Help with care plan please.

[jackometer]

Hi everyone, this is my first post here at allnurses.com and I just want to say thank you to all the wonderful people helping out us nursing students. I am a first semester nursing student in a 2 year R.N. program. I've done a few care plans based on patients on a diabetic ward and we have now moved to a stroke ward. I am having a little difficulty researching treatments for a basal ganglia bleed. Everything I have found says "treatment based on cause." Below I have listed my pathophysiology, signs and symptoms, and common complications. Thank you so much for helping!

Basal Ganglia Bleed: The function of the basal ganglia is to control voluntary, learned, emotional, and autonomic movements of muscles like swinging the arms while walking, swallowing saliva, and blinking. When there is a bleed, which can happen with a stroke, it can affect body movement and sensation, vision, judgment, motivation, personality, and speech.

Basal Ganglia Bleed: Signs and symptoms: A headache that starts suddenly and is severe and worsens when changing positions, bending, straining or coughing. Changes in alertness, hearing or taste. Clumsiness, confusion, dizziness, loss of balance and coordination, muscle weakness, difficulty swallowing. Numbness or tingling on one side of the body, decreased vision, difficulty speaking, difficulty walking. Also, sensation changes that affect feelings of pain, pressure and temperature. Common complications: Cardiac complications, pneumonias, venous thrombosis, fever, pain, dysphagia, incontinence and depression.There can be medical complications during recovery due to comorbidities such as hypertension, diabetes, and heart disease. Other complications include the disabilities that arise due to the damage of the bleed like involuntary and slowed movements, increased muscle tone, muscle spasms, muscle rigidity, memory loss, problems finding words, tremors, uncontrollable repeated movements, speech or cries, and difficulty walking.

[Nurse Kyles, BSN, RN]

What S/S does your patient show? What problems have these symptoms caused for your patient? When you consider these two things it will help you to determine what the pertinent nursing diagnosis, goals & interventions will be. I think you will find the best info in your nursing diagnosis handbook under CVA. Good Luck to you!

[jackometer]

Thank you very much for the advice :)