Below is a summary of Maya’s EHR activity during her four hours in the ED. As a health coach, your job is to recommend changes to decrease the need for future emergency care or hospitalization. You will also provide the resources she needs to understand her diagnosis and what may have caused her condition. Answer the questions and be prepared to discuss the responses with the rest of Maya’s healthcare team.
Internet Research: As a health coach, you want everyone to know the warning signs of a stroke. From the list below, designate which are the 4 signs of a major stroke (M) and which are other (O) possible symptoms of a stroke.
Internet Research: From the list below, select all of the following issues Maya might need for rehabilitation after she leaves the hospital? (Consider the issues from the 2 questions above that were high concern areas when she entered the hospital.)
A. Stroke rehabilitation facility or in-home care
B. Speaking and communicating
C. Thinking and memory
D. Bladder and bowel problems
E. Swallowing and eating
Review Maya’s ED EHR and story: In reviewing Maya’s EHR and medical history, you discover several areas she can improve to decrease her risk of having another stroke. From the list below, select all of the issues she can immediately change.
National Institute of Health Stroke Scale (NIHSS): A 15-item neurologic examination tool that evaluates and documents neurological status in acute stroke patients, predicts lesion size, stroke severity and both short and long term outcome of stroke patients.
(“NIH Stroke Scale International.” NIHStrokeScale.org. Know Stroke, n.d. Web 10 June 2014.)