Writing a Nursing Care Plan: Stroke Patient

By using a nursing diagnosis textbook or by looking online for NANDA approved nursing
diagnoses, consider possible nursing diagnoses for stroke patients, either someone who is having
a stroke or someone who is suffering from the side effects of a stroke, and form an entire care
plan for this patient. Prompts are provided. Feel free to include as many assessment data facts or
nursing diagnoses as you can think of, but take one of those ideas and formulate the entire care
plan from that. If necessary, look back on the case study about Miguel to gather ideas for patient
teaching.
Keep in mind that as you care for stroke patients, they may not match this care plan exactly.
Each care plan needs to be individualized to the patients current circumstances.
1) Assessment: What signs and symptoms are you seeing? How are these signs and
symptoms affecting the patients life? List all of the possible assessment findings. What
problems might these cause?
Examples: Right-sided weakness risk of falling, difficulty feeding self
Difficulty swallowing risk of choking (ineffective airway clearance)

2) Nursing Diagnosis:
Format: ___(nursing diagnosis)_____ related to (r/t) __(what is causing the problem)___
as manifested by (amb) ___(assessment data that proves the nursing diagnosis)_____.
Example: Risk for falls r/t history of falls, age 65 and older amb not being able to stand
alone, stumbling when he walks, and right-sided weakness in both arm and leg.

3) Planning: What will the patient do? (What are the goals for the patient?)
Example: Patient will call for assistance when needing to stand or ambulate, especially to
the bathroom.

4) Implementation: What will the nurse do? (How will the nurse assist in achieving the
patients goals?)
Example: The nurse will assess for the patients understanding, reorient the patient often,
teach the patient how to use the call button, and respond quickly when the call button
goes off. The nurse will also check on the patient often and obtain a bedside commode if
needed.

5) Evaluation: What is the status of the goal? Are the interventions working?
Example: Patient has verbalized understanding of the use of the call button. Patient has
called for assistance when using the commode each time needed.