Cerebrovascular accident (CVA) is the sudden death of some brain cells due to lack of oxygen when the blood flow to the brain is impaired by blockage or rupture of an artery to the brain. It is also known as stroke.
CVA can be ischemic or hemorrhagic. Hemorrhagic strokes result from a weakened vessel that ruptures and bleeds into the surrounding brain. The blood accumulates and compresses the surrounding brain tissue.
The two types of hemorrhagic strokes are intracerebral hemorrhage or subarachnoid hemorrhage. Hemorrhagic strokes have the slowest recovery of all types of stroke.
The nursing goal for patients with stroke can be towards maintaining effective tissue perfusion, preventing further complications, and enhancing coping. Here are nursing care plans for patients with CVA.
Impaired Physical Activity
NDx: Impaired physical mobility r/t neuromuscular impairment secondary to CVA
CVA is the rapidly developing loss of brain functions due to a disturbance in the blood vessels supplying blood to the brain. This is due to the rupture of blood vessels thus causing hemorrhage wherein there is accumulation of blood in the skull. The affected area of the brain with hemorrhage is unable to function leading to inability to move the body
|Assessment||Objectives||Nursing Interventions||Rationale||Expected Outcome|
||Short Term:After 3 hours of NI, the SO will verbalize understanding of situation / risk factors & individual treatment regimen & safety measures
After 3 days of NI, the pt will maintain or increase strength and function of affected body part or whole body.
||The SO shall have verbalized understanding of situation / risk factors & individual treatment regimen & safety measuresThe pt shall have maintained or increased strength and function of affected body part or whole body.|