Below is a summary of Maya’s EHR activity during her four hours in the ED. As a health coach, your job is to recommend lifestyle changes to alleviate symptoms, prevent symptoms from recurring and decrease the need for future emergency care or hospitalization. You will also provide the education she needs to understand her diagnosis and the risk factors that may have caused her condition. Using Maya’s EHR, Virtual Physical Exam (VPE) and Internet research, answer the questions and be prepared to discuss the responses with the rest Maya’s of healthcare team.

1. Internet Research: As a health coach, you want everyone to know the warning signs of a stroke. What are they?



2. Review Maya’s VPE: As Maya is being cared for in the ED, you begin to plan for her recovery. You review her National Institute of Health Stroke Scale (NIHSS) in VPE and notice several issues that are of concern. What are those areas?
   
   Internet Research: What are some of the challenges a stroke survivor with these issues might hope to overcome?



3. Review Maya’s ED EHR: In reviewing Maya’s EHR and medical history, you discover several areas Maya can improve to decrease her risk of having another stroke. In what areas can she improve?