Care of the Older Person

I work in the Irish Wheelchair Association’s local ‘Resource and Outreach’ (ROC) Centre and have chosen one of the members attending the centre for this assignment.   For the purpose of this exercise we will call him Pat. Pat is 74 years of age, suffered a stroke two years ago and is currently in recovery. This has resulted in many changes in his lifestyle. He attends the centre two days a week. He lives with his wife   Mary and daughter Paula, who between them are his main carers. His daughter works four days a week outside of the home also.

Reasons why stroke may occur

A stroke occurs when a blood vessel, which is carrying oxygen and nutrients to the brain, bursts or is blocked by a clot. This causes an interruption of the blood supply to part of the brain. This can damage or destroy brain cells which will affect body functions. The effects of a stroke on the body are immediate
Predisposing Factors
A stroke can happen to anyone. Some people are at greater risk for reasons beyond their control such as age and family history. Some strokes may be caused by genetic factors and/or by having lifestyle/cardiovascular risk factors. Certain risk factors can cause a stroke such as being elderly, high blood pressure, diabetes, high cholesterol, smoking, obesity and irregular heartbeat being the most common risk factors. Prior to Pat having a stroke he had diabetes, high cholesterol and he was also a heavy smoker.

Impact of a Stroke


Pat enjoyed a weekly trip to the pub before his stroke but since then only goes out on rare occasions. He is conscious of his reduced mobility and impaired speech and as a result is not as confident going out in public. He is on medication since the stroke and consuming alcohol is not now recommended for him. The fact that he has to depend on his daughter to drive him limits him from going to other events, such as bingo. Pat partakes in social activities within the centre and he especially enjoys playing cards and reading...