The following discussion post is Nursing Scenario that must be APA 7 format with citations and references no older than 10 years. Questions may be answered in bullet form. No specific word count. All questions must be answered. Copy of rubric attached. Assignment:
Case: Li-Mei Chen is a 70-year-old woman with a history of Alzheimer’s who lives alone. One evening, she felt light-headed and dizzy. When her head began to ache, she decided to take an analgesic and go to bed early. The following morning, after waking up, she was unable to move the bed sheets with her right arm. At this point, she was experiencing tingling sensations in her limbs, and she had difficulty keeping her balance. She dialed 911 for help, and by the time the ambulance arrived, she was confused and unable to articulate her words although she knew what information the police were asking of her. In the hospital, she was examined and treated for ischemic stroke.
- A stroke, or brain attack, involves brain tissue injury. Describe ischemic penumbra and what factors contribute to the survival of the neurons involved. What happens if the cells of the penumbra are unable to be preserved?
- Compare and contrast hypoxia and ischemia. What condition is more dangerous to the brain? Explain your answer.
- Knowing what you do about the effects of ischemia on the brain, why would someone with ischemic stroke develop cerebral edema?
- What type of aphasia was Bonnie exhibiting when talking to her care givers? Explain your answer.
- Identify pharmacotherapy in prevention of secondary ischemic stroke and explain their mechanism of action.
- Based on response to question 5, what are some nursing strategies that you can implement to ensure medication safety and adherence for patients with cognitive impairment?
- What is dementia? Why is Alzheimer disease based on a “diagnosis of exclusion”?
- What are the macroscopic and microscopic features of the brain that are typical in Alzheimer’s disease?
- Identify the pharmacotherapy in management of Alzheimer’s disease and explain their mechanism of action.
- Explain how commonly prescribed medications for Alzheimer’s disease might interact with medications used for stroke prevention and management, such as antiplatelet agents or anticoagulants (Hint: cholinesterase inhibitors (e.g., donepezil)).