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Essay / Research Paper Abstract
A 14 page research paper that offers a comprehensive overview of stroke management, with a particular focus on hemorrhagic stroke. Bibliography lists 13 sources.
Page Count:
14 pages (~225 words per page)
File: KL9_khhstroke.rtf
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Unformatted sample text from the term paper:
a disease that affects primarily older Americans, as the incidence of stroke increases with age and the incidence in for those under 65 is less than 2 per 1,000
people on a yearly basis (Weinberger, 2002). The following examination of literature focuses on the topic of hemorrhagic stroke in regards to the roles and responsibilities of nursing in regards
to the acute, recovery and rehabilitation phases. Etiology: There are two major classifications that pertain to stroke: ischemic and hemorrhagic. It is imperative to determine if the stroke
is ischemic or hemorrhagic, as this designation determines the subsequent course of intervention. Ischemic stroke refers to strokes caused by a blocked artery and this type of stroke
presents between 80 and 80 percent of these detrimental cerebrovascular events (Weinberger, 2002). A hemorrhagic stroke, on the other hand, refers to a stroke that involves a ruptured artery,
with this type accounting for between 15 and 20 percent of cerebrovascular events (Weinberger, 2002). If a patient is either hypovolemic or dehydrated, this may decrease cerebral blood flow and
perfusion, which, in turn, may cause cerebral ischemia (Finley, 2004). Pathophysiology: Roughly 10 percent of all strokes are due to intracerebral hemorrhage (ICH) (Manno, et al, 2005). In ICH,
there are small ruptures in the small vessels of the cerebral arteries, which is generally caused as a result of hypertension, which induces pathologic changes (Manno, et al, 2005). When
there is a total circulatory blockage, it causes a process that is referred to as an "ischemic cascade" (Petrofsky, Petrofsky and Bweir, 2004, p. 36). Cell mitochondria are no longer
receiving oxygen and this causes them to produce toxic substances, known as free radicals, one of which is nitric oxide, which normally aids in the control of metabolism, and also
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