The patient, D.E., suffered a cerebrovascular attack (CVA) resulting in a left hemisphere infarction. This caused right-side paralysis and weakness. The nursing care plan's goal was to increase the patient's activity tolerance and level of functioning after 1 month of interventions. The plan included obtaining vital signs, monitoring the patient, providing range of motion exercises and positioning changes, and administering ordered medications to control blood pressure. After 8 hours the patient was not yet able to demonstrate increased functioning.
The patient, D.E., suffered a cerebrovascular attack (CVA) resulting in a left hemisphere infarction. This caused right-side paralysis and weakness. The nursing care plan's goal was to increase the patient's activity tolerance and level of functioning after 1 month of interventions. The plan included obtaining vital signs, monitoring the patient, providing range of motion exercises and positioning changes, and administering ordered medications to control blood pressure. After 8 hours the patient was not yet able to demonstrate increased functioning.
The patient, D.E., suffered a cerebrovascular attack (CVA) resulting in a left hemisphere infarction. This caused right-side paralysis and weakness. The nursing care plan's goal was to increase the patient's activity tolerance and level of functioning after 1 month of interventions. The plan included obtaining vital signs, monitoring the patient, providing range of motion exercises and positioning changes, and administering ordered medications to control blood pressure. After 8 hours the patient was not yet able to demonstrate increased functioning.
D KNOWLEDGE S: Activity Infarction on Goal: Obtain initial To gain Goal partially Hindi na niya Intolerance the left After 1 vital signs baseline data met. After 8 maigalaw ang related to hemisphere month of hrs of nursing kanang parte neuromuscular has a contra nursing Monitor GCS Note for intervention ng kanyang impairment lateral intervention increase in the patient katawan as secondary to manifestation the patient patients was not able verbalized by Cerebrovascula of either right will functioning to the patients r Attack. side paralysis demonstrate capability demonstrate wife and/or increase in Assessed increase level weakness due physiological General To note for of functioning. O: to left signs of Condition signs and -Numbness on hemisphere activity symptoms the right side affectation tolerance. Provided calm of the body causing the atmosphere To lessen -Weak in immobility Objective: patients appearance because of After 8 hrs agitation -Aphasia stiffness of of nursing Promoted -Paleness on muscle and intervention comfort to enhance extremities inability to the patient measure and ability to -Initial VS: mobilize due will be able to provide for participate in BP: to the demonstrate relief of pain activities 140/100mmHg manifestation increase level PR: 56bpm of the disease of functioning Provided ROM to promote condition. The from exercises circulation nervous independent system is to use of Assisted Reduces risk made up of personal patient to of tissues nerve cells assistance. reposition self ischemia, called neurons every two affected that serve as hours parts has the poorer communicatio circulation n system of the body. They Plan care to to promote carry carefully rest periods messages in balance rest the form of periods electrical impulses. The messages COLLABORATI To probably move from one VE: decrease neuron to Administer cardiac another to medications workload and keep the body as ordered in functioning. such as maximizing Because antihypertensi tissue neurons have, ve or perfusion limited ability diuretics. to repair themselves unlike other body tissues that is why nerve cells cannot be repaired if damaged due to injury or disease.