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 lifestyle changes to alleviate symptoms, prevent symptoms from recurring and decrease the need for future emergency care or hospitalization. You will also provide the education she needs to understand her diagnosis and the risk factors that may have caused her condition. Using Maya’s EHR, Virtual Physical Exam (VPE) and Internet research, answer the questions and be prepared to discuss the responses with the rest Maya’s of healthcare team.
Internet Research: As a health coach, you want everyone to know the warning signs of a stroke. What are they?
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.)