Question

Mary J, 86-year-old, has a history of cerebrovascular accident (CVA), 3 years ago. She has right sided weakness and expressive aphasia with minimal dysphagia. Maria J. also has a medical history of atrial fibrillation and hypertension. She lives with her daughter since the stroke. Since admission to an acute care facility 4 days ago, Maria J. has gained some strength, has become more oriented to person and place, and is anxious to start her rehabilitation program.

Below are instructions please create a NANDA map example below:  And fill by follow up the above patient case information.Nursing experts only, thank! please write citations, references from nursing research, original author.

Nursing Care Plan assignment homework

Assessment	Nursing Diagnosis	Patient Outcomes	Interventions	Rationale	Evaluation of Outcomes
Objective Data:		Patient will:
Subjective Data:
Medical Diagnoses:

Answer 1

ANSWERS :

1. ASSESSMENT :

SUBJECTIVE DATA : Patient complains of weakness

OBJECTIVE DATE : Observed by seeing of limited range of motion movements

MEDICAL DIAGNOSIS : Cerebro vascular accident

NURSING DIAGNOSIS : Impaired physical mobility related to cerebro vascular accident as evidenced by weakness in the right side.

PATIENT OUTCOMES : Patient will able to maintain strength and function of affected body part

INTERVENTIONS :

* Assess for the level of degree of weakness on the affected body part

* Changing of positions every second hourly

* Assess for position changes of patient and difficulty in performing of daily activities

RATIONALE :

Involving of different degrees of involvement on the affected body part

Impaired mobility increases the risk of skin breakdown

EVALUATION OR OUTCOMES :

* Patient may maintain body positions and skin integrity

* Maintain strength of affected areas of body

* Increase circulation of blood

2. ASSESSMENT :

SUBJECTIVE DATA : Patient complains of difficulty in swallowing

OBJECTIVE DATA : Observed by seeing of pain during food ingestion and weight loss

MEDICAL DIAGNOSIS : Cerebro vascular accident

NURSING DIAGNOSIS : Altered nutritional pattern related to cerebro vascular accident as evident by painful swallowing and weight loss

PATIENT OUTCOMES : Patient will able to improve the weight gain

INTERVENTIONS :

* Assess for the pain level

* Administer IV fluids

* Stop oral foods until patient recovers from the condition

* Check weight promptly

RATIONALE :

* Decrease the level of pain

* Maintain the normal fluid electrolyte balances in the body

* Reduces the risk of pain

* Improves the weight of patient

EVALUATION OR OUTCOMES :

* Patient pain level may reduce

* Body weight may be improved from weight loss

* Pain level is reduced and comfort is improved