Assignment Answers Based On Cerebral Vascular Accident OCC201

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During the occupation therapy session, Iwas observing apatient who had been diagnosed

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Student’s Name
Institution Affiliation
Course
Professor
During the occupation therapy session, Iwas observing apatient who had been diagnosed
with stroke. Stroke also called cerebral vascular accident (CVA) is amedical emergency
characterized by the inadequate perfusion of the brain tissue. There are two major mechanisms
through which the brain parenchyma can be undersupplied with blood (Hinkle & Cheever, 2018).
It can be due to hemorrhage or ischemia. Hemorrhagic stroke occurs when bleeding occurs into
the brain tissues due to the sudden bursting of an artery that supplies itwith blood for instance
following atraumatic head injury secondary to an accident. While ischemic stroke occurs when
effective circulation of blood in the brain parenchyma is blocked either partially or fully due to
the narrowing of an artery. The blockage is often caused by blood clots that are formed in
arteries that are damaged leading to the buildup of atherosclerotic plaques. When such plaque
ruptures, adherence of platelets as well as other clotting factors leads to the formation of thrombi
which sometimes break off and is released into circulation. It is such blood clots that get lodged
in the arteries that supply vital organs like the brain with blood causing ischemic stroke. An
ischemic stroke usually occurs within the carotid arteries and is more common than hemorrhagic
stroke.
Cerebral vascular accidents present with avariety of symptoms including; focal weakness
on aleg, arm, or face or generalized weakness on one side of the body or the whole body.
Similarly, one may also present with confusion of sudden onset, inability to see clearly, dizziness,
difficulties expressing one ’sself verbally, loss of balance as well as poor or lack of motor
coordination (Stinear et al, 2020). The correction of these various symptoms of stroke requires
occupational therapy. According to Reitz et al (2020), occupational therapy is abranch of health
that utilizes everyday activities in the treatment of physical, sensory as well as cognitive
complications in people of all ages. It aims at restoring people’s functionality to enable them to
be able to effectively do those activities that are meaningful and crucial to them. These tasks can
be self-care tasks which include activities like bathing, cooking, and grooming, Productivity
tasks like returning to work or school, or tasks related to leisure like sports or dancing. The
patient whose occupational therapy process Iobserved had right-sided hemiplegia, inability to
balance, poor coordination, and aphasia. The occupation therapy activity Iwitness this patient
participating in was coloring drawings with crayons.
Coloring requires both physical strength for holding the crayon steadily and the mental
strength to see and comprehend the margins to color within. Further, the mental aspect also plays
arole in the selection of appropriate colors for aparticular object. Specifically, however,
coloring with crayons enables the patient to refine their motor skills. This is because coloring is a
resistive task that requires all small muscles of the hand to firmly work the crayon onto the paper.
This rigorous process strengthens the patient ’sintrinsic hand muscles and thereby improving his
or her motor strength. Coloring with acrayon also improves grasp, hand endurance, and
dexterity. Patients with stroke frequently present with hemiplegia or lack of motor coordination,
this ensures that they cannot perform the tasks that require refined efforts like coloring. By using
the crayon to color, the patient gets the opportunity to practice his or her grasp and refined skills
thereby improving itand by extension their hand endurance and dexterity.
Additionally, through coloring with crayons, the patient gets the opportunity to
strengthen his or her sensory processes, as well as eye and hand coordination (Vaartio-Rajalin et
al, 2021 ).This is because coloring involves identifying the object being colored and its
boundaries, the transfer of these impulses to the brain, their interpretation, and subsequent
response through restricted motor actions to ensure one color within the boundaries. For this
reason, the process strengthens both the patient ’shand and eye coordination as well as his or her
sensory process. It also fosters self-confidence, creativity, and the ability to stick to one task to
completion.
The patient was initially cynical about the ability of the crayon coloring exercise to
improve his grasp, gross and refined motor skills as well as hand-eye coordination. However, as
we kept on repeating the exercise using different drawings, he realized that his grasp, creativity,
motor skills, sensory process as well as hand and eye coordination on the paralyzed side of the
body were slowly but steadily improving. For this reason, the patient ’senthusiasm to engage in
this occupational therapy activity, as well as other activities, heightened, consequently, the
patient ’stolerance to productivity-related activities, leisure-related activities, as well as self-care
activities, immensely improved.
References
Hinkle, J. L., & Cheever, K. H. (2018). Brunner and Suddarth ’stextbook of medical-surgical
nursing .Wolters kluwer india Pvt Ltd.
Reitz, S. M., & Scaffa, M. E. (2020). Occupational Therapy in the Promotion of Health and
Well-Being. AJOT: American Journal of Occupational Therapy ,74 (3), 7403420010-14.
Vaartio-Rajalin, H., Santam äki-Fischer, R., Jokisalo, P., & Fagerstr öm, L. (2021). Art making
and expressive art therapy in adult health and nursing care: A scoping review. International
journal of nursing sciences ,8(1), 102-119.
Stinear, C. M., Lang, C. E., Zeiler, S., & Byblow, W. D. (2020). Advances and challenges in
stroke rehabilitation. The Lancet Neurology ,19 (4), 348-360.

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