risk for ineffective tissue perfussion ?

[snmaro]

hi, i need some clarification my care planing dx. and eo's i want to know if i am on the right track or not. i have 2 dx. thinking of changing my care plan to the second dx pls help!! my patient is a 90ylo female that suffered a right ischemic stroke, , loc stupor, she has difficulty swallowing, mumbled speech, tries to open her eyes but falls back to sleep, rt sided weakness, flaccid left upper and lower extremities, responds briefly to continuous stimuli, npo, she has been sleeping for 24 hrs, failed swallow eval, hx of htn, hypothyroid, blindness, cervical cancer, legally blind in both eyes. my ? is can i do a risk for since she has actual problems going on. i was told to do a risk for since she already has ineffective tissue perfusion but im confused on how to plan it out using more than one eo. dx. risk for ineffective tissue perfusion cerebral, r/t interrupted blood flow to the brain secondary to right sided stroke awbmb, altered mental status, confusion, slurred speech, dysphasia,, difficulty swallowing and hemiparesis, hemiplegia

eo.

patient will continue to respond to verbal commands when asked and will maintain or improve her mental status and remain free of slurred speech, dysphasia, and confusion over the next 72 hours.

eo # 2 patient will remain free of aspiration due to difficulty swallowing over the next 72 hrs.

eo # 3 patient will maintain right side hemiparesis at or above 2/5 on rue and rle at or above 3/5. hemiplegia lue and lle at or above 0/5 ,within the next 72 hours.

dx# 2 impaired swallowing r/t neurological impairment and muscle weakness, secondary to ischemic stroke, amb, left facial droop, difficulty swallowing, chocked on 1tsp of water while doing swallow eval.

[hell0kittygyrl]

I'm feeling like I don't know much at the moment, but I would go with the actual problem (dx 2)