Mr. Joe Smith, a 75-year old man, recently suffered a left cerebrovascular accident.

Mr. Joe Smith, a 75-year old man, recently suffered a left cerebrovascular accident. He has right visual field deficits and residual weakness in this right arm and leg. He uses a walker for mobility. He takes Metoprolol for his blood pressure and the physician started him on Coumadin because he has recently been diagnosed with atrial fibrillation.

In a one-page Word Document, plan interventions with rationale which will promote an environment of safety for the described client above. Consider the client’s medical history and medications.

Use at least two scholarly sources to support your interventions and rationale. Be sure to cite your sources in-text and on a reference page using APA format

 accident.

Instructions

Using the template below, write 3 NANDA-I approved nursing diagnoses in a proper format based on the client case provided below.  Write one SMART client-centered goal for each nursing diagnosis.  Consider the client’s medical history and medications.

Kacie Benson, a 19-year-old woman, is a client on your unit due to a skiing accident.  She is unconscious and may or may not regain consciousness.  She is on complete bedrest.  She requires frequent repositioning to maintain correct body alignment and attention to her ROM.  She responds to painful stimuli with slight non-purposeful withdrawal.  No spontaneous movements are noted.  The recent lower extremity ultrasound showed no evidence of venous thrombosis, and she continues on low molecular weight heparin injections.  Her fluid and electrolyte balance is being maintained by a tube feeding at 60 mL per hour continuously.  She is incontinent of stool and has an indwelling Foley catheter.  Her heels are reddened, but otherwise, her skin is intact.

Use at least two scholarly sources to support your nursing diagnoses. Be sure to cite your sources in-text and on a reference page using APA format.

SMART Goal Example

Goal:  Successfully complete the Capstone Course with a final average of 78% or higher at the end of the winter 2018 term.

Other SMART Goal Examples

• Increase influenza immunization rates by 1% in Hispanic adults 65 years of age and older, over the next 6 months. (see attached a quick sample of the SMART worksheet for this goal)
• Expand mobile farmers’ markets in 2 low-income food desert neighborhoods by January 2019.
• Decrease the teen pregnancy rates in Dixon County by 0.5% after 5 years of collaborative community prevention efforts.
• Decrease fall rates among Alzheimer patients by 50%, six months after implementation of hourly rounding policy.

Nursing Diagnosis Rubric

Total Assessment Points – 35