Nursing care for patients who have had a stroke

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  1. care plan for a stoke pt

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      how to write a nursing care plan
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      how to write a nursing care plan

Need help writing a nursing care plan for a patient that have a stroke

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

Now you need to look up CVA......these reference sare from medscape....it requires registration but it is free and an excellent resource.

Hemorrhagic Stroke in Emergency Medicine

Ischemic Stroke in Emergency Medicine

Acute Management of Stroke

http://www.enotes.com/stroke-reference/cerebrovascular-accident.

The construction of the 3-part diagnostic statement follows this format:

p (problem) - e (etiology) - s (symptoms)[/h]

  • problem - this is the nursing diagnosis. a nursing diagnosis is actually a label. to be clear as to what the diagnosis means, read its definition in a nursing diagnosis reference or a care plan book that contains this information. the appendix of taber's cyclopedic medical dictionary has this information.
  • etiology- also called the related factor by nanda, this is what is causing the problem. pathophysiologies need to be examined to find these etiologies. it is considered unprofessional to list a medical diagnosis, so a medical condition must be stated in generic physiological terms. you can sneak a medical diagnosis in by listing a physiological cause and then stating "secondary to (the medical disease)" if your instructors will allow this.
  • symptoms- also called defining characteristics by nanda, these are the abnormal data items that are discovered during your assessment of the patient. they can also be the same signs and symptoms of the medical disease the patient has, the patient's responses to their disease, and problems accomplishing their adls. they are evidence that prove the existence of the nursing problem. if you are unsure that a symptom belongs with a nursing problem, refer to a nursing diagnosis reference. these symptoms will be the focus of your nursing interventions and goals.
  • in determining a problem you should always use the nursing process. first, look at the assessment data you have. . .
  • severe post-op chest pain in determining a problem you should always use the nursing process.

https://allnurses.com/nursing-student-assistance/student-resources-nursing-424826.html

https://allnurses.com/nursing-student-assistance/my-first-care-673378.html

https://allnurses.com/gsearch.php?cx=partner-pub-9350112648257122%3Avaz70l-mgo9&cof=FORID%3A10&ie=UTF-8&q=care+plan+cva sa=search

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

Nursing Care Plan

http://nursingcrib.com/nursing-care-plan/

Nursing Resources - Care Plans

Nursing Care Plans, Care Maps and Nursing Diagnosis

Understanding the Essentials of Critical Care Nursing

These are excellent references. Look here.

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so what i have is not what the teacher is asking for

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
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[TD=bgcolor: transparent]This is what i have so far

NURSING CARE PLAN

Assessment: My patient has a history of hypertension and smoking (respiration is a potential problem) at his age, He has a weakness of swallowing, his skin felt cold, loss of sensation. He is feeling of helplessness, loss of hope, loss of appetite, weakness, tingling / numbness to his left side, side also looks like its paralyzed or dead

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[TD=bgcolor: transparent]Abnormal blood pressure

Lack of self-care because of physical weakness

Never damage due to smoking

Inability to flex or extend foot, toes, knee and hand

Imbalanced nutririon

Abnormal Hypothermia

Explain to the patient and the patients family the purpose of movement exercise

Exercise therapy ( assess the ability of patients to the movements, encourage active ROM, change position every 2hrsMonitor the independence of patients

Monitor heart sounds, monitor respiratory status

Building physical needs

Helping my patient feel safe and secure

Making my patient feel love and cared for

Building his self- esstem and self actualization

Monitor medication ( to see if it is working and if they have side effects)

Implementations

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Where did this information come from?

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thats what i wrote ny self

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

Ok......what book are you using for your care planning? Are you using a care plan constructor? Have you looked at the care plan resources I gave you? Using this information what would your nursing diagnoses be?

Using this scenario.....".Assessment: My patient has a history of hypertension and smoking (respiration is a potential problem) at his age, He has a weakness of swallowing, his skin felt cold, loss of sensation. He is feeling of helplessness, loss of hope, loss of appetite, weakness, tingling / numbness to his left side, side also looks like its paralyzed or dead.

You need to answer...What is Hypertension. How does smoking affect his health? He has trouble swallowing what would he need? What danger would this pose? By the symptoms you patient has suffered a right CVA with Left hemiparesis....what dose this signify?"

CVA....usually affects one side of the brain. Movement and sensation for one side of the body is controlled by the opposite side of the brain.

Some problems that happen after stroke are more common with stroke on one side of the brain that the other.

  • The right side of the brain controls the ability to pay attention, recognize things you see, hear or touch, and be aware of your own body.
  • In most people, the left side of the brain controls the ability to speak and understand language.

What do these patients need?

Effects of Stroke - National Stroke Association

People who have suffered a stroke to the brain's right hemisphere may struggle with problems related to vision and space perception, mood, energy and recognition of their own difficulties. This cluster of deficits is called right hemisphere stroke syndrome.

They have Difficulty seeing on the left side of space, including inability to respond to people or objects on the left.

For example, they may fail to eat food from the left side of their plate, or may fail to brush the hair on the left of their head. With partial recovery, they may just be slow to detect things on the left. This is called "spatial neglect", and may have serious consequences for safety.

  • Since the right side of the brain helps to process awareness of space and the body, patients with right hemisphere stroke syndrome may not be very aware of their difficulties. For example, they may frequently forget that they are unable to move their left arm or leg the way they could before the stroke. This may have important safety consequences.

  • Decreased levels of energy and motivation.Right hemisphere stroke syndrome may be extremely disabling, and may cause frustration for stroke survivors and caregivers alike.

How does this affect your patient?

YOu also mention in the assessment.....the patients "helplessness, loss of hope, loss of appetite, weakness, tingling / numbness to his left side, side also looks like its paralyzed or dead."

How would you word you nursing diagnosis based on this information.

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
that's what i wrote my self

Oh.....because It looks like it was copied from a care plan constructor or site by the formatting that was on your initial post....do you have an example from your school about the format they want you to use???? Are you in a traditional program or online?

Look here for examples.......go to my previous post and those sites have examples.....http://www.fresnostate.edu/nursingstudents/FSNC/nursingcareplans.htm

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okk thank you so much for your help i got thru with it finally

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

OK...I hope I helped....:D

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