Question

The ambulatory care nurse takes a phone call from the daughter of a 60 year old man stating that he isn't himself today. When questioned further the nurse discovers that the man has had periods of slurred speech for a few minutes on 2 occasions in the last 24 hours. What is your recommendation for this caller regarding what should be done.

A. You understand that slurred speech may be the result of too much alcohol or lack of sleep and you encourage her to call back again if it occur
B. You advise her to come to the clinic in the next 24-48 hours for some blood work
C. You advise her that slurred speech may b a symptoms of TIA or impending stroke, especially in relation to him not being himself and to go to nearest ER
D. You tell her you will call her ack when you can contact the MD for advise.

Answer 1

The caller should be advised that her father's symptoms of slurred speech may indicate a Transient Ischemic Attack (TIA) or stroke, and she should take him to the ER immediately. The FAST mnemonic is crucial in recognizing possible stroke symptoms and speed is essential for recovery.

Step-by-step explanation:

The advice you should provide to the caller regarding her 60-year-old father, who has had periods of slurred speech and is not himself, is to seek immediate medical attention. Specifically, Option C: advise her that slurred speech may be a symptom of a Transient Ischemic Attack (TIA) or impending stroke, especially in relation to him not being himself, and to go to the nearest emergency room (ER). The mnemonic FAST (Face drooping, Arm weakness, Speech difficulties, Time to call 911) is a quick way to identify potential stroke symptoms. It is critical that stroke or TIA is treated as quickly as possible to ensure the best possible outcome for recovery.

Slurred speech, when paired with other symptoms such as difficulty using one's arms or changes in facial movement, is considered a medical emergency, and time is a crucial factor in treatment and recovery. The FAST mnemonic helps individuals remember the key symptoms to watch for. Immediate medical intervention can greatly improve chances of a full recovery from a stroke or TIA and potentially save a life.