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Mr. Kenny Parker is an 80-year-old African American who has been in the acute care stroke unit for 3 days. He sustained a right-sided stroke that left him with paralysis in his left leg and arm. His speech was not affected. Mr. Parker is retired from his job as a teacher. Before having the stroke, he was able to get around independently. His wife has heart problems and depends on Mr. Parker to do most of the errands that need to be done. The Parker's have five children who all try to help out their parents as much as possible. Mr. Parker had a previous stroke 5 years ago but had no deficits from that stroke. He is taking anti-hypertensive and anti-platelet medications and is compliant with taking them. Mr. Parker is going to be transferred to a rehabilitation center to gain strength and learn how to function with his neurological deficits. He is willing to go and has been accepted into one that is close to his home.
John Williams is a 40-year-old senior nursing student who is assigned to Mr. Parker. He is to provide care to Mr. Parker and get him ready to transfer to the rehabilitation center.
- Explain an SBAR for the scenario above
- Explain 2 Nursing Diagnosis (PES)
- Explain 2 Nursing Interventions (Independent)
- Explain 2 Outcomes (Using SMART)
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S- sustained a right-sided stroke that left him with paralysis in his left leg and arm. His speech was not affected
B- retired teacher, had a stroke 5 years ago, used to do errands, hx of high BP
A- assess for neuro deficits and ADLs
R- physical therapy to help gain strength, referral to support group
Diagnosis: stroke
Interventions- keep call bell within reach, notify about TIA and to notify doctor or nurse, neuro checks, PT to help gain mobility
