Scenario: You are an Enrolled Nurse assigned to care for a 47-year-old client with right-sided hemiplegia...

Scenario:
You are an Enrolled Nurse assigned to care for a 47-year-old client with right-sided hemiplegia and generalised weakness after a cerebrovascular accident. It is meal time now. Read the care plan for the client and assist the client with meeting his nutritional need as advised.

Expert Solution

Patients having hemiplegia and generalised weakness typically loss there appetite. Most of them may have difficulty eating using there hands or difficulty swallowing there food, so to help them increase there desire to eat you can encourage there loved ones to share a meal with them regularly, serve food that the patient usually like, encourage the patient to have healthy snacks in between meals and always monitor for any difficulty on chewing or swallowing . Patient should try first soft food or the meal should be cut on small pieces or blended, fruits should be peeled off so it is easier to ingest and lower the risk of choking.

Meal Plan:

Patient should have a well-balanced diet and should eat good fruits and vegetables.

The patient should eat high antioxidants fruits like blueberries, strawberries, oranges, grapes and mangoes it will counteract the damage from free radicals.

Patients should increase intake of vegetables high in B6 and folic acid for example green leafy vegetables, brocolli, asparagus, brussel sprouts, cauliflower and okra. The B vitamins decreases the levels of homocysteine which have been known to increase the risk for heart disease.

Patient should eat a lot of fish which is high in omega 3-fatty acids it has antioxidants and anti-inflammatory effect. Choose lean meats and poultry, and prepare them without using saturated or transfat.

Barley, rice and other soft cooked grains can be included in soup recipes and pureed or liquidised. Smooth porridges such as Tastee Wheat and Maltabella are suitable for patients with some swallowing ability.

Things to avoid:

Food high in fat like red meat, dairy products and eggs. Instead of frying learn new ways of cooking, such as baking or broiling.Avoid whole milk and try skim milk of nonfat.

Avoid alcohol.

Cut back on drinks and foods with added sugars to decrease the risk of having diabetes.

Decrease salt intake as we all know salt is directly related to high blood pressure which is a risk factor for stroke.

Nightingale answered 2 years ago

You have been assigned to care for Mr. Alvarez, a 74-year-old client being treated for a...

You have been assigned to care for Mr. Alvarez, a 74-year-old client being treated for a urinary tract infection. He suffered a cerebrovascular accident (stroke) 6 months ago and has had difficulty ambulating and attending to his own needs because of right-sided weakness. He is thin for height, incontinent of foul smelling urine, and has non-blanchable erythema on his coccyx and peritoneal area. He is alert and oriented to person, place, and time. He has decreased sensation on his entire...

The registered nurse is assigned to care for a pediatric client who is receiving immune suppressants....

The registered nurse is assigned to care for a pediatric client who is receiving immune suppressants. The registered nurse is precepting a student nurse. The registered nurse reviews the key nursing considerations that the student needs to consider in the care of this patient.

you are the home care nurse assigned to visit an 85 years old male patient who...

you are the home care nurse assigned to visit an 85 years old male patient who was discharged from the with new-onset left-sided heart failure.You arrive at Mr.Smith's house to find that he is having difficulty breathing and appears anxious.You quickly assess Mr.Smith's lungs and find that he has bilateral rhonchi in the upper lobes. Mr.Smith shares that he has not taken his medications this morning. You ask to see the discharge instructions and note that Mr.Smith has seen several...

registered nurse was assigned to care for a 76-year-old patient who had a stroke. Upon entering...

registered nurse was assigned to care for a 76-year-old patient who had a stroke. Upon entering the room, the nurse the patient surrounded by ID family members.The requested the family members leave the room so she conduct her initial assessment and perform any related treatments .They did so.The nurse provided care in a professional, unhurried, and gentle manner. As she was leaving, patient said,“Thank you.You are a wonderful nurse.” later, the nursing supervisor told her the patient told his family...

A nurse is planning care for a client who has left-sided hemiplegia following a stroke. Which...

A nurse is planning care for a client who has left-sided hemiplegia following a stroke. Which of the following actions should the nurse include in the plan of care? Remind the client to use a cane on his left side while ambulating. Position the bedside table on the client's left side. Provide the client with a short-handled reacher. Place a plate guard on the client's meal tray. A nurse is admitting a client to the emergency department after a gunshot...

You are a staff nurse working in an intensive care unit and assigned to care for...

You are a staff nurse working in an intensive care unit and assigned to care for a 75-year-old man who had coronary artery bypass graft surgery 4 days ago. The patient has a history of chronic obstructive pulmonary disease exacerbated by heavy smoking. His postoperative course has been difficult, and he has suffered a number of setbacks. The staff, despite their diligent efforts, have not been able to wean him off the ventilator since the surgery. He has required frequent...

You are a student nurse assigned to a 57 year old male patient has come to...

You are a student nurse assigned to a 57 year old male patient has come to medical ward to have treatment due to mild to severe cramping in his abdomen and bloody stool. Your initial findings include a mildly obese man who demonstrate guarding of his abdomen especially the left lower quadrant. His vital signs are 168/98, 119,24, 38 degree Celsius and is slightly diaphoretic. He reported periodic constipation. He has had previous episodes of abdominal cramping, but this time...

Case Studies, Medications You are a nurse caring for a 47-year-old patient who is homeless. He...

Case Studies, Medications You are a nurse caring for a 47-year-old patient who is homeless. He is admitted to your unit two to three times per year. His medical history includes diabetes mellitus (type 2), hypertension, and alcoholism. After extensive hygienic interventions (to decrease his body odor, wash his hair, and perform oral care), you complete your assessment and find that he is not in compliance with any of his dietary and medication instructions from his last admission. Considering his...

In each scenario, choose the appropriate direction for the Alternative Hypothesis. Right-sided Left-sided Two-sided 1. The...

In each scenario, choose the appropriate direction for the Alternative Hypothesis. Right-sided Left-sided Two-sided 1. The five-year graduation rate (what percent of students graduate in five years or less) for majors in the College of Business is different than the five-year graduation rate for majors in the College of Health. 2. The amount of time you spend eating breakfast each day is less than the amount of time you spend eating lunch on the same day. 3. The average price...

You are assigned to care for David Ramsey, a 22-year old male patient with back injury...

You are assigned to care for David Ramsey, a 22-year old male patient with back injury secondary to being thrown from a motorcycle. Did nt damage the spinal, but the computed tomography revealed a compression fracture at L-2. David complains of severe back pain with numbness and tingling in the lower extremities. Qn. What assessments are indicated based on this nursing diagnosis? Qn.2. List other major nursing diagnoses based on David’s clinical presentation?

Question