NURSING 2MM3 Lecture 1: CS1: Stroke & Caregiver Burden
3 Mar 2017
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Neurological assessment: nurses in all settings should conduct a neurological assessment on admission. & when there is change in client status. Motor (strength, pronator drift, balance and coordination) Nurses should recognize that signs of decline in neurological status may be related to neurological complications. Complications: nurses in all settings should assess client"s risk for pressure ulcer development, which is determined by combination of clinical judgement and use of a risk assessment tool. Assess the stroke client"s fall risk on admission and after fall. Assess stroke clients for stroke complications: painful hemiparetic shoulder, spasticity/contractures, & Dvt in order to facilitate appropriate prevention & management strategies. Pain: assess clients for pain using validated tool (eg. numeric) Dysphagia: nurses should maintain all clients with stroke npo (including oral meds) until swallowing screen is administered and interpreted, within 24hrs of client being awake & alert.
