I have this assignment asking us to provide 2 nursing assessments for a patient who's very likely to have a stroke, several related health problems that he might have and some nursing interventions.
The patient was found slumped, difficulty communicating and speech issue, cannot move his arms and drooped facial expression.
We can not point out that the patient has a stroke, we can only outline the assessments and stuff we'll do for this patient according to the information above. So what do you guys think?
For assessment I can think of neurological, but what else?
I wrote these two because the assignment didn't tell us if the patient had trouble breathing, so I assumed I should assess his neurological functions to see what kind of results the patient was showing due to CVA. And musculoskeletal to find out if he's gonna need assistance for movement.
Dear GE90... we don't know how far along you are and how much pathophysiology you've had. Maybe if you told us that, it would give us some idea.
I am not sure how they do things in Australia, but here we don't fail students on the basis of one assignment. (Well... I don't.) And most schools use a variety of assessment tools. Bedside performance, didactic tests, papers and projects and OF COURSE care plans.
So, let's say you didn't get the assignment and don't do great on it. (Worst case scenario, OK?) You should "purpose in your heart" to NOT make the same mistake twice. When you get the next assignment, read directions very carefully (and the expectations SHOULD be written down somewhere.) If you don't understand what the tutor wants, make time to sit with him/her and go over it and over it until you understand. THEN ask your tutor if she'll glance at a rough draft or outline to see if you're on the right track.
Don't panic. Things are going to go dirty side up at the bedside some day and you'll need to be very cool and have a plan. Same thing here.
the [interventions] i'm gonna apply are monitoring vital signs, prescribe drugs or o2 therapy if necessary, hygiene support, emotional support, assistance for eating like NGT, referral to pt/ot/gp/social worker/speech therapist/
Monitoring is not a nursing intervention, it's a data-collection tactic
You can't prescribe drugs, O2, or NGT. This is a nursing assignment, so your task is to plan the nursing care of this patient
Airway, airway, airway
Safety, prevention of more disability (range of motion), skin protection...NURSING assessments, nursing interventions
GE90
88 Posts
damn....should have thought about pulmonary and airway assessment