care plan!!!

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hi all,

im new to this site an its great!!wel im currently doing a care plan for a pt who had a cva!i have to pick 2 actual and 2 potenial problems for her!i have used expressive dysphaigia and limited mobility. i just need help developing these if any1 cud help me please!!

thankxxxxx x:D

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hello,,,can any 1 help me with a care plan for expressive dysphagia??plzzz

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hello,,,can any 1 help me with a care plan for expressive dysphagia??plzzz

do you mean dysphagia (difficulty swallowing) or dysphasia (impairment of speech)?

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risk for impaired skin integrity

risk for injury

risk of infection

anxiety

grief

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aphasia

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Specializes in MICU for 4 years, now PICU for 3 years!.

It would probably help (and maybe help get you a few answers) if you could let us know what you have come up with on your own. Otherwise, it appears that you are asking us to do your homework for you.

So what are your thoughts on what should be on that care plan???

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Specializes in Nursing Home ,Dementia Care,Neurology..

loss of independence

risk of falls........due to weakness

altered level of continence.i.e.urge incontinence-------cannot reach toilet so quickly

dysphagia..........inability to communicate.......trouble swallowing .....risk of malnutrition.......inhalation

(that'll keep you going for a while!)

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Specializes in med/surg, telemetry, IV therapy, mgmt.

hi, magners, and welcome to allnurses!

all the information in care plans (nursing diagnoses, goals and nursing interventions) are based upon a patient's specific symptoms, not their medical diagnoses. so, i really can't help you very much without knowing what your patient's symptoms are. you must also follow the steps of the nursing process in the sequence in which they occur:

  1. assessment (collect data from medical record, do a physical assessment of the patient, assess adls, look up information about your patient's medical diseases/conditions)
  2. determination of the patient's problem(s)/nursing diagnosis (make a list of the abnormal assessment data, match your abnormal assessment data to likely nursing diagnoses, decide on the nursing diagnosis to use)
  3. planning (write measurable goals/outcomes and nursing interventions)
  4. implementation (initiate the care plan)
  5. evaluation (determine if goals/outcomes have been met)

step #1, assessment is the most important step. from assessment you find out what the patient's symptoms are. in step #2 you make a list of the patient's symptoms. it is that list of symptoms that is important in the remainder of the writing of the care plan.

here are two recent threads where i discussed how to write a care plan:

you will also find care plan information on these two sticky threads:

if you will post a list of your patient's signs and symptoms i can give you more help, but with only a list of medical diagnoses, it is nearly impossible to help you out because it doesn't tell me anything about this patient.

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hi daytonite...thanx for guiding me to come on this thread...i just joined couple of days back so um still trying to figure out stuff...well...i'll be working on my first care plan this weekend so will ask any questions i have...thanx again...and hi everyone...

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thanx for your help everyone uv reali helped me!! and wsu ally i am not askin anyone to do my homework its called advice!!!i do have thoughts of my own i just didnt have time to rite them!!

thanx again every1 xx

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