ECOLOGIC MODEL: WHEEL
SEDENTARY LIFESTYLE VICES: SMOKING OCCASIONAL ALCOHOLIC
GENETICS (HEREDITARY) AGE: 56YRS.OLD GENDER: MALE HISTORY OF CVA
SOCIO -ECONOMI
BIOLOGIC ENVIRONMEN
Ecologic Model A. hypothesis B. predisposing factors 1. The patient: a. Age: 56 years old b. Sex: male c. Attitude: The patient is a security officer in the past, to relieve stress, the patient smoke cigarettes. d. Heredity: The patient has a family history of heart diseases, hypertension and diabetes mellitus.
2. Environment a. Lifestyle: sedentary, with vices (alcohol and cigarettes) b. Biological: c. socio economic
C. Ecologic model We use the Wheel as the ecologic model due to the fact that the predisposing factors clearly gives us the idea of what specific factors are to consider regarding the patients present condition.
D. Analysis The wheel model is a form of ecologic model designed to deemphasize the agent factor of the ecologic triad. Specifically, our problem focuses on the multiple factors that predispose the client to have CVA which are mainly due to host factors based on the assessment and it is hereditary.
Intracranial Hemorrhage generally occurs in small arteries or arterioles and is commonly due to hypertension, intracranial vascular malformations (including cavernous angiomas or arteriovenous malformations), cerebral amyloid angiopathy, or infarcts into which secondary haemorrhage has occurred. Other potential causes are trauma, bleeding disorders, amyloid angiopathy, illicit drug use(e.g. amphetamines or cocaine). The hematoma enlarges until pressure from surrounding tissue limits its growth, or until it decompresses by emptying into the ventricular system, CSFor the pial surface. A third of intracerebral bleed is into the brain's ventricles. ICH has a mortality rate of 44 percent after 30 days, higher than ischemic stroke or even the very deadly subarachnoid hemorrhage (which, however, also may be classified as a type of stroke. Older Adults. People most at risk for stroke are older adults, particularly those with high blood pressure, who are sedentary, overweight, smoke, or have diabetes. Older age is also linked with higher rates of post-stroke dementia. In most age groups except older adults, stroke is more common in men than in women. People who smoke a pack a day have almost two and a half times the risk for stroke as nonsmokers. Smoking increases both hemorrhagic and ischemic stroke risk. The risk for stroke may remain elevated for as long as 14 years after quitting, so the earlier one quits the better. Genetics may be responsible for many of the causes of stroke. Studies indicate that a family history of stroke, particularly in one's father, is a strong risk factor for stroke. Genetics and Subarachnoid Hemorrhage. Genetic factors account for between 7 - 20% of cases of subarachnoid hemorrhage. Ruptured aneurysms that occur in such patients tend to happen at an earlier age, are usually smaller, and are more apt to recur than in those without an inherited condition. A study of people who had suffered subarachnoid hemorrhages found that first-degree relatives of these stroke victims had a high lifetime risk of between 2 - 5%. Some experts recommend screening for aneurysms in people with more than one close relative who suffered a hemorrhagic stroke. http://health.nytimes.com/health/guides/disease/hemorrhagicstroke/risk-factors.html
E. Conclusion and recommendations
I therefore conclude that the host factors of the patient have contributed most in the present condition of the client rather than environmental factors. The patient has disease because of his age 56 years old his gender male which is the risk factor in CVA. Another big factor is that the patient has a history of CVA. People also who has a hypertension is at big risk of having intracranial hemorrhage and mixing it with vices such as smoking and drinking can really cause CVA. Patient and family members should be given proper instruction and knowledge on how to help the patient to cope in his condition. Dealing with emotional stress and changing his sedentary lifestyle can reduce the risk of stroke. Patient way of living should be carefully understand to limit the anxiety and self-pity. Showing emotional and moral support can aid the anxiety and self-pity. If family members adjusted to this kind of treatment to the patient, a fast recovery can be possibly.
