Hello, My 78yr old Pt. came to hospital for recurrent dizziness, confusion and unstable blood pressure. Work up indicated UTI of course, but also revealed signs of a CVA(stroke). It says that it happened a few months ago. She also has elevated troponin level. Should my first diagnosis focus on the symptoms from the UTI(Impaired Urinary Elimination) or (Risk for Acute Confusion) or the the stroke(Ineffective Tissue Perfusion:Cerebral) although it happened a while ago? Any help would be appreciated.