The following example demonstrates a personal healthcare experience for you to c

Question

The following example demonstrates a personal healthcare experience for you to consider:
An elderly woman named Liza who showed symptoms of near syncope was admitted via ambulance to a small community hospital. She experienced an inability to move on her own and almost lost consciousness while watching her grandson play basketball. Her symptoms occurred during a visit to her daughter’s home, which is approximately 150 miles from Liza’s home. When Liza was admitted to the hospital, her daughter explained the numerous types and dosages of medications her mother was taking. She also mentioned that Liza had not been taking her Coumadin as directed by her physician for the past week or so. Liza was admitted to the intensive care unit for evaluation. Over the course of hospitalization, Liza’s condition worsened. Approximately 18 hours after her admission, the nursing staff began performing nervous system checks on Liza and contacted the physician-on-call to obtain an order for a CT scan. The scan showed evidence of a cerebral infarction. Appropriate treatment for the infarction then was provided.

OR

You may also consider your own personal healthcare experience in any setting. You should identify the key processes in relation to the areas discussed in this chapter (for example, pharmacy, medication administration, nutritional assessment, or special procedure).

CASE STUDY QUESTIONS

1.How might you monitor the processes she has experienced? What types of data would be useful? Describe variations and possible causes of variations in the care processes.

2.What worked and what did not work in the processes? Consider interviewing healthcare professionals to discuss these issues.

Explanation / Answer

1. A person with cerebral infarction shows symptoms like numbness of the limb, headache, dizziness and clumsiness.

Care processes-

If the thrombus blocks blood flow to an artery supplying the brain, thrombolysis (breaking the clot) or thrombectomy (mechanically removing the clot) is carried out.

In cases of acute cerebral ischaemia, the disturbing thrombus is be removed and blood flow to the brain is restored via femoral artery. The clot is subsequently withdarawn from the affected area.

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