Question

Evidence-Based Medicine: Research Project and Presentation In this project, you will complete a clinical case study analysis, research review, and oral presentation about the pathophysiology of your chosen topic. In this project, you will work in groups of two to four people. You will present as a group and receive a participation/collaboration grade. You will also be graded based on your individual contribution to the content. Your presentations should follow a case study SBAR format (situation, background, assessment, and recommendations). Include four (4) different medical-based evidence and/or research recommendations. You must include at least five (5) scholarly sources in your overall presentation. Your group presentation should include: Introduction to the case or situation Background detail Clinical assessment Recommendations Application to future practice At least five (5) scholarly references supporting your ideas The use of audiovisual aids such as PowerPoint, DVD clips, sound effects, posters, radiology films, medical reports, etc. Opportunities for engagement with the audience such as a question and answer session Submit your PowerPoint and any handouts to the assignment dropbox before your presentation. You may submit just your portion of the overall presentation OR submit the entire presentation; be clear which section you are responsible for. Review the rubric for grading criteria. *HIPPA Compliance: If you are using an actual person for your case study, please see your instructor to obtain a HIPPA release form so that we are in compliance with the Health Information Patient Privacy Act. ** At some campuses, there will be an incorporation of the “Team Teach” collaboration model where nursing faculty are invited to come and observe the presentations and give feedback from a clinical perspective. Your instructor will inform you if this is a requirement. Points Possible: 100

Answer 1

Evidence based medicine:
clinical case study analysis:
Acute stroke:
SBAR Format:
Situation:
Acute stroke starts suddenly and it worsen rapidly..This stroke may be happened by a transient ischemic attacks..
Background:
It has common symptoms like numbness,difficulty speaking,blurred vision,difficulty walking,head ache,loss of balance and confusion..now it is a treatable condition that need special attention..Drug treatment and specialized care influence the recovery and cure..People with Transient ischemic attack have stroke within three to six months..
Pathophysiology due to interruption of blood flow to region in the brain,it can be due to ischemic or hemorrhagic..
Ischemic stroke due to blood supply to a region of the brain is stopped due to blood vessel blocked by a blood clot..This is due to high cholesterol ,blood pressure ,heart disease etc..
Hemorrhagic stroke occurs when an artery in the brain getting bleeding..This is due to abnormal artery structure like aneurysm due to high blood flow there will  be pressure in the brain make brain damage..
Assessment:
-Physical examination include carotid auscultation,heart auscultation,neurological assessment etc..
-Vital signs
-CT scan
-MRI scan
-serum cholesterol level and blood sugar.
- ECHO cardiogram
-EKG
Recommendation:
Best recommendation towards public awareness and responsiveness,patient and family education,prevention of stroke,secondary prevention,management,stroke rehabilitation and followup..Development of new therapy with preclinical assessment can support recommendation to treat acute stroke.It can be manageable with potential medical treatment called tissue plasminogen activator(t-PA)..Surgical recommendation like mechanical thrombectomy and also ruptured aneurysm or endovascular embolization to decrease the blood flow..Life style modification include exercise, smoke prevention can help to prevent the acute stroke symptoms..patient participation in rehabilitation program in stroke unit help patient recover from this disease..