By Admin 0 Comment 5 Nursing Care Plans for CVA Health Care 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. 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. 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. 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. 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.