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The Use of Screening Tests in Differential Diagnosis in Nursing Care
Petra Búřilová1, Michaela Melišková, Jiří Búřil
1Departments of Health Sciences (Mss Búřilová and Melišková and Dr Pokorná) and Public Health (Ms Búřilová), Faculty of Medicine (Drs Búřil and Haršány), Masaryk University, Brno, Czech Republic; Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic (Ms Búřilová and Drs Búřil and Pokorná); and Department of Neurology, St. Anne's University Hospital, Brno, Czech Republic (Drs Búřil and Haršány).
Abstract:
Geriatric syndromes involving instability are associated with a higher risk of further complications in patients with trauma requiring subsequent surgery. Acute stroke symptoms require prompt recognition and initiation of reperfusion treatment. This case study describes the patient's stroke symptoms in a timeline and explores the benefit of objective assessment using screening tests and their importance in the differential diagnosis in nursing. Dysphagia is one of the stroke symptoms that can lead to aspiration pneumonia and increase the risk of mortality. This article aims to inform general nurses about the importance of early recognition of dysphagia and other stroke symptoms using adequate screening tests to ensure quality care. Geriatric syndromes encompass instability, resulting in a higher risk of complications, especially in trauma patients. This case study describes a patient with acute ischemic stroke with vague and unrecognized symptoms of dysphagia and explores the rationale for objective screening tests in nursing care.
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