ok my pt is a 68yr old female, she's dx w/ After effects of a CVA, CVD, HTN and Hyperlipidemia are my most important ones. she has a (R) leg contracture, wears patch over (R) eye (also pupils don't react to light), VS are 95/74/16/(90/60) pulse is just a guestimate because its very hard to palpate when you can finally find it, then it fades completely out on you! Learned from her chart that she has a pacemaker from a prev MI, also has Nephrectomy to her (L) kidney. She sits up in a Geri chair (which I don't think is a good idea b/c of possible shearing out of the chair!) She's on a Pureed Diet w/ Nectar Thick Liquids i'm assuming because she's lost function of her tongue and gag reflexes from her prev CVA, there's SOB (she has 2 types of NEB for this), she bruises easily, muscle spasms...also her CBC, BMP, CMP and urine screen labs are abnormal. So as u can see I've done my research on her (a little too well I think), its hard to tie all this information in together for a good careplan. I'm not sure what interventions would help for short-term goals (We only have this pt for 2 days!!!!)....PLEASE HELP I'M STUCK!