Mr. Bobby Magee was admitted yesterday with right-sided weakness.

His medical
diagnosis is cerebral vascular accident (CVA) or stroke. He is 68 years of age and resides
alone in the house on his farm where he and his wife lived for 40 years. She died last
year. He reports that he is right-handed and has difficulty holding a fork.
Mr. Boggy verbalized, “I can’t handle this milk carton with only one hand.” and “I do not
like to use that walker. It gets in my way.” He has also a shuffling gait. The nursing
diagnosis formulated by the nurse is Feeding Self-Care Deficit related to weakness in
right hand and inability to hold fork.
The nurse developed an outcome that after 2 days the client will be able to use adaptive
spoon for meals.
The nurse implemented her plan of care: Presented a teaching session “Feeding oneself
with the nondominant hand”, Provided the client with four foods of differing textures,
adaptive spoons, and apron for a practice session. Notified the dietary department to
include a left-hand adaptive spoon with breakfast tray. Encouraged client to feed self
independently at each meal, beginning. Assist client with food preparation and feeding as
needed at each meal. Administered Piracetam as his medication for his stroke.
After 2 days of nursing intervention the nurse evaluated the plan of care as “Goal partially
met. On the 2nd day, fed self-75% of each meal, using adaptive spoon.”