with h/o CVA in September 2005, hypertension, hyperlipidemia, sort 2 diabetes, seizure d/o, and cocaine abuse who presents with elevated world weakness, slurred speech, and altered psychological standing. At roughly four:00 AM, the affected person was discovered by spouse sitting on the sofa, unable to face up, reply appropriately to questioning, or converse clearly. The room was in disarray, probably indicating a fall of some form, and there was additionally proof of urinary incontinence with a moist space on the sofa. On presentation to the ED, the affected person was discovered to have proper higher and decrease extremity weakness, slurred speech, and disorientation. The affected person was unable to elucidate a lot of the evening’s occasions however did state that he fell on his buttocks. He additionally thought he was talking humorous regardless of understanding what he needed to say. Though affected person did have some residual proper sided weakness from the earlier stroke that requires the usage of a cane, spouse famous that this episode was markedly worse when it comes to decrease extremity energy and ambulation. Affected person endorses important cocaine use and noncompliance with drugs since Might 2006. When seen in ED at 11:30 AM, affected person at baseline per spouse. Despite the fact that he knew what he needed to say, he thought he was speaking humorous. Despite the fact that the affected person nonetheless has some weakness in his proper facet from the primary stroke, which requires him to make use of a cane, his spouse stated that this episode was a lot worse when it comes to his decrease physique energy and capability to stroll. Since Might 2006, the affected person admits to utilizing cocaine loads and not taking his drugs. When the affected person was seen within the ED at 11:30 a.m., she or he was at baseline, in accordance with the spouse. Affected person denies head trauma, headache, change in imaginative and prescient, nausea, and vomiting. No dizziness, SOB, chest ache, or palpitations. Affected person denied urinary incontinence regardless of proof described above
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