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Read the following case study and answer the posed questions
For over 15 years, James, aged 64, has had severe, intermittent headaches.
These headaches are characterized by an intense burning pain on one side of his
head, accompanied by tearing in his eye and a runny nose. When they strike, the
attacks typically occur several times a day and usually last about an hour.
James can be headache free for months at a time, but the attacks always
1. Describe the pathology of a
2. Based on the different etiologies for
headaches which of those fit this patients situation?
3. What additional aspects of the history and
physical examination could provide relevant information to help in the
4. Based on the history provided and using the
following diagnostic tool https://headaches.org/resources/the-complete-headache-chart/ (Links to an external site.) as a quick reference of the guideline,
you diagnose migraine without aura. List the evidence that supports your
Case #2: Mr.
Smith is a new patient with a history of recent stroke approximately 3 months
ago. He was hospitalized in another state, but you don’t have his records
now. The patient’s wife is extremely anxious and worried about him because he
hasn’t been “acting right”. She wants him checked out. She does not
think he had hypertension but adds “he does not like to go to
1. Regarding the patient’s available history, create
a detailed plan of care for this patient.
2. In recognition of the morbidity of recurrent
brain ischemia, the evidence-based recommendations for the prevention of future
stroke among survivors of ischemic stroke or TIA can be found in the current
AHA/ASA Recommendations for Antithrombotic Therapy for Noncardioembolic Stroke
or TIA https://www.ahajournals.org/doi/pdf/10.1161/str.0000000000000024 (Links to an external site.). Based on these current guidelines what goals
would you recommend for this patient to insure prevention of another brain
Cite current research findings, national guidelines, and expert
opinions and controversies found in the medical and nursing literature to
support your position.
Responses need to address all components of the question,
demonstrate critical thinking and analysis, and include peer reviewed journal
evidence to support the student’s position.
Please be sure to validate your opinions and ideas with
citations and references in APA format.
Please review the rubric to ensure that your response meets the