Case Study Ventricular Fibrillation

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This case study is about a 46 year old gentleman who was admitted to the hospital following a cardiac arrest whilst out running at the beach. In line with NHS Code of Practice, confidentiality will be observed throughout this work (NHS 2014). For the facilitation of discussion the client will assume the name Mr. S. Mr. S was shocked 3 times by Ventricular Fibrillation and regained output after 22 minutes. On admission to hospital Mr. S had GCS (Glasgow Coma Scale) of 3/15 (Chamoun, Robertson, and Gopinath, 2009). Mr. S spent some time in critical care where he was sedated for 72 hours and underwent investigations. Mr. S had Implantable cardioverter defibrillator (ICD) (Bardy et al., 2010) inserted on the 29/4/15 following cardiac review. Mr. S was transferred to neurology ward on 7/4/15 and repatriated to another hospital to refer on to rehab. Prior to cardiac arrest, Mr. S was a very active gentleman working and raising his 3 year old daughter with his wife. Since hypoxic brain injury he has had significant cognitive impairments impacting his independence. He will require inpatient neuro specific rehabilitation to return to independence. This individual is chosen because of the gravity of his illness and the impact of it to his role as a husband and a father to his 3year old daughter.…show more content…
Mr. S was also assessed to have moderate to severe aphasia. Mr. S displays no significant impairments in relating to orientation, memory or safety however he did express high levels of frustration and inappropriate emotional reactions to events and situations. A Neuro-specific enolase assessment was completed by the medical team to be used as a potentially useful marker for brain damage and can be considered to be a relevant parameter for assessing prognosis of brain injury Tapia, Barbosa, Marangos, and Polak (1981), (Guzel et al.,

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