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Im witting a ncp- stroke and I have some prob,,, if anyone can help me I will be very very grateful, cos I need an answer quickly......
I want to know if I have properly aligned those nursing dg,
Impaired brain tissue perfusion related to intracerebral hemorrhage. (Marilynn E. Doenges, 2000)
Impaired physical mobility related to hemiparese / hemiplegia (Donna D. Ignativicius, 1995)
Impaired sensory perception related to sensory impairment, vision impairment (Donna D. Ignativicius, 1995)
Impaired verbal communication related to the decrease in brain blood circulation (Donna D. Ignativicius, 1995)
Impaired elimination (constipation) related to immobilization, inadequate fluid intake (Donna D. Ignativicius, 1995)
Impaired elimination urine (urine incontinence) related to lesions in the upper motor neuron (Juall Lynda Carpenito, 1998
. Disturbed Thought Process.
. Ineffective Coping. Management of stroke requires a strong need for healthy lifestyle or change, this may be difficult for the patient.
selfcare deficit higjena dressing. grooming and feeding due to neuromudcular impairment
Deficient Knowledge
. Disturbed Sleep Pattern
Risk for impaired swallowing
The risk of nutritional deficiencies related to muscle weakness of chewing and swallowing (Barbara Engram, 1998)
.Risk for Aspiration. This is due to depressed or absent cough reflex due to infarction of a brain area.
Risk for Hyperthermia. This may be due to bleeding or edema of the hypothalamus which can lead to ischemia and thus changes in the thermoregulatory center of the brain.
The risk of disruption of skin integrity related long bed rest (Barbara Engram, 1998)
. Risk of Injury