Case Study
CF is a 65 yo M admitted with ischemic CVA.Pt is aphasic c R sided weakness and the risk of dysphagia is obvious at admission.Pt is NPO.
HT: 5'10" WT: 223#
Na: 137 Cl: 101 BUN: 21
Chol: 223
Glucose: 179
K: 3.7 CO₂: 26 Cr: 0.8
-On day 9, your patient is doing much better, hemiparesis has resolved, and anticoagulation is underway He is to be discharged in a few days What would be your next intervention?

Question

Case Study
CF is a 65 yo M admitted with ischemic CVA.Pt is aphasic c R sided weakness and the risk of dysphagia is obvious at admission.Pt is NPO.
HT: 5'10"      WT: 223#
Na: 137    Cl: 101       BUN: 21
Chol: 223
Glucose: 179
K: 3.7         CO₂: 26         Cr: 0.8
-On day 9, your patient is doing much better, hemiparesis has resolved, and anticoagulation is underway He is to be discharged in a few days What would be your next intervention?

Quizplus · Accepted Answer

As the patient is improving and the hemiparesis has resolved, the next intervention would be to assess the patient's ability to swallow and potentially upgrade their diet. This would require a consultation with a speech therapist to ensure their safety and successful transition to a regular diet. The other options such as a social worker assessment, depression screening, and weight reduction may be important interventions but are not the next priority in this case. Since the patient had risk of dysphagia at admission, it is important to consult a speech therapist for an upgrade in diet as the patient's condition has improved. This will help ensure optimal nutrition and hydration for the patient. It is also important to note that the other options (B, C, and D) may be important considerations, but they are not the next intervention in this case.

Case Study CF Is a 65 Yo M Admitted with Ischemic CVA.Pt