NURSING CARE PLAN

Name of Patient: Mrs. X Age: 32 yrs old

Medical Diagnosis: CVA infarct

NURSING NURSING NURSING

ASSESSMENT INFERENCE RATIONALE EVALUATON
DIAGNOSIS OBJECTIVES INTERVENTION
S: ‘masakit ang Headache related Neurons and glia Longterm goal: - Monitor and To identify any Goal partially Met.
ulo ko ngayon, to cardiovascular die when they no 1.Client’s headache record vital signs other deviations The patient
kung irate ko 7 accident as longer receive will be lessen from normal. headache was
at 10 yung manifested by the oxygen and - Determine To assess degree decreased as
mataas” verbalization and nutrients from the patient strength of motor function. verbalized by the
weak appearance blood or when they and weaknesses patient.
O: Weak in of the patient are damaged by
appearance. sudden bleeding - Provide Adequate rest
- V/S: T: 36.7 into or around the adequate rest provides enough
°C, P:60, RR: brain. These periods as well as energy to the
16, BP: 130/90 damaged cells can comfort & safety patient
mmHg. linger in a measures
compromised state
for several hours. - Encourage the Helps the patient
With timely patient to do to decrease pain.
treatment, these some breathing
cells can be saved. exercise To provide
Intriguingly, when clarification and
the brain cells - Provide health Reinforcement
suffer the ischemia, teachings to the
they begin to fill up patient
with free zinc ions
which are released -maintained on
from some of their moderate high
proteins, especially back rest.
metallothionein,
which can release 7
zinc ions per

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molecule. This
released zinc is a
major player in the
ensuing death of
the brain cells.

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