Case Study - Ryan

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  • Ryan - Case Study
    • Age
      • 63 years old
    • Medications
      • Phenytoin
        • Medication for epilepsy
      • Aspirin
        • Anti-inflammatory medicine
        • Pain relief
    • Multi-disciplinary team
      • GP
      • Consultant (clinical neurophysiology)
      • Consultant (stroke medicine)
      • Pharmacist
      • Speech and language therapist
      • Care worker
    • History
      • Not found until 48 hours after his stroke
      • Had an intercranial haemorrhage
      • Lives alone
      • Stroke was on the left side
        • Can cause struggles with communication and language
      • Family
        • Brother he rarely sees
        • Few close friends
        • No one close enough to help with the care
      • Social life
        • Previous active social life
        • Clubs for transvestites
          • People who dress up in the other genders clothes but does not change their sexuality
            • Clubs may have flashing lights which could trigger a seizure
              • Not identified in the care plan
          • Dresses up in clothes associated to women
      • Care Plan
        • Religion not identified
          • Not collected?
        • Was seen by the Occupational Therapist after rehabilitation
        • Has a range of aids available for him to use
          • Does not want to use them
            • Feels that if he uses them he will feel and look old
        • Has been depressed and is struggling to adjust to changes
    • Maintaining a safe environment
      • Occasional epileptic seizures - should be controlled by medication
        • Is unable to collect medication without support
      • Not stable when transferring weight from a bed or chair
        • Will not use a lifeline
          • Not offered?
          • Refused to use one?
            • Unclear why he will not use a lifeline
              • Not offered?
      • Monitoring and recording the length of time the seizure lasts
        • Calling an ambulance if it is over 5 minutes
          • No one there to call the ambulance or to monitor or record his siezures
            • Needs to consider a lifeline and should talk about it with the multi-disciplinary team (GP or care worker)
              • Will not use the equipment
      • Needs to collect medication on the 1st Thursday of the month
        • Has to have assistance to get the medication
      • There are gaps in the are plan since he is living alone
        • Not fully considering the fact he lives alone


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