NURSING PROCESS IN A PATIENT WITH SEQUELAE ISCHEMIA

Abstract

The present case study aimed to successfully apply nursing care of an ischemic cerebrovascular event in a geriatric patient by collecting data to determine key points and implement the possibility of an improvement in the patient's health through nursing care. Nursing care of geriatric patients affected by ischemia after ischemic stroke is crucial due to its impact on both mortality and quality of life of patients, highlighting the need for a comprehensive and specialized approach in the field of geriatric nursing. We present the case of a 72-year-old female patient with multiple comorbidities, including bronchopneumonia, acute respiratory failure, ischemic stroke, in addition to diabetes mellitus and hypertension. The patient was admitted with left brachio-crural hemiparesis, decay and decreased appetite. Her initial assessment revealed hemodynamic stability, but with evidence of respiratory compromise and cardiac findings such as left ventricular hypertrophy, as well as the presence of severe bronchospasm during invasive procedures, which led to the need for advanced life support. Throughout his stay in the intensive care unit he experienced recurrent complications, such as deterioration of renal function, bradycardia and hypotension events and finally a fatal episode of bleeding through the tracheostomy that resulted in irreversible cardiac arrest and his death on May 23, 2023.