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    Nursing Care Plan in CVA

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    diahayumustika
    The document discusses a nursing care plan for a client who has had a chronic cerebrovascular accident (CVA) or stroke. It outlines the risk factors for CVA, including high blood pressure, smoking, diabetes, and atrial fibrillation. It describes potential complications from CVA like deep vein thrombosis, respiratory issues, and swallowing problems. The nursing care plan focuses on reducing risks, monitoring for complications, educating the client on stroke prevention, and includes nursing diagnoses of impaired physical mobility, risk for falls, and risk for infection.

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    © All Rights Reserved
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    Nursing Care Plan in CVA

    Uploaded by

    diahayumustika
    161 views5 pages
    The document discusses a nursing care plan for a client who has had a chronic cerebrovascular accident (CVA) or stroke. It outlines the risk factors for CVA, including high blood pressure, smoking, diabetes, and atrial fibrillation. It describes potential complications from CVA like deep vein thrombosis, respiratory issues, and swallowing problems. The nursing care plan focuses on reducing risks, monitoring for complications, educating the client on stroke prevention, and includes nursing diagnoses of impaired physical mobility, risk for falls, and risk for infection.

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    Nursing Care Plan in CVA

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    The document discusses a nursing care plan for a client who has had a chronic cerebrovascular accident (CVA) or stroke. It outlines the risk factors for CVA, including high blood pressure, smoking, diabetes, and atrial fibrillation. It describes potential complications from CVA like deep vein thrombosis, respiratory issues, and swallowing problems. The nursing care plan focuses on reducing risks, monitoring for complications, educating the client on stroke prevention, and includes nursing diagnoses of impaired physical mobility, risk for falls, and risk for infection.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    161 views5 pages

    Nursing Care Plan in CVA

    Uploaded by

    diahayumustika
    The document discusses a nursing care plan for a client who has had a chronic cerebrovascular accident (CVA) or stroke. It outlines the risk factors for CVA, including high blood pressure, smoking, diabetes, and atrial fibrillation. It describes potential complications from CVA like deep vein thrombosis, respiratory issues, and swallowing problems. The nursing care plan focuses on reducing risks, monitoring for complications, educating the client on stroke prevention, and includes nursing diagnoses of impaired physical mobility, risk for falls, and risk for infection.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5

    PORTOFOLIO MATA KULIAH

    BAHASA INGGRIS DALAM


    KEPERAWATAN II
    KODE MATA KULIAH: BAE 112

    PENULIS:
    NAMA : DIAH AYU MUSTIKA
    NIM : 131511133080

    FAKULTAS KEPERAWATAN UNIVERSITAS

    AIRLANGGA SURABAYA
    2016

    Nama

    : Diah Ayu Mustika

    NIM

    : 131511133080

    Mata Kuliah

    : English In Nursing 2

    Judul Tugas

    : Resume Nursing Care Plan For Client With CVA

    Pertemuan Ke

    Tanggal
    mengumpulkan

    : 06 Desember 2016

    Dengan ini saya menyatakan bahwa tugas berikut adalah hasil karya saya
    sendiri. Apabila dengan sengaja terdapat kesamaan (plagiarisme) dalam
    pengerjaannya. Saya bersedia untuk mengulang pengerjaan portofolio
    sebagaimana ditetapkan bersama dengan PJMK BAE 112.

    Surabaya, 06 Desember 2016

    (Diah Ayu Mustika)


    NIM:131511133080

    Tugas terlampir telah direview dan ditelaah


    Nama Dosen
    Pengampu
    NIP/NIK

    Hasil Review

    Nilai Tugas (0100) :


    Tanda Tangan Dosen

    NURSING CARE PLAN FOR CLIENT WITH CHRONIC CEREBROVASCULAR


    ACCIDENT (CVA)
    Cerebrovascular Accident (CVA) or stroke occurs due to brain cell death caused by
    impaired blood flow to the brain. In many cases resulted in permanent disability to the sufferer
    (American Heart Association (AHA)), 2009).
    Cerebral function depends on the distribution of oxygen and glucose to the
    brain. However, oxygen and glucose will not be stored in the brain. Thus, the brain needs a steady
    supply of oxygen and glucose continuously. If the supply of oxygen and glucose is suspended,
    then the cells in the brain will die.
    The risk factors for ischemic stroke is classified into two, which can be modified are high
    blood pressure, smoke, diabetes mellitus, atrial fibrillation, physical inactivity and obesity and can
    not be modified are old age, gender (more common in males), heredity and race, and prior stroke.
    After the completion of emergency care, medical management focus on controlling the
    causes of transient ischemic attact (TIA) or stroke. The results of diagnostic tests will help your
    doctor to determine the proper treatment. If the patient has a physical deficits remaining, the
    doctor would have ordered consultation physical therapy, occupational, and speech to evaluate the
    patient's functional status and make recommendations regarding further treatment.
    Patients with Low Density Lipoprotein (LDL) is recommended to use drugs which serves
    to lower cholesterol levels such as statins. This is done to minimize the development of plaque in
    the arteriosclerosis.
    Deep Vein Thrombosis (DVT) can be a problem in a person suffering a stroke. The decline
    in the movement, the state had to bed-rest, and hyper coagulant can increase the risk of
    DVT. DVT causes pain, complications that affect the legs, blood clots can be removed and pass
    through the lungs and cause a pulmonary embolism, or to the brain and cause a stroke.
    Treatment that can be given is heparin, enoxaparin (Lovenox), or warfarin
    (Coumadin). Treatment in addition to a given drug is to use the instrument of oppression and
    elastic stockings in accordance with the order.
    Clients have some complication on the respiratory system due to several reasons. They are
    particularly at risk increased intracranial pressure. They can experience the aspiration for their loss
    of consciousness and a decreased ability to swallow. Clients must keep clean the airway by
    means of suction. A clients who experienced vomiting should sleep on his side to reduce the risk
    of aspiration. Feeding orally only be given to patients who still have high levels of vigilance and

    able to swallow safely. Feeding should be done carefully and slowly.


    Client with warning signs of stroke and patients with significant carotid artery occlusion
    (carotid endarterectomy) become candidates for surgery.
    The incidence of stroke can be reduced by reducing the risk factor. There are by keeping
    blood pressure at normal level, cholesterol levels, body weight, and diabetes under
    control. Quitting smoking is fundamental to preventing stroke.
    Embolism can be prevented by administration of warfarin for those who have a high risk
    of atrial fibrillation. Anti-aspirin or other platelet helps to reduce the abnormal clotting.
    The essential for the maintenance of educating patients about stroke and the possibility to
    recover from a stroke by using a thrombolytic agent. Patients should be educated on the risk
    factors of stroke, warning signs and the importance of immediate action to Emergency Medical
    Service (EMS) when stroke symptoms occur.
    The nursing diagnosis of chronic cerebrovascular accident are impaired physical mobility,
    risk for falls, and risk for infection

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