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Question          stroke with mild left hemiplegiaFOUR INDIVDUALIZEDFOUR"INCLUDE: nursing diagnosis PRIORIZED NANDA(S) PRIORITIZED INTERVENTIONS FOR EACH NANDANURSING GOALS FOR EACH NANDA (1 LONG-TERM AND 1 SHORT-TERM) GoalsEVALUATIONS (ONE NANDA, 4 INTERVENTIONS With RATIONALES,CONCLUSIONS , RECOMMENDATIONS BASED  hemiplegia THREE PARAGRAPHS)APA FORMATTED REFERENCES(WITHIN 5 YEARS UNLESS CONSIDERED AND LABELED A HISTORICAL REFERENCE)  Situation: Mr. Russell is a 55-year-old Native American male who was admitted with a stroke with mild left hemiplegia yesterday afternoon. He had a head CT and received thrombolytic therapy in the ED. He is nothing by mouth except for medications until the speech therapist has completed a bedside evaluation, which is scheduled for later this morning. He is scheduled for physical therapy later today.Background: Mr. Russell has a history of hypertension, coronary artery disease, and diabetes mellitus type 2. He has smoked over a pack of cigarettes per day for the past 35 years and does not exercise.Assessment: We have already checked his blood glucose level this morning. His vital signs have been stable and he slept well last night. He was able to get up to go to the bathroom with the use of a walker. His neurological checks are stable and he continues to have mild left hemiplegia. His hand grasps are almost equal but a little weaker on the left side. His pupils are equal and react to light. Swallow reflex is intact. He is oriented x3. I have already done a Morse Fall Risk assessment with a total high risk score of 60.Recommendation:  provide patient education on risk and prevention of aspiration.  medications a Health Science Science Nursing HEALTH SCI NURSING102 Share QuestionEmailCopy link Comments (0)
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