11108264
Description
Mind Map by Meagan Javornich, updated more than 1 year ago
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Created by Meagan Javornich
almost 7 years ago
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Nursing Management of
Acute Stroke
- Collaborative Care
- Acute Care
- Airway maintenance (Macauley, 2014).
- Fluid Therapy (Macauley, 2014).
- Treatment of cerebral edema (Macauley, 2014)
- Prevent secondary injury (Macauley, 2014).
- Airway maintenance (Macauley, 2014).
- Surgical Therapy
- Drug Therapy
- Prevention
- Lifestyle Modifications
- Lifestyle Modifications
- Acute Care
- Disease Process
- Pathophysiology
- Ischemic Stroke
- Thrombotic
- A blood clot formed in the
brain, this is usually attributed
to atherosclerosis (Marsh &
Banasik, 2013).
- A blood clot formed in the
brain, this is usually attributed
to atherosclerosis (Marsh &
Banasik, 2013).
- Embolic
- Blockage of brain artery by a
blood clot from the heart (Marsh
& Banasik, 2013)
- Blockage of brain artery by a
blood clot from the heart (Marsh
& Banasik, 2013)
- Occurs following the occlusion of a
cerebral artery by a thrombus or
embolus (Marsh & Banasik, 2013).
- Causes ischemia, which can lead to necrosis and
irreversible tissue damage (Marsh & Banasik, 2013)
- Causes ischemia, which can lead to necrosis and
irreversible tissue damage (Marsh & Banasik, 2013)
- Thrombotic
- Hemorrhagic Stroke
- Bleed in brain parenchyma
resulting from severe
hypertension (Marsh & Banasik,
2013)
- Bleed in brain parenchyma
resulting from severe
hypertension (Marsh & Banasik,
2013)
- Ischemic Stroke
- Symptoms
- Motor and Sensory Defecits
- Footdrop, outward rotation of leg,
dependent edema (Marsh & Banasik, 2013).
- Motor paralysis opposite to affected
side of brain (Marsh & Banasik, 2013)
- Decreased muscle tone in affected
limbs called flaccidity (Marsh &
Banasik, 2013)
- Muscle Atrophy
- dysphagia
- Footdrop, outward rotation of leg,
dependent edema (Marsh & Banasik, 2013).
- Cognitive Deficits
- Language deficit
- Limited spacial awareness
- Reduced-short term
memory
- Learning Impairments
- Impaired judgement
- visual disturbance
- Language deficit
- Language Defecits
- Aphasia, decreased vocabulary, diminished, attention span, inability to use learned
linguistic rules (Marsh & Banasik, 2013).
- Aphasia, decreased vocabulary, diminished, attention span, inability to use learned
linguistic rules (Marsh & Banasik, 2013).
- Nausea, vomiting
- headache
- Change in bowel and bladder function
- Motor and Sensory Defecits
- Pathophysiology
- Client and Family Centered Care
- Emotional support for caregiver necessary
to address feelings of anxiety and being
overwhelmed (Platten, 2014).
- Integrating families preferences and beliefs
into decision making can enhance stroke
outcomes (Krishnan et al., 2017).
- Enable and encourage individuals to create goals that they will respond
to and work together to achieve them (Kidd et al., 2015).
- Targeted assessments to discover clinical severity and functional status, including
individuals priorities to determine support needs and barriers to outcomes (Kidd et
al., 2015)
- Recognize clients perspectives and
expectations about care and base nursing
care around these (Kidd, et al., 2015).
- Emotional Support Post stroke to combat loss of
confidence, anxiety and depression (Platten,
2014).
- Stimulate client initiated goals through motivational
interviewing lead by the patient to determine their
motivation for change (Kidd et al., 2015)
- Emotional support for caregiver necessary
to address feelings of anxiety and being
overwhelmed (Platten, 2014).
- Nursing Care
- Assessment
- Subjective
- Health History
- Symptoms
- Health History
- Objective
- Subjective
- Diagnosis
- Planning
- Implementation
- Assessment
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