yesterday following hospitalization for a cerebrovascular accident (CVA, or stroke) and memory loss. After a positive MRI, a CVA was confirmed with significant right sided paralysis. Upon further medical assessment her physician confirmed the dementia to be baseline prior to her CVA. No additional memory loss was noted. V.H. was incontinent of loose and watery stool upon arrival, a sample was collected, sent to the lab and was confirmed positive for Clostridium difficile. V.H. was admitted to the skilled nursing facility sub-acute unit for rehabilitation. According to her husband, V.H. has experienced a significant loss of ADL function since the time of her stroke and requires total care while on the unit.
V.H. lives at home with her husband of 30 years. Prior to the onset of her dementia, V.H. did all of the housekeeping, grocery shopping and meal preparation for the family. Her husband has been taking over these duties as V.H.’s dementia has progressed. Her past medical history is positive for uncontrolled hypertension. Her husband reports that she has been taked her scheduled medication every morning. V.H. and her husband have two grown children who live within 20 miles of the couple and they have been present and involved in helping their dad take care of their mom.
1. Write out three present state/nursing diagnoses based on the information that you have.
a. Actual nursing diagnosis/Present state #1:
b. Actual nursing diagnosis/Present state #2:
c. Risk for nursing diagnosis:
2. Write one outcome for each present state/nursing diagnosis
3. Write two nursing actions for each present state
Answer by Mep
really. Do you know who you r audience really is?