Question Answered step-by-step Student Name: Grade:    /44 Nursing Diagnosis #1 (2 points):Identify a NANDA approved nursing diagnosis for the patientNo more than 1 potential diagnosis may be usedActual or Potential (1 point):Highlight actual or potentialImpaired physical mobility Related to (2 points):Describe the patient’s specific situation and/or medical diagnosis that is directly linked to and causing the chosen nursing diagnosis. DO NOT state a medical diagnosis, but a description is appropriatetemporary disruption of blood flow to the brainincoordination, imbalanced gait, difficulty in movement, generalized weakness, and verbalization of overwhelming tiredness/fatigueAs Evidenced by (2 points):List all necessary supportive patient data to support the chosen nursing diagnosis (assessment findings, history, medications, labs, therapies, diet). This information proves your nursing diagnosis is appropriate. Hemiparesis/ hemiplegia of the right side, incontinence of bowel, supper pubic catheter, per OT place 3-inch towel roll in the right hand, (allergies Aspirin celecoxib) advance directive ( DO NOT RESUSCITATION), height 5” tall, wt. 160.2 lbs. cognitive-communication deficiency, speaks clearly but slow, type diabetes mellitus without, other intervertebral diseases, hyperlipidemia unspecified, hypothyroidism-unspecified, hypomagnesemia, vascular dementia without betta, hypokalemia, muscle weakness (generalized), aphasia, personal history of transient, neuromuscular dysfunction, regular diet, independence with self-feeding, electric wheelchair, Hoyer lift to transfer from bed to w/c, bed, toileted every 2 hours or as needed, barriers cream to prevent skins breakdown,Nursing Diagnosis #2 (2 points):Identify a NANDA approved nursing diagnosis for the patientNo more than 1 potential diagnosis may be usedActual or Potential (1 point):Highlight actual or potentialself-Care DeficitRelated to (2 points):Describe the patient’s specific situation and/or medical diagnosis that is directly linked to and causing the chosen nursing diagnosis. DO NOT state a medical diagnosis, but a description is appropriate Inability to perform activities of daily living (ADLs); grooming, bathing, dressing, elimination, and diminished levels of strength/endurance  As Evidenced by (2 points):List all necessary supportive patient data to support the chosen nursing diagnosis (assessment findings, history, medications, labs, therapies, diet). This information proves your nursing diagnosis is appropriate.Stroke sequalae incontinence of bowel, supper pubic catheter, per OT place 3-inch towel roll in the right hand, (allergies Aspirin celecoxib) advance directive ( DO NOT RESUSCITATION), height 5” tall, wt. 160.2 lbs. cognitive-communication deficiency, speaks clearly but slow, type diabetes mellitus without, other intervertebral diseases, hyperlipidemia unspecified, hypothyroidism-unspecified, hypomagnesemia, vascular dementia without betta, hypokalemia, muscle weakness (generalized), aphasia, personal history of transient, neuromuscular dysfunction, regular diet, independence with self-feeding, electric wheelchair, Hoyer lift to transfer from bed to w/c, bed, toileted every 2 hours or as needed, barriers cream to prevent skins breakdown, References: Stromberg, Holly. (2021). DeWitt’s Medical-Surgical Nursing: Concepts and Practice, ed. 4, Pg 507 Belleza, R. M. N. (2021, October 1). Cerebrovascular Accident (Stroke). Nurseslabs. https://nurseslabs.com/cerebrovascular-accident-stroke/Khaku AS, Tadi P. Cerebrovascular Disease. [Updated 2021 Sep 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430927/  Nursing Careplan 1 (15 points)Nursing Diagnosis (2 Points)No more than 1 potential diagnosis may be used Actual  or Potential (1 Point)Highlight actual or potential.Expected Outcome (2 Points)Identify 1 outcome that will show maintenance or improvement of the selected nursing diagnosis.Ensure outcome is SMART:Specific – Measurable – Attainable – Relevant – TimeboundNursing Interventions (3 Points)Identify 3 patient specific interventions that will directly assist in meeting the expected outcome.At least 2 must be action-driven interventions.Rationales (3 Points)Provide 3 rationales that validate why the intervention will assist in meeting the expected outcome.One rationale per intervention.Impaired physical mobility The patient demonstrates the use of adaptive devices to increase mobility give positive reinforcement during activity; Patients may be unwilling to move or initiate new activity because of fear of fallingThis is to boost the patient’s chances of recovering and to increase her self-esteem.Related To (R/T) (2 Points)Describe the patient’s specific situation and/or medical diagnosis that is directly linked to and causing the chosen nursing diagnosis. DO NOT state a medical diagnosis, but a description is appropriate.incoordination, imbalanced gait, difficulty in movement, generalized weakness, and verbalization of overwhelming tiredness/fatigue provide the patient with rest periods in between activities. Consider energy-saving techniques.Rest periods are essential to conserving energy. The patient must learn and accept her limitations.As Evidenced By (AEB) (2 Points)List all necessary supportive patient data to support the chosen nursing diagnosis (assessment findings, history, medications, labs, therapies, diet). This information proves your nursing diagnosis is appropriate.present a safe environment; bed rails up, bed in a down position, important items close by.These measures promote a safe, secure environment and may reduce the risk for falls. Hemiparesis of the right sideReferences: Stromberg, Holly. (2021). DeWitt’s Medical-Surgical Nursing: Concepts and Practice, ed. 4, Pg 507   Nursing Careplan 2 (15 Points)Nursing Diagnosis (2 Points)No more than 1 potential diagnosis may be used Actual or Potential (1 Point)Highlight actual or potential.Expected Outcome (2 Points)Identify 1 outcome that will show maintenance or improvement of the selected nursing diagnosis.Ensure outcome is SMART:Specific – Measurable – Attainable – Relevant – TimeboundNursing Interventions (3 Points)Identify 3 patient specific interventions that will directly assist in meeting the expected outcome.At least 2 must be action-driven interventions.Rationales (3 Points)Provide 3 rationales that validate why the intervention will assist in meeting the expected outcome.One rationale per intervention.self-Care Deficit help the Patient organize and carries out self-care skills. Establish short-term goals with the patient.help the patient with setting realistic goals that will reduce frustration.Related To (R/T) (2 Points)Describe the patient’s specific situation and/or medical diagnosis that is directly linked to and causing the chosen nursing diagnosis. DO NOT state a medical diagnosis, but a description is appropriate.Inability to perform activities of daily living (ADLs); grooming, bathing, dressing, elimination, and diminished levels of strength/endurance  promote independence intervening when the patient is not able to carry out self-care activities.A suitable level of assistive care can avoid harm with activities without causing disappointment.As Evidenced By (AEB) (2 Points)List all necessary supportive patient data to support the chosen nursing diagnosis (assessment findings, history, medications, labs, therapies, diet). This information proves your nursing diagnosis is appropriate.assess and note prior and present patterns for toileting; introduce a toileting routine that factors these habits into the program.The efficacy of the bowel or bladder program will be improved if the natural and personal patterns of the patient are taken into consideration Stroke sequalae References:  please, I need help revising this care plan correctly,add more info or subtract, could possible help include medication that useful for the medical diagnosisPrimary medical diagnosis: Stroke Health Science Science Nursing HEALTH SCI 104 Share QuestionEmailCopy link Comments (0)

Question Answered step-by-step Student Name: Grade:    /44 Nursing Diagnosis #1 (2 points):Identify a NANDA approved nursing diagnosis for the patientNo more than 1 potential diagnosis may be usedActual or Potential (1 point):Highlight actual or potentialImpaired physical mobility Related to (2 points):Describe the patient’s specific situation and/or medical diagnosis that is directly linked to and causing the chosen nursing diagnosis. DO NOT state a medical diagnosis, but a description is appropriatetemporary disruption of blood flow to the brainincoordination, imbalanced gait, difficulty in movement, generalized weakness, and verbalization of overwhelming tiredness/fatigueAs Evidenced by (2 points):List all necessary supportive patient data to support the chosen nursing diagnosis (assessment findings, history, medications, labs, therapies, diet). This information proves your nursing diagnosis is appropriate. Hemiparesis/ hemiplegia of the right side, incontinence of bowel, supper pubic catheter, per OT place 3-inch towel roll in the right hand, (allergies Aspirin celecoxib) advance directive ( DO NOT RESUSCITATION), height 5” tall, wt. 160.2 lbs. cognitive-communication deficiency, speaks clearly but slow, type diabetes mellitus without, other intervertebral diseases, hyperlipidemia unspecified, hypothyroidism-unspecified, hypomagnesemia, vascular dementia without betta, hypokalemia, muscle weakness (generalized), aphasia, personal history of transient, neuromuscular dysfunction, regular diet, independence with self-feeding, electric wheelchair, Hoyer lift to transfer from bed to w/c, bed, toileted every 2 hours or as needed, barriers cream to prevent skins breakdown,Nursing Diagnosis #2 (2 points):Identify a NANDA approved nursing diagnosis for the patientNo more than 1 potential diagnosis may be usedActual or Potential (1 point):Highlight actual or potentialself-Care DeficitRelated to (2 points):Describe the patient’s specific situation and/or medical diagnosis that is directly linked to and causing the chosen nursing diagnosis. DO NOT state a medical diagnosis, but a description is appropriate Inability to perform activities of daily living (ADLs); grooming, bathing, dressing, elimination, and diminished levels of strength/endurance  As Evidenced by (2 points):List all necessary supportive patient data to support the chosen nursing diagnosis (assessment findings, history, medications, labs, therapies, diet). This information proves your nursing diagnosis is appropriate.Stroke sequalae incontinence of bowel, supper pubic catheter, per OT place 3-inch towel roll in the right hand, (allergies Aspirin celecoxib) advance directive ( DO NOT RESUSCITATION), height 5” tall, wt. 160.2 lbs. cognitive-communication deficiency, speaks clearly but slow, type diabetes mellitus without, other intervertebral diseases, hyperlipidemia unspecified, hypothyroidism-unspecified, hypomagnesemia, vascular dementia without betta, hypokalemia, muscle weakness (generalized), aphasia, personal history of transient, neuromuscular dysfunction, regular diet, independence with self-feeding, electric wheelchair, Hoyer lift to transfer from bed to w/c, bed, toileted every 2 hours or as needed, barriers cream to prevent skins breakdown, References: Stromberg, Holly. (2021). DeWitt’s Medical-Surgical Nursing: Concepts and Practice, ed. 4, Pg 507 Belleza, R. M. N. (2021, October 1). Cerebrovascular Accident (Stroke). Nurseslabs. https://nurseslabs.com/cerebrovascular-accident-stroke/Khaku AS, Tadi P. Cerebrovascular Disease. [Updated 2021 Sep 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430927/  Nursing Careplan 1 (15 points)Nursing Diagnosis (2 Points)No more than 1 potential diagnosis may be used Actual  or Potential (1 Point)Highlight actual or potential.Expected Outcome (2 Points)Identify 1 outcome that will show maintenance or improvement of the selected nursing diagnosis.Ensure outcome is SMART:Specific – Measurable – Attainable – Relevant – TimeboundNursing Interventions (3 Points)Identify 3 patient specific interventions that will directly assist in meeting the expected outcome.At least 2 must be action-driven interventions.Rationales (3 Points)Provide 3 rationales that validate why the intervention will assist in meeting the expected outcome.One rationale per intervention.Impaired physical mobility The patient demonstrates the use of adaptive devices to increase mobility give positive reinforcement during activity; Patients may be unwilling to move or initiate new activity because of fear of fallingThis is to boost the patient’s chances of recovering and to increase her self-esteem.Related To (R/T) (2 Points)Describe the patient’s specific situation and/or medical diagnosis that is directly linked to and causing the chosen nursing diagnosis. DO NOT state a medical diagnosis, but a description is appropriate.incoordination, imbalanced gait, difficulty in movement, generalized weakness, and verbalization of overwhelming tiredness/fatigue provide the patient with rest periods in between activities. Consider energy-saving techniques.Rest periods are essential to conserving energy. The patient must learn and accept her limitations.As Evidenced By (AEB) (2 Points)List all necessary supportive patient data to support the chosen nursing diagnosis (assessment findings, history, medications, labs, therapies, diet). This information proves your nursing diagnosis is appropriate.present a safe environment; bed rails up, bed in a down position, important items close by.These measures promote a safe, secure environment and may reduce the risk for falls. Hemiparesis of the right sideReferences: Stromberg, Holly. (2021). DeWitt’s Medical-Surgical Nursing: Concepts and Practice, ed. 4, Pg 507   Nursing Careplan 2 (15 Points)Nursing Diagnosis (2 Points)No more than 1 potential diagnosis may be used Actual or Potential (1 Point)Highlight actual or potential.Expected Outcome (2 Points)Identify 1 outcome that will show maintenance or improvement of the selected nursing diagnosis.Ensure outcome is SMART:Specific – Measurable – Attainable – Relevant – TimeboundNursing Interventions (3 Points)Identify 3 patient specific interventions that will directly assist in meeting the expected outcome.At least 2 must be action-driven interventions.Rationales (3 Points)Provide 3 rationales that validate why the intervention will assist in meeting the expected outcome.One rationale per intervention.self-Care Deficit help the Patient organize and carries out self-care skills. Establish short-term goals with the patient.help the patient with setting realistic goals that will reduce frustration.Related To (R/T) (2 Points)Describe the patient’s specific situation and/or medical diagnosis that is directly linked to and causing the chosen nursing diagnosis. DO NOT state a medical diagnosis, but a description is appropriate.Inability to perform activities of daily living (ADLs); grooming, bathing, dressing, elimination, and diminished levels of strength/endurance  promote independence intervening when the patient is not able to carry out self-care activities.A suitable level of assistive care can avoid harm with activities without causing disappointment.As Evidenced By (AEB) (2 Points)List all necessary supportive patient data to support the chosen nursing diagnosis (assessment findings, history, medications, labs, therapies, diet). This information proves your nursing diagnosis is appropriate.assess and note prior and present patterns for toileting; introduce a toileting routine that factors these habits into the program.The efficacy of the bowel or bladder program will be improved if the natural and personal patterns of the patient are taken into consideration Stroke sequalae References:  please, I need help revising this care plan correctly,add more info or subtract, could possible help include medication that useful for the medical diagnosisPrimary medical diagnosis: Stroke Health Science Science Nursing HEALTH SCI 104 Share QuestionEmailCopy link Comments (0)