Nursing Diagnosis for Stroke

A stroke is a sudden interruption in the blood supply of the brain. Most strokes are caused by an abrupt blockage of arteries leading to the brain (ischemic stroke). Other strokes are caused by bleeding into brain tissue when a blood vessel bursts (hemorrhagic stroke). Because stroke occurs rapidly and requires immediate treatment, stroke is also called a brain attack. When the symptoms of a stroke last only a short time (less than an hour), this is called a transient ischemic attack (TIA) or mini-stroke. Stroke has many consequences. Click here to learn how stroke affects people.

The effects of a stroke depend on which part of the brain is injured, and how severely it is injured. Strokes may cause sudden weakness, loss of sensation, or difficulty with speaking, seeing, or walking. Since different parts of the brain control different areas and functions, it is usually the area immediately surrounding the stroke that is affected. Sometimes people with stroke have a headache, but stroke can also be completely painless. It is very important to recognize the warning signs of stroke and to get immediate medical attention if they occur.
strokecenter.org


Nursing Diagnosis for Stroke

1. Impaired brain tissue perfusion related to intracerebral hemorrhage. (Marilynn E. Doenges, 2000)
2. Impaired physical mobility related to hemiparese / hemiplegia (Donna D. Ignativicius, 1995)
3. Impaired sensory perception related to sensory impairment, vision impairment (Donna D. Ignativicius, 1995)
4. Impaired verbal communication related to the decrease in brain blood circulation (Donna D. Ignativicius, 1995)
5. Impaired elimination (constipation) related to immobilization, inadequate fluid intake (Donna D. Ignativicius, 1995)
6. The risk of nutritional deficiencies related to muscle weakness of chewing and swallowing (Barbara Engram, 1998)
7. Lack of compliance with self care related to hemiparese / hemiplegi (Donna D. Ignativicius, 1995)
8. The risk of disruption of skin integrity related long bed rest (Barbara Engram, 1998)
9. The risk of ineffective airway clearance related to the decrease in cough reflex and swallowing. (Juall Lynda Carpenito, 1998)
10. Impaired elimination urine (urine incontinence) related to lesions in the upper motor neuron (Juall Lynda Carpenito, 1998)

Nursing Diagnosis for Stroke from : http://nursing-diagnosis-nanda.blogspot.com/2011/05/nursing-diagnosis-for-stroke.html