Person focused clinical inquiry - Essay Example

Download file to see previous pages... tube", he pointed at the catheter. I promised him, his identity would remain confidential;

he replied, "I don't care!" I inquired about his impression about his illness. Davy said, he

is an architect, and he loves creating models, and he does this in the attic of his house.

Meg added, "It was October 20, afternoon." Davy continued in a garbled speech, " I was

creating a model of a building, suddenly I felt fainted, and I was not able to control my

fingers, I tried to call Meg, she was in the lawn, I could not voice. Rest I don't know."

Meg added, "When I heard something heavy falling, I ran to the attic only to find that

Davy was slumped in the bathroom." "When I woke up in the hospital bed, I didn't know

what was the day, and they told me I had a stroke." I understood he had an internal bleed

in his brain, and with history of diabetes and history of dyslipidemia and atherosclerotic

cardiovascular disease and hypertension, he was pretty much at risk of this kind of

cerebrovascular accident.

Pathophysiology: I was able to reconstruct the accident he suffered from. A

bleeding inside the brain happens when a blood vessels ruptures within the brain. Davy

was already a patient of hypertension on antihypertensive medication. He had diabetes

mellitus and hypercholesterolemia. He was perhaps diagnosed to be having coronary

artery disease (Ariesen, M.J. et al, 2003). He was on aspirin, which was held on this

admission (Coller B.S., 1990). On further inquiry and with Meg's help, I could recover

Davy is now dysarthric, he can understand clearly the conversation, but his expression is

not clear enough to communicate in the early phases of this...
1223 - 1227.
Schroeder, E.B., Rosamond, W.D., Morris, D.L., Evenson, K.R., and Hinn, A.R. (2000). Determinants of Use of Emergency Medical Services in a Population With Stroke Symptoms : The Second Delay in Accessing Stroke Healthcare (DASH II) Study, Stroke; 31: p. 2591.
Thrift, G.A., McNeil, J.J., Forbes, A., and Donnan, G.A. (1999), Risk Of Primary Intracerebral Haemorrhage Associated With Aspirin And Non-Steroidal Anti-Inflammatory Drugs: Case-Control Study, British Medical Journal; 318: pp. 759 - 764.
UK Prospective Diabetes Study Group (1998). Efficacy Of Atenolol And Captopril In Reducing Risk Of Macrovascular And Microvascular Complications In Type 2Diabetes: UKPDS 39, British Medical Journal; 317: pp.713 - 720. ...Download file to see next pagesRead More