A 77-year-old client has experienced an ischemic stroke and is now dependent for all activities of daily living. The nurse should start reposition of the patient on a regular basis to prevent skin breakdown.
The majority of strokes are ischemic in nature. They take place when a blood clot prevents blood and oxygen from reaching the brain. These blood clots generally develop in regions where fatty deposits called plaques have caused the arteries to constrict or become obstructed over time. The term "atherosclerosis" refers to this process.
Atherosclerosis, or fatty deposits lining the vessel walls, is the primary factor in ischemic stroke. Two different obstructions can result from fatty deposits: A blood clot known as a cerebral thrombosis forms at a fatty plaque inside a blood artery.
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