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l$sment of CO'11a and

Nursing Care for Stroke with rlypertension and Diabetes melitus I A Case Study

0: teis

, A Practical Scale,

Objective: The purpose

64,

providirg healthcare, physical rehabilitation and promoting family

,re. In: Chestnut RM,

participation

• ai, authors, Early

Abstract' The resull of clineal study was rrorr 2 patients with stroke,

evere Traumatic Brain

hypertension and diabetes "I1ellill,s, The first patient was suffered fro'll

study was to develop guidelrne for

Sangr:.J~gsee,

B N.S.

Department of nursmg Sar:1utprakan nospita: Samutprakan prtMnCe 10280

hemorrhagic slroke, while the second one was an ischemic stroke.

ang M, Ratanalert S:

The most important modifiable risk factors of both patients were

!diction in acute sub­

hypertensron (hgh brood pressure), diabetes meliitus, The other

IJ!'Oi 40:22-25, 1993,

modifiable

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smoking, the second ons witn high choiesterol and obesity

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of the first one were alcohol drink:ng and Cigarette

For the clinical diagnosis, botll of them were hospitallzed

vitI) improper self-care, :nabllity ':0 move li:nb on right side of the bOdy and mability to un(:1erstand formulates speech. O!her compLcations

.'~lJ~;IntZiU"N\U

were respiratory infections and breathing discomfort caused by

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secretion. Ottlsr factors were Emotional disturbances and clinical depression such as a sense of grief

fo~

their physical and mental

:osses ana a sense of hopelessness that disrupts an ind\/ldua!'s ability to function. Family member and caregiver '.vere 8:S0 concerned 'hat tney were not able 10 prOVide proper healthc9 r e to pa'ients, The f:nal factor was a cost of medical treatment and managmg caregiver untll te,,,y CQuid be discharged from hospital, A rehabilitation

or mu!Udiscipfnary team can implement this

study as to help the patients, such as preventing cO'l1phcaUon or infectior, redUCing physica' handicap, mobility and experses, Moral supporting and working on abHity are crucia: for patients to relearr:

ano adapt the hemipiegic limb during functional act;vlt'es to create lasting permanent changes. Educating family members and soc:al imeraction playa supporfng role to preventing stroke relapse and deteriorate as we!!.

Key word: Patients with Stroke, "ypertension and Diabetes Mellitus,

N~.vs:ng

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.

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....

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