5 Nursing Care Plans for CVA

5 Nursing Care Plans for CVA

  1. Nursing Care Plan for CVA: Neurological Assessment and Monitoring:
  • Nursing Diagnosis: Risk for Impaired Cerebral Tissue Perfusion related to cerebral vascular accident (CVA).
  • Goal: The patient will maintain adequate cerebral perfusion and neurological function.
  • Interventions:
    • Monitor vital signs, including blood pressure, pulse, and respiratory rate, to detect changes in cerebral perfusion.
    • Perform frequent neurological assessments, including Glasgow Coma Scale (GCS), pupil response, and motor function evaluation.
    • Monitor for signs of increased intracranial pressure (ICP), such as headache, nausea, vomiting, and altered level of consciousness.
    • Implement measures to optimize cerebral perfusion, such as elevating the head of the bed, maintaining a patent airway, and administering prescribed medications to control blood pressure.
  • Evaluation: The patient maintains stable cerebral perfusion and neurological function, with no signs of increased ICP.
  1. Nursing Care Plan for CVA: Mobility and Rehabilitation:
  • Nursing Diagnosis: Impaired Physical Mobility related to hemiparesis or hemiplegia secondary to CVA.
  • Goal: The patient will achieve maximal independence in mobility and activities of daily living (ADLs).
  • Interventions:
    • Assess the patient’s mobility status and functional abilities, including strength, balance, and coordination.
    • Implement a structured rehabilitation program tailored to the patient’s individual needs and goals.
    • Assist the patient with range of motion exercises, transfers, and ambulation as tolerated.
    • Provide adaptive equipment and assistive devices to facilitate mobility and independence, such as walkers, canes, or orthoses.
    • Collaborate with physical and occupational therapists to optimize functional outcomes and promote safe mobility.
  • Evaluation: The patient demonstrates improved mobility and independence in ADLs, with minimal assistance required for transfers and ambulation.
  1. Nursing Care Plan for CVA: Dysphagia Management:
  • Nursing Diagnosis: Risk for Aspiration related to dysphagia secondary to CVA.
  • Goal: The patient will maintain adequate nutrition and hydration without experiencing aspiration or aspiration pneumonia.
  • Interventions:
    • Assess the patient’s swallowing function and risk for aspiration using standardized screening tools.
    • Implement dysphagia precautions and dietary modifications as recommended by speech therapy.
    • Position the patient upright during meals and provide small, frequent meals with appropriate texture and consistency.
    • Supervise meals and encourage slow, deliberate chewing and swallowing.
    • Monitor for signs of aspiration, such as coughing, choking, or respiratory distress, and intervene promptly if observed.
  • Evaluation: The patient maintains adequate nutrition and hydration, with no episodes of aspiration or aspiration pneumonia.
  1. Nursing Care Plan for CVA: Communication Support:
  • Nursing Diagnosis: Impaired Verbal Communication related to aphasia or dysarthria secondary to CVA.
  • Goal: The patient will achieve effective communication using alternative methods or adaptive strategies.
  • Interventions:
    • Assess the patient’s communication abilities and preferences, including use of gestures, writing, or assistive communication devices.
    • Provide communication aids and assistive devices, such as picture boards, communication books, or electronic devices with voice output.
    • Use simple, clear language and encourage the patient to participate in conversations and express their needs and preferences.
    • Collaborate with speech therapy to develop and implement a structured communication program to improve speech and language skills.
  • Evaluation: The patient demonstrates improved communication skills and expresses needs and preferences effectively using alternative methods or adaptive strategies.
  1. Nursing Care Plan for CVA: Education and Support for Patient and Family:
  • Nursing Diagnosis: Knowledge Deficit related to CVA diagnosis, treatment, and rehabilitation.
  • Goal: The patient and family will demonstrate understanding of CVA, treatment options, and self-care strategies.
  • Interventions:
    • Provide education on the signs and symptoms of CVA, risk factors, and prevention strategies.
    • Discuss the patient’s individual treatment plan, including medications, therapy, and follow-up appointments.
    • Teach the patient and family members about potential complications of CVA, such as recurrent strokes, and when to seek medical attention.
    • Offer emotional support and coping strategies to help the patient and family adjust to the diagnosis and manage the impact of CVA on daily life.
  • Evaluation: The patient and family demonstrate understanding of CVA, treatment options, and self-care strategies, and express confidence in managing the condition effectively.
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