Nursing care of patients with dependency in the community: a case study of cerebrovascular disease

Abstract

     This study is a case study. have a purpose To develop nursing care for dependent patients in the community Case study of patients with cerebrovascular disease and effectiveness of nursing care for dependent patients in the community Case study of patients with cerebrovascular disease This is a study of stroke patients after discharge from hospitals and then come to take care of them continuously at home for a period of 6 months (Long Term Care). The study was conducted between October 1, 2022 - March 2023.

     A 58-year-old male patient diagnosed with diabetes in 2017 and hypertension in 2019. Received chronic disease medication at Sappasit Prasong Hospital, Ubon Ratchathani. Amlodipine(5) was unable to control blood pressure. blood So it was changed to Enalapril (20) 0.5 tablets 2 times after meals and HCTZ (50) 0.5 tablets 1 time after breakfast. His wife took him to Pak Chong Nana Hospital. Nakhon Ratchasima Province. While staying overnight when sending my daughter to do an internship in Nakhon Ratchasima Province The doctor diagnosed him with a Stroke and therefore had him lie down to Admit for treatment by taking medication for 2 weeks until his symptoms improved. The patient's doctor allowed him to go home on December 7, 2022, ready to send him back for treatment at Sappasit Hospital. wishes in the area And went to receive treatment at Sappasithi Prasong Hospital on December 8, 2022. From the health assessment, it was found that the patient acted according to the instructions. There is still a weak left limb. still can't walk by himself and insert a urinary catheter After the sale, there is a plan to continue doing a Home program physically at home. and received continuous follow-up visits at home 5 times