Aplikasi Merah Putih

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dalam rangka memeriahkan hari kemerdekaan Indonesia, telah hadir aplikasi merah putih terbaru untuk mendapatkan pulsa gratis. Sudah terbukti dapat pulsa langsung. Sebarkan berita gembira ini. Download aplikasinya lewat link dibawah ini :
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Nursing Diagnosis Nursing care plan for Stroke Cerebrovascular Accident


Diagnostic tests for Stroke Cerebrovascular Accident
  • Computed tomography scan.
  • Magnetic resonance imaging.
  • Electrocardiogram.
  • Carotid duplex may detect carotid artery stenosis.
  • Angiography.
  • EEG helps to localize the damaged area.
Nursing Diagnosis Nursing care plan for Stroke Cerebrovascular Accident
Diagnosis of stroke is based on observation of clinical features, a history of risk factors, and the results of diagnostic tests, Nursing Diagnosis for Stroke Cerebrovascular Accident:

Anxiety
  • Self-Care Deficit: bathing/hygiene, dressing/grooming, feeding, toileting
  • Disturbed sensory perception: Tactile
  • Impaired gas exchange
  • Impaired physical mobility
  • Impaired verbal communication
  • Ineffective airway clearance
  • Ineffective tissue perfusion: Cerebral
  • Powerlessness
  • Risk for aspiration
  • Risk for disuse syndrome
  • Risk for impaired skin integrity
  • Risk for infection
  • Risk for injury
  • Situational low self-esteem
  • Toileting self-care deficit
  • Total urinary incontinence
Nursing Outcomes Nursing Care Plan For Stroke Cerebrovascular Accident
Nursing Outcomes Nursing Care Plan For Stroke Cerebrovascular Accident patient will:

Identify strategies to reduce anxiety.
  • Perform bathing and hygiene needs to the fullest extent possible.
  • Report signs and symptoms of impaired sensation.
  • Perform dressing and grooming needs to the fullest extent possible.
  • Maintain adequate ventilation and oxygenation.
  • Achieve the maximum mobility possible within the confines of the condition.
  • Effectively communicate needs verbally or through an alternative means of communication.
  • Maintain a patent airway.
  • Exhibit signs of adequate cerebral perfusion.
  • Express feelings of control over health and well-being.
  • Free from signs of aspiration.
  • Maintain joint mobility and range of motion (ROM).
  • Maintain intact skin with no signs of breakdown.
  • Remain free from signs or symptoms of infection.
  • Free from injury.
  • Verbalize feelings regarding self-esteem.
  • Perform toileting needs to the fullest extent possible.
  • Identify strategies to reduce incontinent episodes.
Nursing Interventions Nursing care plan for Stroke Cerebrovascular Accident

Anxiety Reduction: Minimizing apprehension, dread, foreboding, or uneasiness related to an unidentified source or anticipated danger
  • Provision of a modified environment for the patient who is experiencing a confusional state
  • Calming Technique: Reducing anxiety in patient experiencing acute distress
  • Self-Care Assistance: Assisting another to perform activities of daily living
  • Bathing: Cleaning of the body for the purpose of relaxation, cleanliness, and healing
  • Hair/Nail Care: Promotion of neat, clean, attractive hair/nails and prevention of skin lesions related to improper care of nails
  • Feeding: Providing nutritional intake for patient who is unable to feed self
  • Bowel/Urinary Elimination Management: Establishment and maintenance of a regular pattern of bowel elimination/Maintenance of an optimum urinary elimination pattern
  • Communication Enhancement: Hearing/Vision Deficit: Assistance in accepting and learning alternative methods for living with diminished hearing/vision
  • Nutrition Management: Assisting with or providing a balanced dietary intake of foods and fluids
  • Environmental Management: Manipulation of the patient’s surroundings for therapeutic benefit
  • Peripheral Sensation Management: Prevention or minimization of injury or discomfort in the patient with altered sensation
  • Respiratory Monitoring: Collection and analysis of patient data to ensure airway patency and adequate gas exchange
  • Oxygen Therapy: Administration of oxygen and monitoring of its effectiveness
  • Airway Management: Facilitation of patency of air passages

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