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Subjective Data: "Mag Lisud Raba Na Siya Og Storya Unya Magka Rumble Ang Mga Words " As Verbalized by The Caregiver

Helena Bayana is an 85-year-old woman who suffered a right-sided stroke and has vascular dementia. She has difficulty communicating verbally, recalling words, and associating words. Her nursing care plan focuses on assessing her communication abilities, providing alternative means of communication, maintaining eye contact, and keeping communication relaxed and simple.

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florenzo
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65 views6 pages

Subjective Data: "Mag Lisud Raba Na Siya Og Storya Unya Magka Rumble Ang Mga Words " As Verbalized by The Caregiver

Helena Bayana is an 85-year-old woman who suffered a right-sided stroke and has vascular dementia. She has difficulty communicating verbally, recalling words, and associating words. Her nursing care plan focuses on assessing her communication abilities, providing alternative means of communication, maintaining eye contact, and keeping communication relaxed and simple.

Uploaded by

florenzo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Name: Helena, Bayana

Age: 85 years old Date Identified:December 14, 2020


Dx: Right sided stroke/ vascular Dimentia Date Evaluated: December 14,
2020

NURSING CARE PLAN


Problem:
ASSESSMENT NURSING INFERENCE PLANNING SCIENTIFIC EVALUATION
DIAGNOSIS INTERVENTION RATIONALE

Subjective Data: Impaired Verbal -Assessment -Several clinical


“Mag lisud raba na Communication circumstances or conditions may
siya og storya unya related altered situitions that may change the
magka rumble ang perception limit patients person's ability to
ability to use or communicate
mga words ” as
comprehend effectively
verbalized by the language, such as
caregiver following.

-Evaluate mental -Evaluating the


status, note mental status of
presence of the patient is vital
Objective Data:
psychotic to determine
*Difficulty conditions (e.g., contributing
vocalizing words manic-depressive, factors.
*Inappropriate schizoid/affective
verbalisation behavior). Assess
*Inability to recall psychological
response to
familiar words, communication
phrases or names impairment,
of know people willingness to find
alternate means of
objects and places communication.
*Disturbances in
cognitive -Provide an -An alternative
association alternative means means of
(rumbled words) of communication communication
for times when (e.g., flash cards,
interpreters are symbol boards,
not available (e.g., electronic
a phone contact messaging) can
who can interpret help the patient
the patient’s express ideas
needs). and
communicate
needs.

-Feedback
-Clarify your promotes
understanding of effective
the patient’s communication
communication
with the patient or
an interpreter.

-Patients may
-Maintain eye have defect in
contact with field of visionor
patient when they may need to
speaking. Stand see the nurses’
close, within face or lips to
patient’s line of enhance their
vision (generally understanding of
midline). what is being
communicated.

-Individualize -To assist


techniques using aphasic clients in
breathing for relearning
relaxation of the speech.
vocal cords, rote
tasks (such as
counting), and
singing or melodic
intonation.

-Maintain a calm, -Individuals with


unhurried manner. expressive
Provide sufficient aphasia may talk
time for patient to more easily when
respond. they are rested
and relaxed and
when they are
talking to one
person at a time.

-The inability to
-Praise patient’s communicate
accomplishments. enhances a
Acknowledge his patient’s sense of
or her frustrations. isolation and may
promote a sense
of helplessness.
-To maintain
contact with
-Provide reality; or reduce
environmental stimuli to lessen
stimuli as needed anxiety that may
worsen problem.

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