Students are required to provide a response to the below questions in relation to the case Mrs Wilma Ortez.
Academic paper and thus needs to be written in the third person, following academic integrity and referencing criteria. It does not require an introduction or conclusion; headings will assist you in framing your responses.
Wilma is an 84-year-old widow who lives independently alone, in her North Adelaide family home. Her two children and grandchildren live interstate and have not visited since January 2020 due to border closures related to COVID-19. She is socially active with friends, plays cards twice a week, choir practice twice a week and attends church on Sundays.
Several weeks ago, Wilma was having lunch with her friends and found it difficult to form her words, her friends were unable to understand what she was saying and shortly after this she collapsed in her chair, unable to respond to verbal stimuli. An ambulance was called, and Wilma was taken to the hospital.
• On arrival to the hospital, Wilma’s observations: P 134, RR 26, BP 165/95, T 37.6, SpO2 92% on room air, GCS of 12.
• A CT scan provided a diagnosis of CVA.
• Wilma’s past medical history includes: Salpingo-oopherectomy and Hysterectomy – 23 years ago; NIDDM - 15 years; AF; GORD; Smoker – 10/day; Hypertension; Hypercholesterolaemia; MI
Wilma was admitted to the neurological ward with the following assessment information: GCS of 13, left sided hemiplaegia, expressive dysphasia, dysphagia and blurred vision. A review by the speech pathologist and physiotherapist was arranged. Ten days later Wilma was transferred to a rehabilitation hospital with residual dysphasia, left sided hemiplegia.
Ongoing medications include:
Apixaban 5 mg PO daily Ezetimibe 10 mg PO daily
Digoxin 125 mcg PO daily Perindopril 2 mg PO daily
Simvastatin 40 mg PO daily Amlodipine 10 mg PO daily
1. Identify the most likely aetiology of Wilma’s CVA
• Explain how and why this can lead to a CVA from a pathophysiological perspective.
• Include the pathophysiology of Wilma’s CVA.
• In other words, discuss the pathogenesis of the most likely cause and how it can lead to CVA in relation to Wilma’s case.
Student Name: Student ID:
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Assessment Criteria: % Excellent Good Satisfactory Unsatisfactory
Identify the most likely aetiology of Wilma’s CVA
Explain how and why this can lead to a CVA from a pathophysiological perspective.
Include the pathophysiology of Wilma’s CVA.
In other words, discuss the pathogenesis of the most likely cause and how it can lead to CVA in relation to Wilma’s case.
?Comprehensive understanding of pathophysiology in case study
?Comprehensive discussion/ excellent understanding of cause/ rationale presented
?Comprehensively supported with relevant evidence.
?Good understanding of pathophysiology in case study
?Sound discussion/ good understanding of cause/ rationale presented
?Sound support of discussion with relevant evidence ?General understanding of pathophysiology in case study
?General discussion/ limited understanding of cause/ rationale presented
?Discussion supported with minimal relevant evidence ?No or unsatisfactory understanding presented of pathophysiology.
?Not linked to case study
?Cause/ rationale not presented / incorrect
?No or inappropriate evidence utilised to support discussion.