The neurologic system is one of the most complex in the body and issues can present itself in several ways. In this case, there are certain special considerations to make. The weight and medical history of the patient are relevant because being obese and having high cholesterol are risk factors for cardiovascular problems, including strokes which affect the neurologic system (Gulanick & Myers, 2013). The patient is also showing symptoms of a stroke in that there are unilateral changes in functioning on the left side, with a facial droop, an inability to use left-hand upper and lower extremities, and garbled speech. The history of the patient is also relevant in terms of planning nursing care, as the history of the patient can determine the severity of the stroke and which type of treatments are likely to have the best effect (Gulanick & Myers, 2013).
In this case, the patient has most likely suffered an ischemic stroke. This nursing diagnosis has been made due to the presence of common clinical signs of stroke, as well as the fact that the patient is in a high-risk group for stroke – he is overweight and male (Gulanick & Myers, 2013).
Personally, I find the neurologic system to be one of the hardest to understand in the clinical context. There are so many different factors to consider and each part of the neurologic system is almost a system in its own right, which means that taking a history and conducting a patient history needs to be specific to the part of the neurologic system that has been affected. Despite this, I have overcome the challenge to a certain degree by studying more about the underlying structure of the neurologic disease and understanding the risk factors for conditions such as stroke.
- Gulanick, M., & Myers, J. L. (2013). Nursing care plans: Nursing diagnosis and intervention. Washington, DC: Elsevier Health Sciences.