A nursing diagnosis identifies an actual or potential response of a patient to a health problem. Nursing diagnoses are important because they provide the foundation for the selection of nursing interventions. This care plan is the concluding half to the initial care plan that identified nursing diagnoses and goals with the aim of promoting the holistic wellbeing.
Moreover, there is ample indication that strokes do not just affect the patient, but the caregivers as well. Caregivers of stroke patients suffer depression, isolation, a sense of being burdened, a decline in physical and mental health and decreased quality of life. However, caregivers may not always be given the proper support. It is therefore crucial that the patient participate in his or her own recovery, in that it will alleviate the burden on the caregiver as well as give the patient a better outcome. That said, it is important that the perceived nursing behavior be conducive to this. The patient's perception of the nurse's behavior influences how active the patient will be in participating in his or her own recovery process. All of these factors must be considered in planning a nursing care program for a stroke survivor, because one of the goals must be to prevent readmission to the hospital, because hospital readmission results in higher mortality rates, greater disability levels and increased costs.
Hemming (2010) recommended that identifying the patient’s usual habit is very important because each individual has different ideas about hygiene due to age, culture or religion. Identifying usual habits helps individuals to maintain their social life if things are done according to their wishes. THolland (2008) argued that it is important to ask patients how they feel about being cleaned, especially genital area. Kate indicated that she didn’t mind being assisted with washing and dressing. She preferred washing daily, shower and a hair wash once a week, and a mouth wash every morning and before going to bed. Kate was assisted with personal care after having her medication, especially the nebuliser. Individuals with asthma experience shortness of breath whenever they are physically active (Ritz, Rosenfield and Steptoe 2010). After having medication Kate was able to participate during personal hygiene. According to NMC guidelines on confidentiality (2009a), privacy and dignity should be maintained when giving care to patients.
In fact, in order to provide effective nursing care to Rose the nurse must ensure that a thourgh assessment is conducted. This cannot be fully completed however, without effective communication skills, concise documentation and decision making. Each enabler is therefore interlinked to provide individualised holistic nursing care to Rose. As a nurse, good communication is vital to build a positive theraputic relationship with Rose and to enhance the relationship there are a number of factors the nurse should be aware of such as enviroment and non verbal communication prompts.
Ebersole, P and Hess, P. (1998). Toward Healthy Aging: Human Needs and Nursing Response.: St. Louis, MO: Mosby. Chapter 14.
Hess, P. (1998). Toward Healthy Aging: Human Needs and Nursing Response. St Louis, MO: Mosby. Chapter 4.
Nursing Link (2012) Physical Assessment: Chapter 1 History and Physical Examination.
Royal College of Nursing (2010) Specialist Nurses: Changing Lives, Saving Money. London: RCN.