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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.
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.
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.
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.