The nurse should include the following items in their teaching concerning the cerebrovascular accident.
Assessing the factors that are related to an individual situation for decreasing cerebral perfusion and impending of an increased ICP. Jointly assessing and monitoring the status of neurological frequently while comparing with baseline. Observing the vital signs such as a change in the blood pressure, comparing the BP reading in both arms the heart rate and rhythm, as well as assess for murmurs. Changes to documents in version: report of blurred vision, depth insight (Duncan et.al, 1983). Through evaluation of the higher functions such as Speech if the patient is alert. Position with head slightly elevated and in the neutral position. Sustaining of the bed rest. by providing quiet and calm environment. also restricting visitors and their activities. The intervention of cluster nursing and providing rest period activities in between care activities as well as limiting the duration of the procedure. Inhibit strain at stool, holding breath, administering supplemental oxygen as specified (Burney et.al, 1996).
The following reasons may affect the patient’s readiness or ability to learn: Assessing if the patient is encountering some problems in accepting their conditions. The patient may feel overwhelmed, angry, or depressed (Duncan et.al, 1983).
Appropriate referral for a patient with the cerebrovascular accident may entail several things. A patient may be referred to as a ‘syncope’ clinic over a six-month period where he will be prospectively studied. The initial assessment may integrate ambulatory electrocardiography, carotid sinus massage prior to and following atropine and prolonged head-up tilt (Burney et.al, 1996).