Nursing of patient with terminal ischemic stroke : 2 case studies

Abstract

Background : Ischemic stroke threat to life. Therefore, patient needed rapidly treatment. Somepatients were high risk to death from size and position of cerebral infarction. Palliative nursing careswas a channel of non-recovery patient and caregivers for reducing pain and suffer.

Objective : Study onpalliative nursing care of terminal acute ischemic stroke patient: 2 case studies Materials and Methods : Comparative study between 2 casesofterminal acute ischemic strokepatient in stroke unit, Mahasarakham hospital by using data recording form, collecting data frominternal medical records, interview caregivers, and observation. Comparative analysis risk factor,pathology, symptom and sign, treatmentsand nursing care record form. Analyzing data by using
11 Gordon’s scheme health pattern.

Case study : Comparison ofterminal acute ischemic stroke patient2 cases.

Case 1 : Female patient, 71 years old, important symptoms: sleep unconscious, unconsciouslycalled before came to hospital 40 minutes. Final diagnosis was acute ischemic stroke. Then,patiententered stroke fast track treatment program. Patient was treatment by intravenous thrombolytic drug.After treatment found that patient flounder and caregivers decided to treat patient by palliativetreatment.
Case 2 : Male patient, 47 years old, important symptoms: cannot speak clearly, the left limb wasweak before came to hospital 8 hours. Final diagnosis was acute ischemic stroke. After treatmentfound that patient flounder and treated by palliative treatment.

Conclusion : Caring of terminal ischemic stroke patient by using palliative treatment. Caregiversshould had continue and suitable plan for patientespeciallyholistic treatmentfor reducing suffer.