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In: Nursing

Transient Ischemic Attack(TIA) Nursing Diagnosis Interventions Rationale for intervention Nursing Diagnosis: Nursing Diagnosis: Nursing Diagnosis:

Transient Ischemic Attack(TIA)

Nursing Diagnosis

Interventions

Rationale for intervention

Nursing Diagnosis:

Nursing Diagnosis:

Nursing Diagnosis:

Solutions

Expert Solution

Transient Ischemic Attack

1.Nursing Diagnosis

Ineffective tissue perfusion related to blood clots ,bleeding, injury to cerebrovascular tissues as evidenced by mental status changes ,confusion

Intervention and rationale

  • Assess the patient's neurological status ,to get baseline data abs plan for care
  • Administer medication as per order to treat clots
  • Monitor vital signs, changes can be easily identified to care for
  • Provide systematic care to prevent complications

2.Nursing Diagnosis

Impaired mobility related to weakness as evidenced by inability to walk ,loss of gait and balance

Nursing intervention and rationale

  • Assess the level of immobility ,to plan for care
  • Apply splint, sling to prevent contracture
  • Provide passive physiotherapy to improve circulation
  • Position every second hourly to prevent pressure ulcer

3.Nursing diagnosis

Deficient self care related to weakness ,paralysis as evidenced by inability to do activities of daily living

Nursing intervention and rationale

  • Assess the patient's ability to meet basic need ,to plan for care
  • Provide assistance ,in doing daily care
  • Provide assistance in personal hygiene care
  • Self help devices can provide confidence and motivation to work by self

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