Stroke Recovery Nursing Care

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Questions and Answers

What is a crucial aspect of nursing care for stroke patients transitioning between different care settings?

Family involvement in care

Continuity of care (correct)

Patient's personal preferences

Administration of medication

During the acute phase of stroke care, what should communication with patients primarily focus on?

Family support needs

Functional losses

Rehabilitation goals

Simplified descriptions of care (correct)

As a patient with a stroke enters the rehabilitation phase, the focus of communication shifts to which of the following?

What the patient can do (correct)

Adjustment to nursing home care

Functional losses and challenges

Psychological impacts

What is a common emotional challenge faced by family members when a relative has a stroke?

Role reversal Signup and view all the answers

Which aspect of nursing care is essential to consider for stroke patients across all settings?

Individualized nursing care Signup and view all the answers

What is a potential impact on younger adults with a parent or grandparent who has had a stroke?

Economic difficulties Signup and view all the answers

What role does the nurse play in assisting stroke patients and their families?

Assessing and identifying needs Signup and view all the answers

During the rehabilitation phase, what psychological adjustment begins for patients?

Adjustment to the 'new normal' Signup and view all the answers

Which of the following is a common symptom of stroke that may be observed during the assessment phase?

Sudden facial drooping Signup and view all the answers

What aspect of a patient's history is crucial to understand risk factors for a stroke?

Previous stroke history Signup and view all the answers

Which goal is most relevant to the management of a patient who has experienced a stroke?

Ensure the patient’s BP is maintained within prescribed limits Signup and view all the answers

Which of the following interventions is important for a stroke patient regarding communication?

Decreasing the volume of the environment to minimize distractions Signup and view all the answers

What potential problem might a stroke patient face related to self-care?

Inability to perform dressing Signup and view all the answers

Which of the following assessment components is NOT essential when evaluating a patient with suspected stroke?

Assessment of visual acuity Signup and view all the answers

Which symptom might be more commonly experienced by females during a stroke

Sudden limb pain Signup and view all the answers

What is a likely consequence of urinary incontinence in patients who have suffered a stroke?

Higher likelihood of constipation Signup and view all the answers

Study Notes

Stroke Recovery and Nursing Care

A significant number of stroke survivors experience disabilities affecting their physical, emotional, family, interpersonal, and professional status.
Continuity of care is critical as patients move between acute care settings, long-term care settings, rehabilitation centers, and home.
Nurses caring for patients experiencing a stroke need a high degree of knowledge and skill to meet the patient's needs throughout all phases of care.
Losses across multiple body systems can be present such as mobility, comfort, elimination, communications, self-care, and interpersonal relationships.
Individualized nursing care is essential in all settings to promote maximum potential and quality of life.
Depending on the phase of care, communication may focus on different topics.
During the acute phase, reassurance and clear, simple descriptions of the care being delivered are critical.
As the patient moves into the rehabilitation phase, communication focuses on what the patient can do, not on functional losses.
Rehabilitation goals are agreed upon.
The patient is the center of the rehabilitation team planning.
Psychological adjustment to the “new normal” begins during the rehabilitative phase.
When an individual has a stroke, it impacts the whole family.
An older adult who has no family may have to struggle alone to regain the ability to function independently.

Nursing Assessment and Diagnosis

In the assessment phase, the nurse should observe for visible signs of stroke, including paralysis or weakness of one side of the body, facial drooping, and difficulty speaking or understanding speech.
Ask the patient or patient’s family member about risk factors, previous stroke history, drug use, smoking history, when manifestations began, severity of manifestations, presence of incontinence, LOC, and family support systems.
The physical examination should include assessment of LOC, motor strength, coordination, communication, cranial nerve function, sensory function, stroke scale, vital signs, skin integrity, and mobility status.
Females may experience face and limb pain, sudden nausea, sudden shortness of breath, sudden hiccups, palpitations, and generalized weakness versus the “typical” symptoms that are more common for males.
Problems of the patient with stroke may include:
- Potential for inadequate cerebral tissue perfusion
- Compromised physical mobility
- Inability to perform self-care such as dressing
- Compromised verbal communication
- Urinary incontinence
- Potential for constipation
- Compromised swallowing.

Nursing Planning and Interventions

Goals of care for the patient who has had a stroke include:
- The patient’s BP will be maintained within prescribed limits.
- The patient will understand the importance of cardiac rehabilitation.
- The patient will ambulate and increase activity as tolerated.
- The patient will participate in therapies that maximize communication techniques.
Nursing planning and interventions focus on:
- Cerebral tissue perfusion
- Physical mobility
- Communication
- Self-care
- Sensory–perceptual deficits
- Bowel and urine elimination
- Swallowing.

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Description

This quiz covers essential aspects of nursing care for stroke recovery. It focuses on the continuity of care across various settings and the individualized approaches necessary to address the needs of stroke survivors. Test your knowledge on how nurses can effectively support patients through all phases of recovery, including acute and rehabilitation stages.