[Solved]: CASE STUDY – Rita John Patient Profile Mrs John, a…

CASE STUDY – Rita John Patient Profile Mrs John, a 68-year-old married woman, was admitted to the emergency room with sudden-onset of left-sided weakness and facial droop. She was accompanied by her daughter, who was aged 13. A non-contrast computed tomography (CT) scan was negative about 2 hours after the onset of symptoms. Magnetic resonance imaging 12 hours later was positive for an ischemic area in the right hemisphere. Subiective Data: Daughter is at the bedside. She is upset and tearful, stating: “Mom doesn’t know where she is and she keeps waving her arm at me and getting upset, trying to tell me something, and I don’t know what she is trying to tell me.” • Has no history of hypertension or other health problems • Complained of a headache the day before she became unconsciousness Past medical illness: • She has had hypertension for the past 8 years • Hypothyroidism and rheumatoid arthritis for 12 years • Hyperlipidaemia and Venous Thromboembolism for 5 years • She never smoked or drank alcohol Obiective Data: Pupils equal, round, reactive to light and accommodation • Decreased sensation in left lower extremity, no sensation in left upper extremity, normal sensation to right upper and lower extremity • 0/5 strength left upper extremity, 1+/5 left lower extremity, 5/5 right upper and lower extremity • Left facial droop • Slurred speech • Diagnostic tests reveal a subarachnoid hemorrhage • Vital signs: BP 150/82, RR 16, HR 56 bpm, Temp 101deg F (38.3deg C) • Glasgow Coma Scale score: 9 Diagnostic Studies: • A barium swallow study has been ordered. from the above information aswer the below question: 1. Why was the barium swallow study ordered for Mrs John? 2. What are the different manifestations of right-sided versus left-sided stroke? (list 5 on each side). 3. You acknowledge her daughter’s distress and the difficulties that problems with speech can pose of Mrs John and her. Describe nursing interventions to assist Mrs John impaired communication.