hey hopefully you guys can help me in writing my synthesis paper on stroke. here is a little background on my guy: he is a 79 year old white male with a diagnosis of acute ischemic stroke. he presented with right hand numbness for 24-36 hours, right facial droop, difficulty swallowing, slow gait, and difficulty with his thought processes. he has a history of diabetes type 2 which is not controlled well and carotid stenosis.
i need to identify nursing diagnoses for the population of stroke patients, which i have the following so far (i have to limit to 10) and then identify which are appropriate for my patient.
finally i have to prioritize the top 3 nursing diagnoses for my patient and give rationale for my prioritzing....which is what i need the most help on.... thanks to anyone who has advice
[font='times new roman']ineffective cerebral tissue perfusion related to decreased cerebral blood flow; unilateral neglect related to perceptual disruption; impaired verbal communication related to cerebral speech center injury; impaired swallowing rela[font='times new roman']ted to neuromuscular impairment; risk for aspiration; risk for infection; anxiety; compromised family coping related to critically ill family member; and deficient knowledge
[font='times new roman']
[font='times new roman']i was thinking my top 3 should be:
: 1)impaired swallowing related to weakness of affected muscles as evidenced by drooling and difficulty swallowing secondary to stroke; 2) impaired physical mobility related to generalized weakness and paresis as evidenced by flaccid upper extremity, limited range of motion, decreased muscle strength and decreased physical activity; and 3) risk for aspiration related to dysphagia, impaired swallowing, and depressed gag reflex.
but not sure on the prioritzing and rationale for why!
Oct 30, '08
by C. Thinking
i would list the following most important three..
1. perfusion, ineffective cerebral
2. aspiration, risk for
3. swallowing, impaired
1. beacause its an actual problem
2. because it's airway and is a potential problem...if the patient does actually have trouble with swallowing, then it would become actual and become "swallowing, impaired".
3. because 2 and 3 are the difference between actual and potential and are of equal importance in maintaining airway...and then nutrition.
from there, i would address physical safety such as physical mobility, impaired.
Last edit by C. Thinking on Oct 30, '08
: Reason: (sp)