Welcome to Scribd, the world's digital library. Read, publish, and share books and documents. See more
Standard view
Full view
of .
Look up keyword
Like this
0 of .
Results for:
No results containing your search query
P. 1
Nursing Care Plan CVA

Nursing Care Plan CVA

Ratings: (0)|Views: 10,120|Likes:
Published by hermesdave1

More info:

Published by: hermesdave1 on Oct 19, 2009
Copyright:Attribution Non-commercial


Read on Scribd mobile: iPhone, iPad and Android.
download as DOCX, PDF, TXT or read online from Scribd
See more
See less





Nursing Care Plan
(Impaired Verbal Communication)
CuesNursinDiagnosisScientific ExplanationObjective/ Planning ImplementationRationaleExpecteOutcome
Subjective:“Nahihirapansiyang magsalita,kung minsanumuungol din siya,as verbalized byMr. D’s wife.”Objective:Received pt. onlying position onbed, unconscious ,with ongoing PNSS1L regulated @ 10-15 gtts./min. (KVO)200 ml. levelinfusing well @ lefthand.
(+) difficultyin speaking
(+)headacheImpaired verbalcommunicationrelated toimpairedcerebralcirculationpossiblyevidence byimpairedarticulation.Difficulty inspeakingfunction resultingfrom injury of thebrain centers. Itmay involveimpairment of ability to readand write as wellas to speak,comprehend andunderstandgestures bec. of the damage of the lefthemisphere of the brain isaffected andwhere theBroca’s arealocated (principalspeech center).
After the provisionof nursing care, thesignificant otherswill verbalizeunderstandingabout the disease.
Short Term:
After 3 hrs. of N.Ithe client willestablish methodsof communication inwhich needs can beexpressed.Maintain eyecontactcommunication.Establish rapport.Monitor and recordV/S.Establish goodrelationship,listening carefullyand attending toclient’s verbal andnon-verbalexpressions.To build trustingrelationship.To have baselinedata.To maintain goodcommunicationskills with thepatient.
Short Term:
After 3 hrs. of N.Ithe client shall beable to improvedcommunicationabilities andimproved familycopping.
(+) blurredvision
(+)Paralysison right partof the body
With NGTinserted
With Foleycatheter insertedVital Signs:BP: 140/100 mmHgKeepcommunicationsimple, using allmodes of accessinginformation, visualauditory andkinesthetic.Validate themeaning of non-verbalcommunication.Be honest if youdon’t understand,seek assistancefrom others.Plan for alternativemethod of communicationincorporatedinformation abouttype of disabilitypresent.Reinforce that lossof speech doesnot imply that lossof intelligence.Assist the pt.’sneed to establishmeans of communicating.Makingassumption to theword maybewrong.Using aids incommunicatingpromote learningand recovery.To limit self-pityand depression.To give right
Long Term:
After 3 days of N.Ithe client will beable to participatein therapeuticcommunication.Maintain goodenvironment.Enhanceparticipation andcommunicationplan.Provide sufficienttime for client torespond.Use confrontationskills, whenappropriate, withinan establishnurse-clientrelationship. Provideenvironmentalstimuli as neededor educe stimuli.Involve SO/ familyin plan of care asmuch as possible.manner whencommunicating.To clarifydiscrepanciesbetween verbaland non-verbalcues.To maintaincontact with realityand to lessen theanxiety that mayworsen theproblem.To help the pt.recover from hiscondition and limitdeterioration.To help the pt. in
Long Term:
After 3 days of N.Ithe pt. shall beable to indicate anunderstanding of the communicationdifficulty and plansfor ways of handling.

You're Reading a Free Preview

/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->