Nursing Care of Patient Stroke : Study 2 Care

Abstract

Purposes: To study nursing care for patients with stroke through a comparative analysis of two case studies.

Study design: A comparative case study of two patients with stroke admitted to the Emergency and Forensic Nursing Department at Non Sila Hospital, Khon Kaen Province.

Materials and Methods: Two stroke patients were selected using purposive sampling. Data were collected from medical records, interviews with relatives, and direct observation using structured data record forms. Data analysis focused on comparative analysis of risk factors, pathophysiology, clinical manifestations, treatment approaches, nursing problems and diagnoses, and discharge planning.

Main findings: Case 1 was an 81-year-old Thai male who presented with slurred speech and tongue stiffness 3 hours prior to hospital arrival. He was diagnosed with recurrent stroke, assessed as non–fast track stroke, and referred to Khon Kaen Hospital. After stabilization, he was transferred back for rehabilitation care. Case 2 was a 35-year-old Thai male who presented with acute unsteady gait and limb weakness, followed by decreased consciousness, 1 hour prior to hospital arrival. He was assessed as fast track stroke and diagnosed with hemorrhagic stroke. The patient received intravenous recombinant tissue plasminogen activator and endotracheal intubation, and was referred to Khon Kaen Regional Hospital. After the critical phase, he was discharged home with a rehabilitation plan.

Conclusion and Recommendations: Timely and appropriate stroke management, particularly through the fast track system, enhances patient safety, reduces disease severity, and promotes functional recovery. Continuous follow-up and education for relatives and caregivers are essential to support rehabilitation and reduce the risk of stroke recurrence.