stroke in LTCRegister Today!
- by ajaxgirl May 21, '07what would your course of action be if you suspect a resident is having or had a stroke? Assume the resident is age 90.
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- May 21, '07 by nightmareCheck obs,check reflexes,phone doctor.
- May 21, '07 by kstecIf they coherent, have them smile to see if one side of the face droops, have the patient lift their arms to see if one side is weak, and see if they can talk, and I guess before that get a set of vitals, if the patients is incoherent than I don't know what a tail tell sign would be.
- May 21, '07 by Wise Woman RNCall 911
- May 21, '07 by SuesquatchRNSet of vitals, neuro check (PERRLA, grasps, reflexes, orientation, consciousness), call physician.
- May 21, '07 by CapeCodMermaidAsk them to smile, speak, stick out their tongue, hand grasps..CALL the DOC and ask for 911 to hospital is appropriate.
- May 21, '07 by NorynIt really depends, these questions are so vague. First, I would ask the patient how they are feeling (if they are able to respond)get a set of vitals then do a quick neuro check. Second, I would very quickly make sure I know what the pt's history is while checking the advance directives. Third let the doctor know and from there communicate the plan with the family and pt if coherent. It seems like a lot but all of this should be able to be done in 5-10 minutes as long as you can get ahold of the doctor.
The patient's wishes along with being able to make an informed decision is something that shouldnt be overlooked.
- May 21, '07 by prowlingMAI have seen one first hand in LTC. I did vitals, had do Range of Motion ( noted one side weakness) and slurring speech, called 911, call Doc, called pt family, call facility RN( she always wanted to be called when sending out).
Those first few minutes can be litterally life saving or damaging.
- May 21, '07 by steelcityrnKnow the DNR status, then call 911. You can obtain vitals and assessment while ambulance is on the way.
- May 21, '07 by linzzI have not had to deal with a stroke yet as I am a new nurse. Besides, the other posters gave great advice. An elderly member of my family, just had a TIA. The symptoms she had were weakness on one side, loss of balance, and confusion. The Dr. said it was possible that she may have a stroke within a month.