Case Study Information Mr Toji Soryu- DOB:

Case Study Information Mr Toji Soryu- DOB: 16/7/1943 UR: 243389 Presentation: Mr Toji Soryu is a 79-year-old Asian gentleman who presented to the Emergency Department with new onset left-sided facial droop, left-sided arm and leg weakness, slurred speech and a sudden onset of a severe headache seven (7) days ago. A CT scan revealed a right-sided thrombotic cerebrovascular accident (CVA) that was treated with tissue plasminogen activator (tPA). Past Medical History and Risk Factors: Mr Soryu has a past medical history of transient ischaemic attacks (TIAs) x 2 in the past year. Risk factors include: Hypertension Obesity High salt, high fat diet Sedentary lifestyle Social History: Retired pharmacist Lives with his wife Rei and adult son, William Enjoys caring for his chickens, gardening (grows fruit and vegetables) and doing crosswords Mr Soryu is L) handed Post the CVA, Mr Soryu has been admitted to the rehabilitation ward that you are working on. Mr Soryu has the following issues: Left sided hemiplegia and neglect Impulsive issues (easily frustrated, undresses in front of people) Impaired judgement (short term memory issues, forgets instructions) Rehabilitation plan: Discharge home with services Mr Soryu’s wife, Rei, will be his primary carer. His son, William lives with them and works full-time. Answer: Nursing Care Plan Name: Mr Toji Soryu DOB: 16/7/1943 UR: 243389 Problem/Issue/ Assessment Establish Goal (1) Action (1) Evaluate Outcome (1) Personal Interest: Gardening, Animal Care, Crosswords Physical Need: Mobility deficit that will impact garden and animal care Emotional Need: Frustration due to L) hemiplegia impacting mobility, self-care, and hand-writing skill Psychosocial Need: Sadness due to hemiplegia impacting his ability to care for garden and chickens during hospitalisation

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