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NUR224 Cerebral Vascular Accident (CVA) Clinical Reasoning Case Study

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James Moore
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NUR224 Cerebral Vascular Accident (CVA) Clinical Reasoning Case Study

Mt. San Jacinto College

NURS 224

History of Present Problem:
John Gates is a 59-year-old male who was at work when he had a sudden onset of right-sided weakness, right facial
droop, and difficulty speaking (dysarthric speech). He was transported to the emergency department (ED) where these
symptoms persisted. During transport, he had increased agitation and became confused about place and time. It has been 30
minutes from the onset of his neurologic symptoms when he presents to the ED.
Personal/Social History:
John lives with his wife in their own home in a small rural community. He owns his own hardware store where he
remains active and involved in the day-to-day operations. John’s wife is with him along with his son who also works in
the hardware store. His wife insists on being by his side and talking to John despite John’s frustration in not being able to
answer her questions. John has been trying to quit smoking over the past week and began using a nicotine patch. John has
been complaining of pain on the right foot for the past week according to his wife.

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NUR224 Cerebral Vascular Accident (CVA) Clinical Reasoning Case Study

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