NURS1020CareCard#1

HealthCondition(definition)
Cerebrovascularaccident
(CVA)
Morecommonlyknownasa
stroke,aCVAiscausedby
restrictedbloodflowtothe
brain,causingthetissuetodie.
Ischemicstrokesoccurwhena
clotcausesablockage.
Hemorrhagicstrokesoccur
whenvesselsbreakresultingin
bleedinginthebrain.

Jan.19thFeb.92016

Signs&Symptoms

weakness/numbnessof
theface/leg/arm
(typicallyoneside)
confusion,difficulty
speaking/understanding
speech
blurredvision
dizziness,lossof
coordinationorbalance,
difficultywalking
*allsudden

NursingConsideration

Recurrenttransientischemic
attack(TIA).

Improvingmobility
Developexerciseplan
Rehabilitationof
damagedareas(face,
arms,legs)
Preventpain
Encouragepersonal
hygieneandselfcare
Assistwithnutrition
plan
Rehabilitationfor
bowel/bladdercontrol
Improvingthough
process/communication
Informfamily/friendsof
theirrolesinthe
recoveryprocess

refertoCVA

refertoCVA

Symptomsdonot
typicallyappearuntil
thereisdamagefrom
chronichighblood
pressure.
Uncontrolledhighblood
pressurecancause
stroke,heart&kidney
failure,orheartattack.

monitorBPandother
vitalsandskincolour
encourage/assistwith
selfcare
environment:quiet,
calm
reducedactivity
physicianordered
medication

pain
reducedmobility
increaseinbreaksin
bones
bonedensitytest
showingreducedbone

Abriefstrokestoppingblood
supplytopartofthebrain
symptomslasttypically124
hours.

Hypertension
morecommonlyreferredtoas
highbloodpressurewhichis
anybloodpressureover140/90.
Canbecontrolledthrough
medicationand/orchangesin
lifestyle.

Osteoporosis
asilentdiseasewherebone
densitydecreasescausing
increasedsusceptibilityto
breaks
*morecommoninolderwomen

Treatmentwith:
fluoride,calcitonin,
selectiveestrogen
receptormodulators
(SERMs),
bisphosphonates,hormo

density

nereplacementtherapy
(HRTs)
strengtheningexercises
review
safety/precautions
regardingfalls
discussreducedheight

Dementia
doesnotrefertoaspecific
diseasebutanumbrellatermfor
agroupofsymptoms(causedby
disordersaffectingthebrain)
effects2+brainfunctions

reducedabilityto
performeverydaytasks
memoryloss(extremely
common)
difficultywithlanguage
reducedabilityto
control
emotions/problemsolve
mayhallucinate
becomeagitated

Osteoarthritis
aformofarthritisbreakdownof
cartilageinthejointstypically
affectingmajorjoints(hands,
hips,spine)

pain
swelling
reducedrangeofmotion

remindersand
discussionabout
recent/upcomingevents
createandmaintaina
schedule
reducestressful
situationand
environments
helpwithwordlossby
suggestingwords
assessabilitytoprovide
selfcare
bepatient
ignoreinconsistencyor
misinformation(allow
forpatienttoliveinthe
worldtheirmindhas
created)
encouragestimulating
activitiesaswellas
quiettime
removepotentially
harmfulobjects
adequatelightingand
otherenvironmental
factors
assess&reducepain
practicerangeofmotion
onnonaffectedbody
parts
jointprotectionex.the
useofwalkingassists
suchasacane
psychosocialsupport
physiotherapy
consideringsurgery

Hypothyroidism
affectsthethyroidgland,which
controlsmetabolicrateswithin
thebody.Specifically
hypothyroidismisalowactivity
intheglandthethyroidgland
doesnotproduceenoughofthe
hormonesforthebodys
metabolism

AtrialFibrillation
atypeofheartarrhythmia,
thisaffectstheheartselectrical
systemspeed/rhythmofthe
heart

fatigue
weightgain
joint/musclepain
constipation
coldintolerance
headache
dryskin&hair
(thinning)
decreasedsweating
heavy/irregular
menstruation
fertilityproblems
slowedheartrate
depression
*morecommoninwomen

palpitations
shortnessofbreath
weakness
difficultyexercising
chestpain
fatigue
confusion
dizziness/fainting

educationonthethyroid
anditsfunction
medication:teach
patientaboutthe
medicationand
administration(possible
sideeffects)
ongoing
assessment/management
psychosocial:changes
inbody
diet:promotinghealthy
weightandbowel
movements

reduceriskof
thromboembolismby
maintainingcardiac
output/tissue
perfusion
reduceanxietyand
promotecalm/safe
environment
avoidexacerbating
bodypositions
administrationof
oxygenifrequired
anticoagulation
therapymedication
administration
education

References

MedlinePlushealthinformationfromthenationallibraryofmedicine.(2016,February12).
RetrievedFebruary12,2016,fromMedlinePlus,https://www.nlm.nih.gov/medlineplus/

NANDAinternationaldefiningtheknowledgeofnursing.(1997,September08).Retrieved
February12,2016,fromhttp://www.nanda.org/

Potter,P.A.,Perry,A.G.,Canadian,RossKerr,J.C.,&Wood,M.J.(2014).
Fundamentalsof
nursing(Canadianfundamentalsofnursing)
(5thed.).Toronto:ElsevierScienceHealthSciencediv.