Write 8 page essay on the topic Learning Plan Outcome Report.Download file to see previous pages... Patient assessment skills in the area of emergency nursing are important for several reasons (Sbaih,

Write 8 page essay on the topic Learning Plan Outcome Report.

Patient assessment skills in the area of emergency nursing are important for several reasons (Sbaih, 2001). The most important of them is gradually increasing patient loads and increased waiting time. Nurses may segregate patients needing immediate attendance by being able to identify the patients with serious problems. This also fulfils two graduate qualities of the nurses, which are ability to apply knowledge in real situations and ability to identify the methodological and substantive limitations of the field and to apply a disciplined mode of enquiry in practice. To be able to apply nursing assessment skills in the patients with TIA needs ability to execute a detailed central nervous system examination to know whether the patient is progressing towards CVA. This is a changing situation in the patient's clinical status which can be determined through a thorough clinical examination. This clinical information must be located, evaluated, managed, and used in the clinical context of the patient's condition. It is evident that the clinical skill of the nurse in this context will be limited, and an accurate assessment of learning will imbibe this point (Schriver et al., 2003). This means this would also involve the capacity to evaluate current knowledge. In the real clinical scenario of the Emergency Department, this means an independent demonstration of the skill, and therefore, it means taking the responsibility for learning development. In order to reach a diagnosis which would classify the urgency of the patient means responding confidently to changing clinical scenarios in a flexible and adaptable manner, and a critical thinking approach would develop through this which would also promote sustenance of intellectual interest for further learning (Hageness et al., 2003)

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Information Fact Sheet on Clinical Assessment of TIA and CVA in the Emergency Nursing

Q1. What is TIA

Ans 1. TIA or transient ischemic attack is a state of transient deficiency of cerebrovascular blood supply leading to alterations in vision or speech, dizziness, weakness, a sudden fall, or a temporary paralysis on one side of the body. Usually, this is reversible, but calls for a detailed neurological examination to rule out any permanent neurological deficits (American Association of Neuroscience Nurses, 2004).

Q2. What is CVA

Ans 2. CVA or cerebrovascular accident is also known as stroke or brain attack. By definition, it is occurrence and persistence of neurologic dysfunction for more than 24 hours as a result of disruption of blood supply to the brain in an irreversible manner (American Association of Neuroscience Nurses, 2004).

Q3. How does CVA occur

Ans 3. Most of the CVAs are ischemic. About 30% of these patients may have hemorrhage within the brain to be attended, supported, admitted, and managed immediately for higher mortality and morbidity. Thus, in the emergency nursing area, it is important to identify the categories of these patients so appropriate management can be provided (Hickey, 2004).

Q4. What are the other associated conditions in these patients

Ans 4. TIA or CVA originates from diseases of the blood vessels. In some patients the associated heart disease is the cause of TIA or CVA. Hypertension is commonly associated with most of these cases.