Kellie, it sounds like you have come up with some great ones all on your own. Don't give in to the panic!
Has she shown signs or verbalized any anxiety r/t her COC? Anxiety is always a good one, i.e "Anxiety r/t altered condition AEB verbalization "I'm worried about my outcome" (don't know if she's verbal)...ditto for depression.
Iimpaired skin integrity, risk for...r/t immobility, AEB pt. unable to turn self in bed.
Have you seen any other objective signs of alterted tissue perfusion (cardio) besides the orthostatic blood pressure, such as respiratory rate not WNL, lowered cap refill, arrhythimias, etc? If not, maybe you should change it to "risk for" or reconsider using it, or use peripheral tissue perfusion if she has edema, skin temp changes, weak/absent pulses, etc.
Is she continent? If not, incontinence (urinary or bowel) may be used: incontinence r/t neuromuscular limitations, AEB bedsheets sat. c urine/BM.
Self-care deficit (feeding, dressing, grooming, etc.) r/t L or R-sided weakness, AEB limited ROM for affected limb.
Impaired transfer ability r/t L (R)-sided weakness, AEB inability to bear wt on effected side.
Risk for constipation, r/t environmental changes, possible abdominal weakness from the stroke, lack of physical activity, use of narcotics, etc. (I'm sure you know by now what causes constipation), AEB pt not having a BM for three days.
You're gonna be great!!! Go get 'em, Nurse Kellie!!! :spin: