Self-Care Deficit - NCP Stroke

Nursing Diagnosis for Stroke

Stroke is a clinical syndrome that initial sudden onset, rapid progression, a focal neurological deficits and / or global, which lasted 24 hours or more or the direct cause of death, and solely caused by circulatory disorders non-traumatic brain. When the brain's circulatory disorder lasts a while, a few seconds to several hours (mostly 10-20 minutes), but less than 24 hours, referred to as the face of brain ischemia attack (TIA = transient attack ischamia).

Types of stroke

There are two main causes of strokes:
  • ischaemic (accounting for over 80% of all cases) – the blood supply is stopped due to a blood clot
  • haemorrhagic – a weakened blood vessel supplying the brain bursts and causes brain damage

Treatment of stroke

Treatment depends on the type of stroke you have, including which part of the brain was affected and what caused it.

Most often, strokes are treated with medicines. This generally includes drugs to prevent and remove blood clots, reduce blood pressure and reduce cholesterol levels.

In some cases, surgery may be required. This is to clear fatty deposits in your arteries or to repair the damage caused by a haemorrhagic stroke.


Nursing Diagnosis for Stroke : Self-care deficit related to physical weakness

NOC: Self Care Assistance (bathing, dressing, eating, toileting).

Goal: The client can meet the needs of self-care

Outcomes:
Clients are free from odor, can feed themselves, and dress himself.

NIC: Self Care
1. Observation of the client's ability to bathe, dress and eat.
2. Assist the client in a sitting position, make sure the head and shoulders upright for eating and 1 hour after meals.
3. Avoid exhaustion before eating, bathing and dressing.
4. Encourage clients to continue to eat little but often.

Rational:
1. By using direct intervention to determine appropriate interventions for clients.
2. Seated position helps prevent ingestion and aspiration.
3. Improve energy conservation and activity tolerance improved self-care ability.
4. To increase appetite.

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