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Essay Available:
Pages:
7 pages/β‰ˆ1925 words
Sources:
10 Sources
Style:
Harvard
Subject:
Health, Medicine, Nursing
Type:
Case Study
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 30.24
Topic:

Stroke Patient that Suffered a Pontine Infarction

Case Study Instructions:

Please complete the following from a physiotherapy perspective for a stroke patient that suffered a pontine infarction.
Assessment: 2000 word case report written in the third person that meets the learning outcomes. You can use headings to structure your report.
Learning outcomes:
1. Demonstrate detailed knowledge of how neurological conditions affect the individual, family and caregivers
2. Apply evidence-based practice to plan, implement and justify physiotherapy management, for people with neurological conditions
3. Appraise how a collaborative team approach can be used to enhance the health and wellbeing of people with conditions of the nervous system
You should include the following:
1. Introduction (250 words approx.):
Introduce the person in the case study and give a brief account of their condition in general e.g. what is the condition; how many does it affect etc. End with a short summary of what you will cover in the main body of your report.
2. Main body (1500 words approx)
a) Using the ICF as a model, discuss how the condition has affected the individual, their family and/ or caregivers. Link the identified impairments /activity limitations and participation restrictions to your knowledge of the pathology (including the epidemiology and prevalence) of the condition. For example, why have they developed these problems? are they common in this condition? is there anything that does not fit the usual pattern?
b) Apply the most up to date evidence (within the last 10 years) to justify a treatment plan for the person. This will include the identification of goals, treatments to achieve the goals and outcome measures. The details of the goals and treatment plan will be in an appendix. The focus in the report will be the clinical reasoning for your plan. For example, why was one treatment selected instead of another? You need to find out which treatments have the best evidence from journal articles and evidence-based guidelines. You also need justify an appropriate outcome measure.
c) Appraise how a team approach would help the person achieve the goals and justify the role of one other team member with reference to evidence from research and guidelines.
3) Conclusion (250 words approx.): Summarise the main points of the report and identify implications for future practice.

Case Study Sample Content Preview:

Stroke
Name
Course
Instructor’s Name
Institutional Affiliate
Date
Stroke
The onset of neurological dysfunction resulting from abnormalities in the cerebral circulation, also known as stroke, may have catastrophic effects on an individual, including disabilities among adults and loss of life in extreme cases. Such is the case for a 59-year-old American male patient who presented to the emergency room with left-sided weakness, cerebellar ataxic dysarthria, dysphonia, instability, and incoordination. The patient was taken to the emergency department upon waking up with mild weakness on his left side, affecting both his lower and upper limbs. He also experienced unsteadiness on his feet and slurred speech when he was presented to the emergency room. However, the patient did not report or exhibit any sensory symptoms, headache, seizures, or any facial weakness. The patient’s medical history indicates that he was diagnosed with hypercholesterolemia, hypertension, and Type II diabetes mellitus upon turning 50 years old. Treatment for the outlined condition comprised hypoglycemic agents, with medications such as aspirin, metformin, and bezafibrate. A non-contrast brain CT scan on the patient established that he suffered a lacunar infarct, as revealed by a decreased attenuation in the anterior limb of the right internal capsule. Subsequent examinations revealed deteriorating neurological effects, including left-sided facial weakness while smiling, suggesting brainstem pathology. The overall evaluation established a case of acute isolated ischemic pontine infarction. According to the CDC, ischemic strokes account for approximately 87% of all the recorded cases of strokes in the United States. However, pontine infarct strokes account for only 7% of all ischemic cases, thus making for rare events CITATION Cen221 \l 1033 (Centers for Disease Control and Prevention, 2022). Risk factors for pontine ischemic strokes include both small vessel and large vessel diseases CITATION Var14 \l 1033 (Varsou, 2014). The enlargement of the pontine lesions, as is the case for the 59-year-old patient, leads to neurological deterioration evidenced by the outlined signs and symptoms. Provided herein is a detailed evaluation of the patient’s case study, highlighting the implications of the neurological condition on the individual and caregivers while proposing evidence-based treatment plans and appraising how a team approach would help achieve the desired patient outcomes for the condition.
ICF Model-based Discussion of the Condition’s Implications
The patient’s assessment and evaluation at the emergency department and subsequent evaluations in the stroke department reveal diverse implications on his normal body functioning and resultant impairments or disability. Among the body functions affected by the neurological condition include normal motor functioning due to the instability of the patient’s feet as one of the symptoms recorded for the patient. The unsteady feet curtail his ability to move around and carry out his daily operations, such as attending to the duties and responsibilities of his livelihood. He also suffers weakness in his lower and upper limbs, affecting his ability to perform simple ac...
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