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Psy 270 Week 5 Nursing Care Plan
293 Words1 Page
- The patient is struggling to remember dates, events, and names of people. The patient also is struggling to communicate her thoughts because it is difficult to “find” her words. CM is also suffering from paralysis on the right side of her body. This is consistent with her previously diagnosed stroke.
- HTN that is well controlled with current medication.
- Hyperlipidemia that has been treated with medication since 11/16.
- Occasional constipation that is most likely due to medication regimen and stroke history.
Plan
- Symptomatic management has been recommend following her stroke, the patient is extremely comfortable and states that she is “happy most of the time”. CM was advised to continue writing down notes and dates as it seems to improve memory and help sort out information.
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- Refer to physical therapy to learn wheel chair exercises to improve strength and circulation.
- Continue medication regimen for Hypertension which is currently well-controlled. See back in one month to recheck blood pressure and reassess medication management.
- Get lipid levels and await results due to unknown current status. Continue treatment of hyperlipidemia with dose changes depending on lab results. See back in one month to check lipid levels again.
- The dash diet was recommended to help assist lower her lipid levels and manage her HTN tension. She was advised to eat a diet high in fruits and vegetables, and low in salt and fats.
- Continue treatment plan for occasional constipation. Patient denied any current complications, and states that she is “regular.” No adjustments are recommended at this point, reassess in one
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