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General Discussion

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πŸ§¬πŸŒ€ What Is a CVA (Cerebrovascular Accident)?

A CVA, or stroke, is a sudden interruption of blood flow to the brain, leading to damage of brain tissue. It’s a medical emergency that can cause long-term physical, cognitive, and emotional challenges.

🧊⚑ Types of Stroke

  • Ischemic Stroke 🧱🩸: Caused by a blood clot blocking a brain artery.

  • Hemorrhagic Stroke 🌊🧠: Caused by a ruptured blood vessel bleeding into the brain.

  • Transient Ischemic Attack (TIA)Β πŸ•ŠοΈβ³: A brief blockage with stroke-like symptoms that resolve quickly.

πŸ§­πŸ“‰ Common Symptoms

  • Sudden weakness or numbness (especially one side) 🫱🫲

  • Slurred speech or trouble understanding πŸ—£οΈπŸ§

  • Vision changes πŸ•ΆοΈπŸŒ«οΈ

  • Loss of coordination or balance πŸ§β€β™‚οΈπŸͺ‚

  • Severe headache (especially in hemorrhagic stroke) 🎯πŸ’₯

πŸ§©πŸ«€ Effects on the Patient

  • Motor: Paralysis, difficulty walking πŸ¦ΏπŸ›ž

  • Speech: Aphasia, slurred speech πŸ§ƒπŸ“΅

  • Cognitive: Memory loss, confusion 🧠πŸͺž

  • Emotional: Depression, frustration πŸ«₯🎭


To know more about CVA, you may watch this video: https://www.youtube.com/watch?v=ryIGnzodxDs.



πŸ“šπŸ›ŽοΈ CNA Care for CVA

πŸ” AssessmentΒ πŸ§ΏπŸ“‹

  • Observe for:

  • One-sided weakness 🫸🫷

  • Difficulty swallowing 🍽️🧊

  • Speech or understanding issues πŸ§β€β™‚οΈπŸ“΄

  • Incontinence or mobility limits 🚽πŸͺœ

  • Emotional distress 😟🫨

  • Check skin for pressure injuries 🧴🩹

  • Monitor alertness and responsiveness 🧭🧠

🧭 Planning 🧡🧰

  • Prevent complications:

  • Pressure ulcers πŸ›οΈπŸͺΆ

  • Aspiration πŸ§ƒπŸš«

  • Falls πŸͺœβš οΈ

  • Promote:

  • Comfort πŸ›ŒπŸ•ŠοΈ

  • Dignity πŸ§˜β€β™€οΈπŸŽ“

  • Independence πŸ§β€β™€οΈπŸ› οΈ

  • Coordinate with care team πŸ§‘β€βš•οΈπŸ”—

πŸ› οΈ Implementation 🧺🧀

  • Positioning: Reposition every 2 hours πŸ•‘πŸ§Έ

  • Mobility: Assist with transfers and exercises 🦽🎯

  • Feeding: Use thickened liquids if ordered πŸ₯£πŸ§Š; keep upright πŸͺ‘πŸ“

  • Hygiene: Assist with bathing, oral care, toileting 🧼πŸͺ₯🚿

  • Skin Care: Inspect and protect skin 🧴🧦

  • Communication: Use simple words, gestures, or boards πŸ§ƒπŸ§Ύ

  • Emotional Support: Offer reassurance and patience πŸ«‚πŸͺž

  • Reporting: Document and notify nurse of changes πŸ“πŸ“‘

βœ… EvaluationΒ πŸ§ͺπŸ“Š

  • Is the patient:

  • Comfortable and safe? πŸ›ŒπŸ›‘οΈ

  • Free of skin breakdown? 🧴🩹

  • Swallowing safely? πŸ½οΈπŸ§ƒ

  • Maintaining or improving mobility? πŸ¦ΏπŸ“ˆ

  • Emotionally supported? 🫢🎭

  • Have all concerns been addressed? πŸ“¬πŸ”

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