Nursing Intervention and Care Plan for Mrs. Natia

Running head: NURSING INTERVENTION AND CARE PLAN
NURSING INTERVENTION AND CARE PLAN
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1NURSING INTERVENTION AND CARE PLAN
Executive Summary
The following sheds light on the key diagnostic features, medical risk factors and associated
nursing care plan for the aged patient Mrs. Natia, who has been admitted concerned her
detrimental medical history and occurrence of cerebrovascular accident. Prolonged lack of
treatment of her medical condition and associated medical history will further increase her
susceptibility of strokes, loss of mobility and cognition and uncontrolled diabetes and obesity.
However, a multidisciplinary approach must be adopted considering her aged physiological
status. Further, the required nursing care plan has been designed to meet her actual problems of
pain and insomnia and her potential problems of obesity and susceptibility to falls in the near
future.

2NURSING INTERVENTION AND CARE PLAN
Table of Contents
Part A...................................................................................................................................2
Medical Diagnosis...........................................................................................................2
Age of Individual.............................................................................................................3
Preparation for Procedures..............................................................................................4
Privacy and Dignity.........................................................................................................4
Risk Identification...........................................................................................................5
Age...............................................................................................................................5
Anesthesia and Surgery...............................................................................................5
Cognitive Status...........................................................................................................5
Deep Vein Thrombosis, Venous Thromboembolism, Pulmonary Embolism.............6
Immobility...................................................................................................................6
Part B: Nursing Care Plan: Clinical Reasoning Cycle.........................................................0
References............................................................................................................................0

3NURSING INTERVENTION AND CARE PLAN
Part A
Medical Diagnosis
Mrs. Natia Euta, has been admitted to the hospital upon being inflicted with a
cerebrovascular accident. If left untreated, the stroke can lead to long term negative impacts in
the form of loss or difficulty of speech, movement, cognition or swallowing, which can lie
undetected from weeks to almost years after the episode (Rashid et al., 2016). The patient also
has a medical history of obesity and type 2 diabetes mellitus. If left untreated, obesity as well as
diabetes has been associated with long term impacts of an abnormal lipid metabolism, result in
adipose and fatty steak deposition in the blood vessels, further increasing the susceptibility of the
patient to cardiovascular diseases and myocardial infarction in the future (Furukawa et al., 2017).
Lack of treatment of the medical history of hypertension, may result in long term impact of
artery hardening and narrowing, blood vessel bulging or aneurysms, enlargement or left
ventricular hypertrophy, irregular heartbeat or arrhythmia and further susceptibility blood vessel
rupturing, stroke and hemorrhages (Zanchetti, 2017). The patient also has a medical history of a
transient ischemic stroke which produces symptoms similar to a stroke. Despite the absence of
permanent or severe damages, lack of treatment leads to long term impacts of increasing the
susceptibility of stroke (van Rooji et al., 2016). Mrs. Natia also has a past medical history of
osteoarthritis. Lack of treatment can lead to long term impacts of muscles and joints stiffening
and losing mobility over time, leading to loss of movement, susceptibilities to fracture and
possible joint deformities (Paterson et al., 2015).