2015International Journal of Nursing KnowledgeRequires access

Case Study: Community Nursing Care Plan for a Man With Functional and Psychosocial Problems Following a Stroke

Pedro Ruymán Brito Brito, Domingo Ángel Fernández‐Gutiérrez, Hilary M. Smith

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Abstract

PURPOSE: The study aims to use the standardized nursing process to assist a middle-aged man with functional and psychosocial problems following a stroke. DATA SOURCES: Data were obtained from interviews with the patient during primary care nurse consultations, electronic health record reviews, and reports from other professionals. To build the care plan, we used available scientific evidence, and we also considered a nurse-patient agreement. DATA SYNTHESIS: We used clinical reasoning with NANDA-I classification, the Nursing Outcomes Classification, and the Nursing Interventions Classification to select nursing diagnoses, patient outcomes, and nursing interventions. CONCLUSIONS: Psychosocial problems complicate the management of a patient with functional consequences after a stroke. This fact has high impact on people who are going through this process.

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What this paper is about

PURPOSE: The study aims to use the standardized nursing process to assist a middle-aged man with functional and psychosocial problems following a stroke. DATA SOURCES: Data were obtained from interviews with the patient during primary care nurse consultations, electronic health record reviews, and reports from other professionals. To build the care plan, we used available scientific evidence, and we also considered a nurse-patient agreement. DATA SYNTHESIS: We used clinical reasoning with NANDA-I classification, the Nursing Outcomes Classification, and the Nursing Interventions Classification to select nursing diagnoses, patient outcomes, and nursing interventions. CONCLUSIONS: Psychosocial problems complicate the management of a patient with functional consequences after a stroke. This fact has high impact on people who are going through this process.

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Available abstract

PURPOSE: The study aims to use the standardized nursing process to assist a middle-aged man with functional and psychosocial problems following a stroke. DATA SOURCES: Data were obtained from interviews with the patient during primary care nurse consultations, electronic health record reviews, and reports from other professionals. To build the care plan, we used available scientific evidence, and we also considered a nurse-patient agreement. DATA SYNTHESIS: We used clinical reasoning with NANDA-I classification, the Nursing Outcomes Classification, and the Nursing Interventions Classification to select nursing diagnoses, patient outcomes, and nursing interventions. CONCLUSIONS: Psychosocial problems complicate the management of a patient with functional consequences after a stroke. This fact has high impact on people who are going through this process.

Key concepts: Psychosocial, Nursing diagnosis, Nursing, Nursing process, Nursing Outcomes Classification, Nursing Interventions Classification, Psychological intervention, Medicine

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