Nursing care of Patient Ischemic Stroke at community : 2 case studies.

Abstract

      This study aimed to compare the use of the nursing process in the community for two patients with ischemic stroke during home rehabilitation. This was a comparative case study of two patients with ischemic stroke in Pathum Rat District. Data was collected using tools based on the primary care system concept, the principles of family medicine, INHOMESSS, and home visits. Data were analyzed comparatively according to various aspects.

      Results: Both case studies had similar nursing diagnoses: 1) Risk of complications due to reduced cerebral ischemia; 2) Risk of complications such as joint stiffness and muscle atrophy due to inability to move the left limb independently; 3) Impaired self-care ability due to left limb weakness. The following points were identified as differences in nursing problems in case study patients: 4) being overweight due to inappropriate dietary habits, 5) having a risk of accidents due to weakness in the left limb, 6) the patient and family experiencing anxiety about the illness due to a lack of knowledge about the disease progression and home care methods. One point differed in case study patient : 1) risk of urinary tract infection due to indwelling urinary catheter. It can be seen that the INHOMESSS assessment comprehensively identifies nursing problems. The results of the INHOMESSS assessment help nurses discover the true problems (Nursing Diagnosis) and needs, leading to continuity of care and individualized care, preventing complications, and improving the quality of life for patients and their families.