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As the paramedic called to Mary’s home, you have standard assessments to undertake,
symptoms to observe that may indicate Mary has suffered a stroke and early management
to attend to for Mary’s.
Your patient management will follow standards of care and specific care issues related to
Mary’s symptoms at the scene.
Mary is transferred from the A & E Department to the antenatal ward, where you are
working. She is hoping to have a healthy baby and go to full term for her pregnancy.
Your role will focus on standards of care for all antenatal women, taking into consideration
Mary’s Maori status, and how to monitor the wellbeing of her unborn baby.
You meet Mary and her newborn baby daughter in the rehabilitation unit, twelve weeks
after her emergency admission to your hospital. She is an inpatient in your unit, and is now
walking with assistance and has gained strength in her left arm and left leg to enable her to
feed herself and walk with a stick.
Your role focuses on working within a multidisciplinary team, to support Mary’s recovery, to
meet her activities of daily living (ADLs), while supporting her mentally to manage her
rehabilitation. Please ensure you address any specific considerations associated with Mary’s
You work in Mary’s local Community Health Centre developing health promotion programs
that meet the needs of minority or disadvantaged groups in your region. There is a strong
Maori presence in your local community.
You have been asked to consider the education needs and best ways to provide this
education to reduce risk of stroke in adults in this group.