University:
West Coast University
Course:
NURS 103 | Fundamentals of Nursing
Academic year:

2020
Views:

97

Pages:

1
Author:

zbrkanogiorr

Concept Map: Nursing Diagnoses Patient Initials: N.T. Dates of Care: 9/8/2020 PATIENT INFORMATION: Age: 79 Sex: F Room # ER IMPAIRED MOBILITY RELATED TO LEFT SIDED HEMIPARESIS Weakness in left hand and left leg Perceptual impairment Reduced muscle/eye coordination 2 RISK FOR IMPAIRED SWALLOWING RELATED TO MILD DYSPHAGIA Left facial droop Mild dysphagia Neuromuscular impairment 1 RISK FOR ASPIRATION RELATED TO MILD DYSPHAGIA Mild dysphagia Neuromuscular impairment Left sided facial droop IMPAIRED VERBAL COMMUNICATION RELATED TO EXPRESSIVE APHASIA • Difficulty forming words Loss of facial control Neuromuscular impairment MeDx/Surgery Reason for HealthCare Acute Cerebrovascular Accident H/O: • Paroxysmal Atrial Fibrillation Hypertension SELF CARE DEFICIT RELATED TO LEFT SIDED HEMIPARESIS • Neuromuscular impairment Decreased strength and endurance Reduced muscle control/coordination 3 INEFFECTIVE CEREBRAL PERFUSION RELATED TO SLURRED SPEECH • Mild headache Paroxysmal atrial fibrillation Hyperlipidemia Hypertension RISK FOR INJURY RELATED TO LEFT SIDED HEMIPARESIS •Weakness in left hand and left leg •Balancing difficulties • Reduced muscle/eye coordination UNILATERAL NEGLECT RELATED TO LEFT SIDED HEMIPARESIS: Cerebrovascular impairment Perceptual impairment Disturbed Perception from neurological impairment