Nursing Recommendations

[fitore]

I need some nursing recommendations, after discharging a pt with Stroke.

I need them soon.

Thank You, dor your help.

[emtb2rn, BSN, RN, EMT-B]

What tgoughts do you have? The folks on this site are more than happy to help you but we won't do your homework.

[fitore]

What tgoughts do you have? The folks on this site are more than happy to help you but we won't do your homework.

thanks, neither I don't want anybody to do my homework, but I want a little help. Please check my previous topics and there you will see whats my Pt case.

one of them is : https://allnurses.com/nursing-student-assistance/priorities-goals-808150.html

thanks for your courtesy.

[Nurse_]

All discharge planning depends on your assessment:

Does the patient have residual weakness from the stroke?

If so, what is the plan for him to be rehabilitated outside the hospital?

Does the patient understand his care?

Does he have the proper cognition to handle his care?

Is he a candidate for home health, Rehab facility or SNF?

What type of anticoagulant are they on?

It all depends on what your assessments on the need of the patient. Needs of a stroke patient aren't just medical, but also emotional. If this is for a care plan, you want to be as individualized as possible.

[fitore]

All discharge planning depends on your assessment:

Does the patient have residual weakness from the stroke?

If so, what is the plan for him to be rehabilitated outside the hospital?

Does the patient understand his care?

Does he have the proper cognition to handle his care?

Is he a candidate for home health, Rehab facility or SNF?

What type of anticoagulant are they on?

It all depends on what your assessments on the need of the patient. Needs of a stroke patient aren't just medical, but also emotional. If this is for a care plan, you want to be as individualized as possible.

Assessment

Subjective data: Client N.N 80 years old, male, widowed, weight: 71 kg and length 1.65cm, retired lives in city, in a 4-member family with average incomes.

Current data:he was admitted to Hospital on.... . N. N.’s son found him lying on the floor confused, and soaked in urine.

Objective data: When W. K. was admitted to the hospital, laboratory findings were all normal.

His vitals signs were all normal except BP: 143/86

oxygen levels between 95% and 100%

I tried to write some of key things.

these are my pt nursing dg:

actual dg:

1.Ineffective cerebral tissue perfusion

2.Ineffective airway clearance

3.Impaired physical mobility

4.Disturbed sensory perception (seeing)

5.Impaired verbal or written communication

6.Self-care deficit

7.Knowledge deficient (learning need) regarding condition, prognosis, treatment regimen, self-care, and discharge needs

potential dg:

8.Risk for skin integrity

9.Risk for injury

[Esme12, ASN, BSN, RN]

I would think things like outpatient physical therapy, occupational therapy. Home visit PT/OT to adapt patients home for thier new physical challenges. Assess for what assistive devices will be needed for ADL's and safe mobility.

[nurseprnRN, BSN, RN]

There was a paper published recently that found that four simple questions asked at discharge can identify the need for help in the home to prevent readmission:

Do you live alone?

Who cooks for you?

Do you have more than 3 steps to get into your home?

How will you get your prescriptions?

Of course, we knew all that decades ago, but it's hot stuff now.

Does that give you any ideas?

[fitore]

There was a paper published recently that found that four simple questions asked at discharge can identify the need for help in the home to prevent readmission:

Do you live alone?

Who cooks for you?

Do you have more than 3 steps to get into your home?

How will you get your prescriptions?

Of course, we knew all that decades ago, but it's hot stuff now.

Does that give you any ideas?

thanks, interesting question!