McLean suffered from both physical and cognitive signs before he was treated by the surgeon upon arrival to the hospital. His cognitive processes were altered, as he was no longer able to function as required. He lost his memory as he forgot what he was being told immediately he heard it. The brain cells were damaged, and his brain was not coordinating his nervous response, as it should do. This is evident in his lack of control over his limbs and speech. His damaged brain provoked the loss of the ability to speech production; and he could not articulate what he was thinking. Physically, he felt confused and unaware of his surrounding because of difficulty in seeing. He also had difficulty walking and loss of balance. He had no control over his hands and could not coordinate them to do what he wanted them to do. The major physical sign was sudden unexplainable headache (Bergquist & Kobylinski, 2000).


Stroke had long lasting effects on McLean; they include trouble with fluent speaking. He had problems communicating well because his speech was much slower; and sometimes he could not pronounce some words well. Other physical effects included limping; and during his early days after homecoming, he could not coordinate his brain and his limbs well. He had to force his limbs to respond to his impulses (Sawner, LaVigne & Brunnstrom, 1992). He also had a problem maintaining an even tone when communicating with other people. His tone rose usually while he was talking on the emotional issues. His reactions also changed as he was always overreacting to issues and was overly emotional.


There were numerous challenges that came up after his stroke, and he had emotional and physical demands that changed his life. He felt emotionally drained and developed a very negative self-image after the stroke. Emotionally he battled with the fact that he was half the person he was before. His incertitude came from the peoples reaction especially of children who did not understand his struggles with the effects of stroke. Emotional and physical struggles changed his life drastically as he felt a need to explain his new physical state to people and change their perception of people with disabilities. This gave him the drive to pursue his newly found passion in teaching. He also began being aware of his flaws and when people responded or asked him questions he felt guilty for his reactions even if he had done nothing wrong (McLean, 2003).


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Stroke is the clogging or bursting of an artery in the brain, which in turn deprives the brain of oxygen needed to keep the brain cell alive. As a result, the brain cells die hence disrupt the brain functions resulting in paralysis, muscle weakness, loss of motor skills, reasoning, vision and perception. Ischemic stroke occurs when the blood in the arteries of the brain clot. This prevents the flow of oxygen to the brain with blood leading to death of brain cells. The dying brain cells affect other areas of the brain by releasing glutamate that triggers suicide in other brain cells not affected by the lack of oxygen. On the other hand, hemorrhagic stroke occurs when there is bleeding in the brain (Fisher, 2009). Bursting of an artery that cuts off blood supply to the brain causes pressure on the brain.


Prosopagnosia is also known as face blindness when affected people have difficulty with identifying or recognizing faces. This occurs because of damage of the right hemisphere in case of injury of the inferior part of the occipital cortex. This part is responsible for processing faces. Some people may not be able to recognize other objects like cars as their have had severe damages of their right hemispheres.


Brocas Aphasia occurs when a person suffered from a major trauma or stroke, which affected namely the left hemisphere of the brain. This affects their language mastery that is responsible for composition of sentences. These people may compose a message but fail to put in articles. One may communicate well, but the expressions are not consistent making it hard to understand completely what the person is trying to pass across (Kljajevic, 2012).


Numerous daily activities may be hampered by prosopagnosia; they include living a normal daily routine with an interaction with other people. This condition makes it difficult to identify people while performing different tasks with the necessity to recognize the certain person; it can prove to be a huge problem. It appears difficult to watch TV and movies because a sufferer cannot remember the faces as the movie progresses (Mindick & Alperin, 2010). This makes it hard to relax and enjoy a favorite program because one cannot keep up with the characters. Social issues also arise from the problem because constant forgetting faces makes life difficult. Such people may fear going out and meeting new people because it is embarrassing not to remember a previously met person.


Brocas Aphasia makes life difficult for people who have it. This condition affects ones communication skills and ability to have a fluent communication session with people. With lack of proper communication, social life is a difficult prospect to approach. Communication is an important tool in building persons social life and interacting with people (Wityk & Llinas, 2007). Most of the time, people cannot understand what an injured person is trying to say and this makes messaging difficult. This is even more difficult for people in professions like teaching who have to communicate effectively to their students. With lack of a good mastery in language, this makes it hard for them to pursue their interests effectively. A persons self-esteem is highly affected by the process of communication with people around when they cannot seem to comprehend the speech. This may force a person affected by the stroke to avoid strangers or those who do not know about his/her condition. This may provoke different reactions from the surrounding. Mainly, this people resort for justification while others become aggressive as they try to have people appreciate them (Gross & Lawton, 2012).


Paralysis or weakness on one side of the body can result in loss of esteem. This can have serious implications on the daily life of the person. It forces one to have a negative self-image and, as a result, feel anger towards him- or herself or others. In other cases, the person cannot do basic chores and have to depend on other peoples assistance (LaPointe, 2005). Even though this is not entirely the case as some people strive to be self-sufficient, others do not have this privilege and they have to be depended on other people (Robertson & Brami, 2010). The person cannot do basic things like driving, shopping in a supermarket, picking up things, carrying them home, and even doing their own laundry. This makes life difficult and even more when they do not have all the support they need from family members and friends. For instance, children with such injury cannot go out and play with other children the games that require physically fit individuals. Parents cannot also do everything they are required to for their children because they are not in the best position to engage them in physical activities.

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