ASSESSMENT EXPLANATION OF
THE PROBLEM
S>
➢ “Hindi pa rin siya nag
sasalita puro turo lang”,
as stated by the
significant other.
O>
➢ Slurred Speech
➢ Inability to use body
and facial expression
➢ Weak in Appearance
➢ On complete bed rest
NURSING DIAGNOSIS:
Impaired Verbal
Communication related to
impaired cerebral
circulation as evidenced by
inability to talk (dysarthria)
GOAL/OBJECTIVES
The largest portion of the STO:
brain the cerebral cortex
has two halves. The right
hemisphere of the brain
controls cognition,
emotions, and spatial
orientation. The left
hemisphere of the brain
LTO:
controls a person’s
expressive language skills
and receptive language
skills
decreased perception.
Brain stroke survivor may
have a hard time with
processing information
(visual and verbal) and
decreased cognitive skills
such as poor judgment,
short attention span, and
short-term memory loss.
IMPLEMENTATION
Dx:
➢ Within 3hrs of shift, 1. Evaluate
the patient will musculoskeletal
establish method of states, including
communication in manual dexterity.
which needs can be
2. Assess environmental
expressed
factors.
3. Evaluate patient’s
➢ After 3 days of energy level.
nursing intervention,
Thx:
the patient will able to
Ind>
demonstrate
congruent verbal and 4. Learn patient needs
nonverbal and pay attention to
communication. nonverbal cues.
5. Place important
objects within reach
6. Individualize
techniques using
breathing for
RATIONALE EVALUATION
STO:
1. To assist patient to ➢ After 3hrs of
establish a means of shift and nursing
communication to intervention, goal
express needs, wants, was met as
ideas, and questions. patient
established
2. Patient may able to talk
method of
comfortably and easily
communication
when they are rested in a
which needs are
comfortable
expressed.
environment and relaxed
when they are trying to LTO:
talk.
➢ After 3 days of
3. Fatigue pr shortness of nursing
breath can make intervention, goal
communication difficult was met as
or impossible. patient is now
able to
4. To set aside enough
demonstrate
tome to attend to all of
congruent verbal
details of patient care
Stroke survivors with relaxation of the vocal and to complete in the and nonverbal
right-brain injuries cords, rote tasks, and presence of communication.
frequently have speech melodic intonation. communication deficit.
and communication
Dep> 5. To maximize patient’s
problems. Many of these
sense of independence.
7. Administer
individuals have a hard
Topiramate 6. To assist patient in
time pronouncing speech
20mg/OD, relearning speech.
sounds properly because
Acetylcysteine
of the weakness or lack of 7. Topiramate, to treat
600mg/BID,
control in the muscles on epilepsy and prevent
Ursodeoxycholic acid
the left side of the mouth migraines. NAC, to
250mg/BID,
and face. This is called reduce craving for
Clonidine 5mg/OD,
“dysarthria.” methamphetamine and
Via NGT.
other drugs. UDCA, to
reduce the amount of
cholesterol in the blood
J Ed:
and helps dissolve
8. Advise the significant
gallbladder stones.
other to stay with the
Clonidine, to treat
patient during therapy
hypertension.
session.
8. To reduce patient’s
9. Educate the
anxiety, thereby staying
significant other about
during therapy session,
medications,
the patient will feel safe
 indications, dosage, thus reducing anxiety.
frequency, and
9. This will give
possible side effects
information to the
such as headache,
significant other and
nausea, and vomiting.
through that it will
10. Educate the reduce their skepticism
significant other about and make them more
the condition of the cooperative to the health
patient and encourage workers.
to provide support
10. This will alert the
system and be patient
significant other and be
during recovery
able to report any
process.
unwanted signs and
symptoms immediately
to the health care
provider, and give
➢
patient motivation.