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    Cva NCP 1

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    Marcie
    The patient presented with generalized weakness and impaired mobility related to neuromuscular impairment. The nursing goals were for the patient to understand her condition and treatment plan, participate in learning about disease management, and demonstrate appropriate lifestyle changes after a week. The nursing interventions included monitoring vital signs, assisting with exercises and range of motion, education, and setting goals to promote circulation and prevent complications. The evaluation showed the patient understood her condition, demonstrated a healthy lifestyle, and was participating in her treatment plan and rehabilitation.

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    Cva NCP 1

    Uploaded by

    Marcie
    41 views3 pages
    The patient presented with generalized weakness and impaired mobility related to neuromuscular impairment. The nursing goals were for the patient to understand her condition and treatment plan, participate in learning about disease management, and demonstrate appropriate lifestyle changes after a week. The nursing interventions included monitoring vital signs, assisting with exercises and range of motion, education, and setting goals to promote circulation and prevent complications. The evaluation showed the patient understood her condition, demonstrated a healthy lifestyle, and was participating in her treatment plan and rehabilitation.

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    CVA-NCP-1

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    The patient presented with generalized weakness and impaired mobility related to neuromuscular impairment. The nursing goals were for the patient to understand her condition and treatment plan, participate in learning about disease management, and demonstrate appropriate lifestyle changes after a week. The nursing interventions included monitoring vital signs, assisting with exercises and range of motion, education, and setting goals to promote circulation and prevent complications. The evaluation showed the patient understood her condition, demonstrated a healthy lifestyle, and was participating in her treatment plan and rehabilitation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    41 views3 pages

    Cva NCP 1

    Uploaded by

    Marcie
    The patient presented with generalized weakness and impaired mobility related to neuromuscular impairment. The nursing goals were for the patient to understand her condition and treatment plan, participate in learning about disease management, and demonstrate appropriate lifestyle changes after a week. The nursing interventions included monitoring vital signs, assisting with exercises and range of motion, education, and setting goals to promote circulation and prevent complications. The evaluation showed the patient understood her condition, demonstrated a healthy lifestyle, and was participating in her treatment plan and rehabilitation.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    of 3

    Assessment Nursing Diagnosis Nursing Goal Nursing Intervention Rationale Evaluation

    Subjective Data: Impaired physical mobility Short term Goals Independent: After 8 hours of nursing
    “Nanghihina at related to neuromuscular Monitor vital signs and Monitoring vital signs helps intervention:
    hindi makagalaw ang impairment, decrease muscle After 8 hours of nursing urinary intake and output. nurses identify the deviation
    buong katawan ng strength and control as intervention, the patient will be from the normal values. The patient verbalized
    nanay ko.” As evidenced by generalized able to: understanding of her
    verbalized by the weakness, impaired Maintain blood pressure Hypertension is a modifiable risk condition and planned
    patient’s son. coordination, and inability to  Understand and analyze within an acceptable factor for stroke. Lowering blood treatment. She stated the
    perform desired activities or the endurance of her range. pressure reduces the risk of signs and symptoms related
    Method interview movements. upper & lower recurrent stroke. to her disease as well as the
    extremities for any sign risk factors that can be
    Objective Data: and symptoms of Change positions at least Changing the position of the modified including her
    BP - 180/90 complication and learn every 2 hours and patient can reduce the risk of lifestyle, diet, and activities.
    Temp - 37.6 management promote conducive tissue injury. She participated in her
    RR - 19 techniques. circulation. treatment regimen and
    PR - 101 planned rehabilitation.
    GCS - 15  Participate in learning Prop extremities in Prevents contractures and foot
    Pupils reaction to light: about the disease functional position. drops and facilitates use when After a week of nursing
    brisk process. Maintain a neutral the function returns. intervention:
    position of the head.
     Verbalize understanding The patient demonstrated a
    of her condition & Assist the patient with To prevent the development of changed lifestyle as
    planned treatment. exercise and perform adaptive muscle shortening, evidenced by eating a
    ROM (range of motion) contractures, and shortening of healthy diet, doing mild to
    Long term Goals: exercises for both the the capsule, ligaments, and moderate physical activities,
    affected and unaffected tendons. and having adequate rest
    After a week of nursing care, the sides. and hydration. She also
    patient will be able to: Promotes a sense of control and demonstrated behaviors
    Set goals with patient and independence. that enable resumption of
    Demonstrate appropriate significant other for activities such as doing
    changes in lifestyle and participation in activities passive and active ranges of
    behaviors, including the eating and position changes. motion.
    pattern, food quantity/ quality
    and exercise.

    Demonstrate
    techniques/behaviors that
    enable resumption of activities.

    Maintain skin integrity with no


    development of adaptive muscle
    shortening and contractures.

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