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    I. Nursing Care Plan Assessment Diagnosis Planning Interventions Rationale Evaluation

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    Bryan Andrew Gonzales
    After 8 hours of nursing interventions, the patient will display a decrease in signs of impaired tissue perfusion due to a hemorrhagic stroke. The nursing care plan involves establishing rapport, monitoring vital signs, checking capillary refill and conjunctiva, positioning the patient, advising rest, avoiding certain movements, providing oxygen, performing GCS monitoring, and administering medications to promote the patient's recovery and gradual improvement in vital signs and neurologic status over 8 hours.

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    I. Nursing Care Plan Assessment Diagnosis Planning Interventions Rationale Evaluation

    Uploaded by

    Bryan Andrew Gonzales
    61 views2 pages
    After 8 hours of nursing interventions, the patient will display a decrease in signs of impaired tissue perfusion due to a hemorrhagic stroke. The nursing care plan involves establishing rapport, monitoring vital signs, checking capillary refill and conjunctiva, positioning the patient, advising rest, avoiding certain movements, providing oxygen, performing GCS monitoring, and administering medications to promote the patient's recovery and gradual improvement in vital signs and neurologic status over 8 hours.

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    Nursing Care Plan

    Original Title

    Ncp

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    After 8 hours of nursing interventions, the patient will display a decrease in signs of impaired tissue perfusion due to a hemorrhagic stroke. The nursing care plan involves establishing rapport, monitoring vital signs, checking capillary refill and conjunctiva, positioning the patient, advising rest, avoiding certain movements, providing oxygen, performing GCS monitoring, and administering medications to promote the patient's recovery and gradual improvement in vital signs and neurologic status over 8 hours.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    61 views2 pages

    I. Nursing Care Plan Assessment Diagnosis Planning Interventions Rationale Evaluation

    Uploaded by

    Bryan Andrew Gonzales
    After 8 hours of nursing interventions, the patient will display a decrease in signs of impaired tissue perfusion due to a hemorrhagic stroke. The nursing care plan involves establishing rapport, monitoring vital signs, checking capillary refill and conjunctiva, positioning the patient, advising rest, avoiding certain movements, providing oxygen, performing GCS monitoring, and administering medications to promote the patient's recovery and gradual improvement in vital signs and neurologic status over 8 hours.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    I.

    Nursing Care Plan

    ASSESSMENT DIAGNOSIS PLANNING INTERVENTIONS RATIONALE EVALUATION


    Objective: Impaired tissue After 8 hrs of nursing 1. Establish rapport. 1. To promote cooperation Patient shall display a decrease
    perfusion r/t intervention the pt will 2. Monitor vital signs. 2. To have baseline data, assess signs of tissue perfusion gradual
    (+) dizziness
    interruption of blood be able to display changes in neurologic status improvement of vital signs.
    (+) restlessness flow secondary to decrease signs of 3. Check capillary refill and 3. To determine blood circulation
    BP: 130/90 mmHg
    hemorrhagic stroke ineffective tissue conjunctiva for paleness.
    (+) difficulty moving limbs perfusion as evidence 4. Position with head slightly 4. Reduces arterial pressure by RR: 18 bpm
    BP: 180/110 mmHg by gradual elevated and in neutral promoting venous drainage and
    improvement of vital positions. may improve cerebral GCS: 8
    RR: 23 signs and neurologic circulation and perfusions.
    status. 5. Advise patient to have enough
    PR: 81
    rest. 5. Enough rest is needed to
    conserve energy
    6. Avoid neck flexion and extreme
    hip/knee extension.
    6. To avoid obstruction of arterial
    7. Provide and maintain oxygen as and venous blood flow.
    ordered 7. Aids in difficulty of breathing

    8. Perform GCS monitoring as


    ordered. 8. To detect changes indicative of
    worsening or improving
    9. Administer medication as condition
    ordered. 9. To promote wellness.
    ASSESSMENT DIAGNOSIS PLANNING INTERVENTIONS RATIONALE EVALUATION

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