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:

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

Nightingale answered 2 years ago

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