Nursing Diagnosis in addition to Nursing Interventions for CVA / Stroke
1. Nursing Diagnosis: Impaired Physical Mobility related to the business office of neurological damage.
Nursing Interventions:
2. Nursing Diagnosis: Ineffective Cerebral Tissue Perfusion related to intermission of blood flow, occlusive disorders, hemorrhage, cerebral vasospasm, cerebral edema.
Nursing Interventions:
1. Nursing Diagnosis: Impaired Physical Mobility related to the business office of neurological damage.
Nursing Interventions:
- Assess the functional capabilities in addition to severity of abnormalities.
- Maintain trunk alignment (using a board bed, air mattress or a measure board equally indicated.
- Turn in addition to alter seat every two hours.
- Elevate the extremity hurting amongst pillows.
- Perform hit of motility exercises for all active or passive limb every two hours to iv hours.
- Encourage hands, fingers in addition to leg exercises.
- Give the patient equally indicated ancillary equipment.
- Encourage the patient to perform activities of daily needs.
- Start to gild a progressive ambulation aids to sit down inwards a balanced seat from the procedures to displace from bed to a chair to achieve equilibrium.
- Consult amongst the doc in addition to the handling (Tucker, 1998).
2. Nursing Diagnosis: Ineffective Cerebral Tissue Perfusion related to intermission of blood flow, occlusive disorders, hemorrhage, cerebral vasospasm, cerebral edema.
Nursing Interventions:
- Monitor or tape the neurological condition equally ofttimes equally possible in addition to compare it to measure or normal state.
- Monitor vital signs.
- Record the information changes such equally the blindness of vision, or visual plain disturbances inwards perception.
- Assess the higher functions, such equally speech communication function.
- Put your caput slightly elevated seat in addition to the anatomical seat (neutral).
- Maintain a soil of bed rest, creating a peaceful environment, confine the activities of visitors or patients equally indicated.
- Help foreclose the occurrence of straining during defecation in addition to breathing forcefulness (continuous cough).
- Collaboration inwards pembarian oxygen in addition to drugs equally indicated (Doenges, 2000).