Stroke
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| Assessment data (subjective and objective findings relevant to THIS diagnosis) | Goals / expected outcomes | Nursing intervention | Rationale | Evaluation |
|---|---|---|---|---|
| Patient exhibits hemiparesis on one side, decreased coordination, difficulty moving limbs voluntarily, reports weakness and inability to perform usual activities. | Patient will demonstrate improved mobility and perform activities of daily living with minimal assistance within 1 week. | Assess patient's baseline mobility and muscle strength regularly. | To identify changes in motor function and prevent complications from immobility. | Patient’s muscle strength and mobility status documented and monitored for improvement or deterioration. |
| Assist patient with passive and active range of motion exercises daily. | Maintains joint flexibility, prevents contractures and muscle atrophy. | Patient tolerates exercises without increased pain or fatigue. | ||
| Encourage frequent position changes every 2 hours. | Prevents pressure ulcers and promotes circulation. | Patient’s skin remains intact without signs of pressure injury. | ||
| Provide assistive devices (e.g., walker, cane) as needed and teach safe use. | Promotes independence and prevents falls. | Patient uses assistive devices safely and confidently. | ||
| Collaborate with physical therapy for individualized mobility plan. | Ensures specialized rehabilitation to optimize recovery. | Patient participates in therapy sessions and shows progress. |
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