Nursing Assessment for Stroke

Friday, May 6, 2011

Nursing Assessment for Stroke


A stroke is a medical emergency. Strokes happen when blood flow to your brain stops. Within minutes, brain cells begin to die. There are two kinds of stroke. The more common kind, called ischemic stroke, is caused by a blood clot that blocks or plugs a blood vessel in the brain. The other kind, called hemorrhagic stroke, is caused by a blood vessel that breaks and bleeds into the brain. "Mini-strokes" or transient ischemic attacks (TIAs), occur when the blood supply to the brain is briefly interrupted.
nlm.nih.gov

Nursing Assessment for Stroke

The patterns of health functions

a) The pattern of perception and management of healthy living
Usually there is a history of smoking, alcohol use, drug use oral contraceptives.

b) The pattern of nutrition and metabolism
Complaints difficulty swallowing, decreased appetite, nausea and vomiting in the acute phase.

c) The pattern of elimination
It usually occurs in the pattern of incontinence of urine and defecation usually occurs constipation due to decreased intestinal peristalsis.

d) The pattern of activity and exercise
The existence of difficulty for the move because of weakness, sensory loss or paralise / hemiplegi, easily tired

e) The pattern of sleep and rest
Usually clients have difficulty to break because of muscle spasms / muscle pain

f) The pattern of relationships and roles
A change in the relationship and the role because the client has difficulty communicating due to speech disorders.

g) The pattern of perception and self-concept
Clients feel helpless, hopeless, irritable, uncooperative.

h) The pattern of sensory and cognitive
On the pattern of sensory impaired clients vision / blur of views, palpability / touch down in the face and extremities are sick. On the pattern of cognitive and memory decline normally thought processes.

i) The pattern of sexual reproduction
Usually there is a decrease in sexual desire because of some stroke treatments, such as anti-seizure drugs, anti hypertensive, histamine antagonists.

j) The pattern of stress response
Clients usually have difficulties to solve the problem because the disruption process of thinking and difficulty communicating.

k) The pattern of values ​​and beliefs
Clients usually rarely do worship because of unstable behavior, weakness / paralysis on one side of the body.

NANDA NURSING

Nursing Care Plan