MANAGEMENT AND TREATMENT OF PATIENTS WITH NEUROLOGICAL DISEASE

Abstract

Neurological diseases are the diseases that affect the organs of central and peripheral nervous system and may frequently cause disability and death. In nursing, a great attention should be given to stroke as a disease that often leads to very severe consequences, and sometimes can be lethal. Stroke is a severe, disabling cerebrovascular disease, which can lead to a serious deterioration in systemic health and requires an immediate multidisciplinary intervention of health services with prompt diagnosis and personalized, specialized and high-quality treatment and nursing management/care. It is essential to use nursing process and neurological assessment scales to facilitate planning of nursing care in post-stroke patients. Therefore, there is a need for early nursing care with the use of reliable and valid instruments for identification of neurological changes. The aim of the study is to investigate the specific aspects of nursing process when working with neurological patients and to identify risk factors in patients who have had a stroke. Study objectives. 1. To study the organization of nursing process when working with neurological patients. 2. To investigate the specific aspects pertaining to diagnosis and treatment of neurological disease in nursing practice. 3. To identify risk factors in patients who have had a stroke. 4. To study the characteristic features of stroke prevention in patients of a neurological department. 5. To study post-stroke rehabilitative interventions. The object of research. The post-stroke patients of a neurological department in whom various contributing risk factors have been identified. The subject of research. The role of nursing process in providing care to patients who have had a stroke and identification of risk factors affecting the occurrence of strokes, as well as the possible methods of their prevention. The methods of study included the following: general clinical assessments, special neurological methods, history of present disease and health history, patient observation, physical examination, general health assessment, data comparison and data analysis, laboratory and instrumental tests, a comprehensive analytical method; and statistical research methods. The scientific and practical value of the study. The analysis of information about the work of nursing personnel with patients of the neurological department included a study of organizational aspects of the nursing process when working with neurological patients. We have also studied the specific aspects pertaining to diagnosis and treatment of neurological disease in nursing practice, identified the risk factors in patients who have had a stroke, investigated the characteristic features of stroke prevention in patients of a neurological department, and studied post-stroke rehabilitative interventions. The aim of the study was to investigate the specific aspects of nursing process when working with neurological patients and to identify risk factors in patients who have had a stroke. The study reviled the characteristic features of stroke prevention in patients of a neurological department. Among all patients, 42.7% had hypertension, 22.9% had strokes, 21.9% patients had atrial fibrillation, 16.7% patients had diabetes mellitus, 15.6% patients had myocardial infarction and 12.5% patients had a history of transient ischemic attacks. The analysis of information about the work of nursing personnel with patients of the neurological department included a study of organizational aspects of the nursing process when working with neurological patients. We have also studied the specific aspects pertaining to diagnosis and treatment of neurological disease in nursing practice, identified the risk factors in patients who have had a stroke, investigated the characteristic features of stroke prevention in patients of a neurological department, and studied post-stroke rehabilitative interventions.