NRS 410 Topic 2 DQ 2 Discuss characteristic findings for a stroke and how it affects the lives of patients and their families

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Topic 2 DQ 2

Jul 25-29, 2022

Discuss characteristic findings for a stroke and how it affects the lives of patients and their families. Discuss the nurse’s role in supporting the patient’s psychological and emotional needs. Provide an example.

Barb McGraw

Jul 25, 2022, 5:35 AM

Replies to Barb McGraw

Class, you have a patient who started cussing after a stroke, who never has before. How would you assist this family who is now devistated about this?

Amanda Schouten

replied toBarb McGraw

Jul 25, 2022, 1:05 PM

Replies to Barb McGraw

Professor McGraw,

Yes, I have definitely seen this not just with strokes but with dementia and more frequently with brain injuries. The brain has different areas of language, one researcher found that the brain has a side that regulates intentional speech while another is responsible for automatic speech such as swearing, (Finkelstein, 2018). With my limited understanding of how the brain damage causes this change in language, I would do my best to help comfort the family in knowing that the patient is not doing it on purpose. I think what is most offensive and concerning is when the patient uses the name of God inappropriately when they hadn’t before. Not only is it inappropriate language, it is blasphemy, so it is spiritually deep too. If that in particular were the case, I would do my best to support the family spiritually and remind them that the God they believe in is merciful and understands this child of His is injured.

Finkelstein, S. R. 2018. Swearing and the brain. In: K. Allan (ed.) Oxford Handbook of Taboo Words and Language. Oxford, UK: Oxford University Press.

Sandra Noel-Lewis

replied toBarb McGraw

Jul 26, 2022, 5:54 PM

Replies to Barb McGraw

Hi Professor McGraw,

After a stroke, there are a couple of reasons why a patient might start cursing. It may result from mental illness or rage. Due to the severity of the stroke, a significant shift in their life may occur causing the patient to become angry, which could make it difficult for them to maintain their lifestyle due to physical limitations. And cognitive impairment brought on by the brain damage caused by the stroke. Nurses can provide education about the effects of a stroke, refer family counseling/therapy, and provide emotional support (Grant, J.S. (2014).

Reference

Grant, J. S., Joan S. Grant From the School of Nursing, Hunt, C. W., Caralise W. Hunt From the School of Nursing, Steadman, L., Laura Steadman From the School of Nursing, Grant, C. to J. S., & Al., E. (2014, June 19). Common caregiver issues and nursing interventions after a stroke. Stroke. Retrieved July 26, 2022, from https://www.ahajournals.org/doi/10.1161/STROKEAHA.114.005094#:~:text=Emotional%20support%20can%20be%20provided%20through%20hugging%2C%20touching%2C,the%20past%20but%20rather%20maximizing%20the%20present.%2019

Barb McGraw

replied toSandra Noel-Lewis

Jul 28, 2022, 1:59 PM

Replies to Sandra Noel-Lewis

Sandra, do yu think it could be caused by wherethe area of the brain that is damaged?

Sandra Noel-Lewis

replied toBarb McGraw

Jul 29, 2022, 7:53 AM

Replies to Barb McGraw

Hi Professor McGraw,

Yes, I believe it depends on the area affected. According to American Stroke Association (n.d.), our brains control our emotions and behavior, and changes to the brain caused by a stroke can alter them. The prefrontal cortex controls emotion and behavior responses. A patient with damages to this area will have difficulty controlling their emotions particularly anger and aggression.

Reference

Emotional effects of stroke. www.stroke.org. (n.d.). Retrieved July 29, 2022, from https://www.stroke.org/en/about-stroke/effects-of-stroke/emotional-effects-of-stroke

Dorothy Jayne Ray

replied toBarb McGraw

Jul 26, 2022, 10:09 PM

Replies to Barb McGraw

Swearing and cursing after having a stroke is not uncommon and can be difficult for families to deal with especially if this is something the patient has not done before. “Swearing is one activity that engages both sides of your brain, the language center in the left brain and the emotional center in your right brain” (Wood, 2019). Oftentimes “patients who’ve lost the ability of normal speech feel compelled to curse” (Wood, 2019). This loss of speech is called aphasia. To provide support to the family, education can be provided on aphasia, listen to the family concerns, and validate their feelings. You can also reassure them that it takes time for the brain to heal and that “the first three months after a stroke are the most important for recovery and when patients will see the most improvement” (Pruski, 2022). Encourage the family to stay positive and support the patient since they may be frustrated during their road to rehabilitation.

References

Pruski, A. (2022). Stroke Recovery Timeline. Retrieved from https://www.hopkinsmedicine.org/health/conditions-and-diseases/stroke/stroke-recovery-timeline

Wood, C. (2019). Your cursing cortex. Retrieved from https://www.brainfacts.org/thinking-sensing-and-behaving/language/2019/your-cursing-cortex-071019

Sandra Jeudy

replied toBarb McGraw

Jul 27, 2022, 10:12 AM

Replies to Barb McGraw

Hi Professor McGraw,

NRS 410 Topic 2 DQ 2 Discuss characteristic findings for a stroke and how it affects the lives of patients and their families

Stroke affects the lives of patients in negative ways. The issues are associated with depression, cognitive impairment, and personality concerns. To help families in these devastating situations, nurses are expected to ensure that they listen to them, show encouragement, and observe their patients identify additional signs and symptoms (Lehto et al., 2019). The nurse can also make referrals or use resources within the organization or community to assist the patient and family. For example, referring a stroke patient for psychological counselling will help in addressing the psychosocial characteristics of the patient’s health.

Reference

Lehto, B., Kylmä, J., & Åstedt‐Kurki, P. (2019). Caring Interaction with stroke survivors’ family members—Family members’ and nurses’ perspectives. Journal of Clinical Nursing, 28(1-2), 300-309. https://doi.org/10.1111/jocn.14620

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Also Read: NRS 410 Topic 2 DQ 1 Identify a common perceptual, neurological, or cognitive issue and discuss contributing factors