Advanced knowledge of the pathophysiology, health assessment and pharmacology for nurse educator.This paper is designed to facilitate nurse educator track students understanding of the complex role of nurse educator.

This paper is designed to facilitate nurse educator track students understanding of the complex role of nurse educator. An in-depth view of the patient will be presented in addition to the ways in which in-depth knowledge of pathophysiology, pharmacology, and physical assessments can be used to incite innovative communication, critical thought, and clinical judgment in themselves, in members of the inter-professional team and in the nursing student.
Requirements of paper:

Paper meets length requirements at least 6 pages

Minimum of 3 scholarly references (in addition to the required textbook and readings.)

References are current – within a 5-year time frame unless a valid rationale is provided for use of older references
You are to meet patient Charles Gibson, who is in rehab recovering from stroke. A CT scan showed that he had a left sided Ischemic Stroke that left him with right sided weakness. Fortunately, Mr. Gibson was given tissue Plasminogen Activator (TPA) within the 3hrs time of symptoms onset. He is now in rehab with his wife getting Physical and Occupational Therapy.
History and Physical
Date of Birth: OCTOBER 12, 1942
AGE: 72
SEX: MALE
RACE: African American
ALLERGIES: No Known Allergies
WEIGHT: 250 pounds
HEIGHT: 6’0″ / 113.398 kg
BMI: 33.9

He has history of hypertension for which he refuses to take the medication prescribed for him. Patient states “I feel fine without it.” He has the medication but has not yet opened the prescription bottle. Has been diagnosed with Diabetes Mellitus Type II for which he takes Metaforim at 1000 mg/day. Keeps up with his doctor’s visits which are scheduled every four months. Smokes a half of a pack of cigarettes every day. Cut down from one pack per day over the past couple of years as his doctor told him. Enjoys all kinds of food including fried food, fast food and “soft drinks”. He has no acute distress.
Post Stroke MRI showed evidence of recent ischemic event with no worsening ischemia and reperfusion to compromised area of cortex. Patient Gibson suffers some speech difficulties which looks to be motor in origin. Is able to identify words when shown a picture of several everyday items. Tolerating nectar thick diet without incident. Will progress to soft -diet if swallow evaluation results are consistent with this. He is staying motivated but expresses remorse about not “being able to do what he did before”. He remains in sinus rhythm, HR 80s since cardioversion with Amiodarone one week ago. His BP stays in the 130s systolic and he assured us that he would be “good about taking his new medicines”.
IN REHAB Vitals: HR_ 82 NSR
BP- 130/80
RR- 18 Reg
Temp -98.6
Sat 96% on 2 L/min oxygen
Practioner Orders:
Admit s/p stroke.
Vital signs every four hours with O2 saturation.
Diet: Nectar Thick
Swallow evaluation and call with results.
PT/OT consult
Telemetry bed
Metformin 1000mg po every 12 hours
Enteric Coated aspirin 81 mg po every day
Persantine 75mg po every day
Losartan 75mg po every day
Amiodarone 200 mg po every day
Discharge goal- two weeks from today with once weekly RN visits and outpatient PT/OT three times a week.


 

smilesmile. .







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