Stroke Care Plan Assistance

[Mommy_RN1211]

Hello all,

I am currently in my adult (3rd) semester of school and am writing my care plan. This is my first time on a Tele floor. We have always pretty much stayed on med surg so this is unfamiliar territory. My patient was a 64 yr old male who had a hemorrhage of the brain (stroke). This was his 2nd stroke so he has had left side paralysis and inability to speak since the first stroke. His stoke condition was considered stable he was really only still in the hospital due to conflicts in insurance and a rehab facility.

With all that being said our insturctor requires 3 nursing diagnosis. I am going to do a psychosocial for sure maybe two. I will for sure use risk of impaired skin integerity due to poor mobility. I am struggling with what seems to be obvious. Impaired physical mobility r/t stroke. I am not sure what kind of goal is appropriate given he has had the paralysis for years. Everything I think of seems to be unrealistic. Any suggestions?