PREDISPOSI PRESEN RATIONALE

ABSENT
NG FACTORS T
The chance of having a stroke more than
doubles for each decade of life after age
1. Age 65. While stroke is common among the
 elderly, a lot of people under 65 also
have strokes.
Stroke is more common in men than in
women. In most age groups, more men
than women will have a stroke in a given
year. However, more than half of total
2. Sex
stroke deaths occur in women. At all
(gender)
 ages, more women than men die of
stroke. Use of birth control pills and
pregnancy pose special stroke risks for
women.
African Americans or Blacks have a much
higher risk of death from a stroke than
3. Race  Caucasians do. This is partly because
blacks have higher risks of high blood
pressure, diabetes and obesity.
Close relatives are at greater risk than
non-genetically related family members
of a stroke patient. Diabetes and
4. Heredity 
hypertension show familial propensity
thus clouding the significance of pure
hereditary factors.
Increase glucose in blood would cause a
viscose blood that would cause decrease
blood supply to the brain. Diabetes is an
independent risk factor for stroke. Many
5. Diabetes people with diabetes also have high

Mellitus blood pressure, high blood cholesterol
and are overweight. This increases their
risk even more. While diabetes is
treatable, the presence of the disease
still increases your risk of stroke.
6. There's some evidence that strokes are
Socioeconomic  more common among low-income people
factors than among more affluent people.
The risk of stroke for someone who has
already had one is many times that of a
person who has not. Transient ischemic
attacks (TIAs) are "warning strokes" that
produce stroke-like symptoms but no
7. History of lasting damage. TIAs are strong

stroke predictors of stroke. A person who's had
one or more TIAs is almost 10 times
more likely to have a stroke than
someone of the same age and sex who
hasn't. Recognizing and treating TIAs
can reduce your risk of a major stroke.
In recent years, studies have shown
cigarette smoking to be an important risk
factor for stroke. The nicotine and
8. Cigarette carbon monoxide in cigarette smoke
 People with coronary heart disease or
heart failure have a higher risk of stroke
than those with hearts that work
10. Heart
 normally. Dilated cardiomyopathy (an
disease
enlarged heart), heart valve disease and
some types of congenital heart defects
also raise the risk of stroke.

PRECIPITATIN PRESEN RATIONALE

ABSENT
G FACTORS T
Stress promotes vasoconstriction of the
blood vessels. Narrowing of the blood
1. Stress
 vessel thus increase blood flow pressure
causing the vessels to rupture.
High blood pressure is the most
important controllable risk factor for
stroke. Many people believe the
2. effective treatment of high blood
Hypertensio  pressure is a key reason for the
n accelerated decline in the death rates for
stroke. Hypertension is a major factor in
the development of thrombotic cerebral
infarction and intracranial hemorrhage.

SYMPTOMATOLOGY

PRESEN JUSTIFICATION
SYMPTOMS ABSENT
T
Due to the temporary reduction of
cerebral blood flow and therefore a
1.LOSS OF
CONSCIOUSNE  shortage of oxygen to the brain. This
SS leads to light headedness or a "black
out" episode.
2. BROCA’S Due to the vascular lesions of the middle
APHASIA  cerebral artery of the dominant
hemisphere, the hemisphere responsible
 for mediation language.
This condition usually affects the
extremities equally, but in some cases it
affects one extremity more than the
other. The most common stroke location
3. in affected patients is the posterior limb
HEMIPARESIS  of the internal capsule, which carries the
descending corticospinal and
corticobulbar fibers. Other stroke
locations include the pons, midbrain, and
medulla.
Due to the sudden disturbance in the
4.
blood supply to the brain and caused by
HEMIANOPSIA
 a blocked blood vessel.
When the blood supply to a part of the
brain is interrupted or severely reduced,
depriving brain tissue of oxygen and
nutrients, brain cells begin to die,
5. 
causing damage to the cerebellum,
DYSARTHRIA
which may result to the damage in the
spinal cord and peripheral nerves that
connects the cerebellum to the muscles.

An excessive reactivity of cranial arteries

to various stimuli, there is a general as
well as focal reduction in the cerebral
6. SUDDEN
blood flow likely due to the
HEADACHE 
vasoconstriction of brain arterioles
mainly in areas corresponding to the
particular neurological symptoms.
The tongue deviates to the affected sides
7. TONGUE since the unaffected part of the tongue is

DEVIATION stronger than the latter, causing it to
push on the other side.
It is due to the decrease in the cerebral
8. blood flow and an increase in ICP this the

RESTLESSNESS patient may feel uneasiness and
restlessness with what she feels.
When the affected area is the frontal
lobe, the memory and affect is disrupted
or disturbed thus the patient may
9. CONFUSION 
experience confusion or sometimes
would develop into temporary psychosis
if not addressed.
10.  With an increase in ICP and decrease
 cerebral perfusion, the client would
experience drowsiness for the function of
DROWSINESS
neurons and other brain functions will
also be affected.
Most common is projectile vomiting due
11.VOMITING 
to the compressio0n of the brain stem.