RESUMO
Stroke is a common cause of death and neurological impairment. The largest artery in the brain is the middle cerebral artery. When this artery suffers a stroke from an abrupt interruption or cessation of blood flow, tissue dies, and severe, potentially irreversible brain damage occurs. Comprehensive assessments of stroke patients are required for proper care management, evaluation of interventions, and assessment of outcomes. With the development of new, efficient stroke treatments, it is of the utmost significance for nurses to take advantage of the chance to document stroke impairments and disabilities to track recovery and make plans for re-entry into society. We describe the case of a 50-year-old man with right hemiplegia. The brain CT made visible the left front parietotemporal region and the left insular cortex of the acute left-sided middle cerebral artery infarct. The patient received immediate medical attention. After the early stabilization of acute symptoms, physiotherapy treatment was started. The physiotherapy intervention given in this case enabled the patient to have a speedy and effective recovery. It helped improve his motor impairments and quality of life. Post-rehabilitation, the patient became independent in daily activities like brushing, bathing, eating, etc.
RESUMO
Tetralogy of Fallot (TOF) is a congenital heart defect characterized by four distinct heart abnormalities, which include an overriding aorta (where the aorta crosses both ventricles), a ventricular septal defect (VSD), right ventricular hypertrophy (the right ventricle muscle is thickened), and pulmonary stenosis (the pulmonary valve and artery are narrowed). Individuals suffering from TOF may exhibit pinkness, cyanosis at baseline, or episodes of hypercyanosis. The pathoanatomy of the TOF allows blood from the pulmonary and systemic circulations to mix. Cyanosis is caused by the addition of deoxygenated blood from a shunt that runs from right to left to the systemic circulation. In this case report, we present a five-year-old female patient with a known case of TOF. The results were recorded using the Pediatric Quality of Life (PedsQL) Questionnaire, New York Heart Association (NYHA) Dyspnoea Scale, Wong-Baker Faces Pain Rating Scale, and arterial blood gas analysis. Therapy goals were to improve overall functional ability, to remove secretions from airway, and the return of acceptable cardiovascular function. This case report focuses on the success of the cardiorespiratory rehabilitation program based on the patient's current state of health. The outcome parameters confirm that patients can experience improved functional recovery.
