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The biopsychosocial approach to health focuses on person-centred care, where patient involvement cerebrovascular accident essays for scholarships clinical decision-making and self-management are key factors Fayers P, CVA recovery is not predictable, and while improvement from initial symptoms predominantly occurs, there is tremendous variability in the degree of progress a patient may make.
Some will return to normal while others make only moderate improvement, and a few have little or no recovery. Generally, the first 6 months sees the greatest recuperation after the stroke, although recovery can occur for up to 2 years.
The biopsychosocial consequence of CVA can be overwhelming; for both the patient and for their family, resulting in a great strain to family life.
CVA can change the family power dynamic: These strains can lead to a divorce, the spouses of CVA survivors report a lower fulfilment in quality of life Ostwald, These high figures demonstrate how life after CVA can radically change all aspects of living.
A biopsychosocial model for sufferers of CVA is appropriate because post-stroke stressors, e. This model can also be used to predict long-term rehabilitation participation in CVA patients Desrosiers et al.
Within the healthcare setting, dignity has become a major concern in UK health policy, especially in regard to vulnerable or older people Gallagher, Dignity is recognition of the intrinsic value of people, regardless of circumstances, by respecting their uniqueness Aspinall, Nurses can make patients within their care feel dignified and valued by having an attentive presence during communication which makes it explicit that the patient is unique and esteemed and their opinions are being taken into account; feelings of worth are central to dignity and important to health and quality of life Thomas and Quinn, Communication and cognitive problems in CVA survivors can result in patient opinions being misinterpreted or overlooked and decisions can be made on their behalf without adequate consultation.
Therefore it is important to ensure patient wishes are adhered to and where necessary, to involve Speech and language SLT and Occupational therapy OT to provide supportive communication methods, thus respecting patient dignity Silverman.
Multi-disciplinary teams are recognised as best practice care in CVA management, and each discipline takes a unique role in the recovery process, e. SLT is involved in the recovery of communication and swallowing, and can provide supportive communications methods.
Dieticians help in nutritional management for over or underweight CVA patients and in conjunction with SLT, the correct food consistencies required for individuals with dysphagia. OT focuses on independence and function, setting individual goals using task adaptation and environmental modification to underpin action and activity of the patient Rowland T.
Nursing interventions are often characterised by caring for basic needs and sustaining personal and social integrity McCartney,which is vital in ensuring the correct professionals in a stoke rehabilitation team are informed of the day to day changes in the patient Hartigan, Therefore nursing professionals should have a thorough understanding of what each profession can contribute to patient rehabilitation.
In accord with NHS stroke models NHS,care and rehabilitation should aim to re-establish and maintain functioning, promote health, and prevent and minimise disability Stucki G, Essentially, rehabilitation should optimise participation in life and empower the CVA sufferer.CEREBROVASCULAR ACCIDENT Cerebrovascular accident, termed as “brain attack,” is also referred to as Stroke.
Stroke is a sudden loss of function resulting from a disruption of the blood supply to a localized part of the brain. CVA (Cerebrovascular Accident), commonly known as a stroke, is a cardiovascular disease affecting the blood vessels that supply blood to the brain.
A stroke occurs when a blood vessel that brings oxygen and nutrients to the brain bursts (hemorrhagic) or is clogged by a blood clot or some other mass /5(4). Cerebrovascular disease includes a variety of medical conditions that affect the blood vessels of the brain and the cerebral circulation.
Arteries supplying oxygen and nutrients to the brain are often damaged or deformed in these disorders. Introduction. This essay will explore a ‘needs orientated’ approach to the care of CVA patients and examines the importance of using models and frameworks within nursing practice.
A cerebral vascular accident (CVA), or commonly known as a stroke, impact approximately , individuals in the United States each year. According to the Encyclopedia of Aging (Scherer, ), a stroke occurs with a neurologic deficit from a disruption of vascular function.
Cerebrovascular Accident. Prepared by: Cellanie P. Janson Introduction • Cerebrovascular accident: The sudden death of some brain cells due to lack of oxygen when the blood flow to the brain is impaired by blockage or rupture of an artery to the brain.1/5(1).