Reference no: EM133315889

Discussion Board

Reflect on your readings and modules. Using this reflection, discuss the following questions below. Provide supportive documentation, including at least one peer-reviewed article.

Mrs. T.P. a 79-year-old woman, arrived to the emergency room, presenting with expressive aphasia, left facial droop, left-sided hemiparesis, and what is presumed to be symptoms of mild dysphagia. Her husband states that when she awoke that morning at 0600, she complained of a mild headache, was fatigued, and felt slightly weak. Thinking that it was unusual for her to have those complaints, he went to check on her and found that she was having trouble saying words and had a slight facial droop. When he helped her up from the bedside, he noticed weakness in her left hand and convinced her to come to the emergency department. Her past medical history includes paroxysmal atrial fibrillation, hypertension (HTN), hyperlipidemia, and a remote history of deep vein thrombosis. A recent cardiac stress test was normal, and her blood pressure has been controlled. N.T. is currently taking flecainide (Tambocor), hormone replacement therapy, amlodipine (Norvasc), aspirin, simvastatin (Zocor), and lisinopril (Zestril). After a non-contrast CT scan, she is diagnosed with a thrombolytic stroke.

Question: How will you perform a Neurological assessment on Mrs. T.P?