PORTOFOLIO MATA KULIAH
BAHASA INGGRIS DALAM
KEPERAWATAN II
KODE MATA KULIAH: BAE 112
PENULIS:
NAMA : DIAH AYU MUSTIKA
NIM : 131511133080
FAKULTAS KEPERAWATAN UNIVERSITAS
AIRLANGGA SURABAYA
2016
Nama
: Diah Ayu Mustika
NIM
: 131511133080
Mata Kuliah
: English In Nursing 2
Judul Tugas
: Resume Nursing Care Plan For Client With CVA
Pertemuan Ke
Tanggal
mengumpulkan
: 06 Desember 2016
Dengan ini saya menyatakan bahwa tugas berikut adalah hasil karya saya
sendiri. Apabila dengan sengaja terdapat kesamaan (plagiarisme) dalam
pengerjaannya. Saya bersedia untuk mengulang pengerjaan portofolio
sebagaimana ditetapkan bersama dengan PJMK BAE 112.
Surabaya, 06 Desember 2016
(Diah Ayu Mustika)
NIM:131511133080
Tugas terlampir telah direview dan ditelaah
Nama Dosen
Pengampu
NIP/NIK
Hasil Review
Nilai Tugas (0100) :
Tanda Tangan Dosen
NURSING CARE PLAN FOR CLIENT WITH CHRONIC CEREBROVASCULAR
ACCIDENT (CVA)
Cerebrovascular Accident (CVA) or stroke occurs due to brain cell death caused by
impaired blood flow to the brain. In many cases resulted in permanent disability to the sufferer
(American Heart Association (AHA)), 2009).
Cerebral function depends on the distribution of oxygen and glucose to the
brain. However, oxygen and glucose will not be stored in the brain. Thus, the brain needs a steady
supply of oxygen and glucose continuously. If the supply of oxygen and glucose is suspended,
then the cells in the brain will die.
The risk factors for ischemic stroke is classified into two, which can be modified are high
blood pressure, smoke, diabetes mellitus, atrial fibrillation, physical inactivity and obesity and can
not be modified are old age, gender (more common in males), heredity and race, and prior stroke.
After the completion of emergency care, medical management focus on controlling the
causes of transient ischemic attact (TIA) or stroke. The results of diagnostic tests will help your
doctor to determine the proper treatment. If the patient has a physical deficits remaining, the
doctor would have ordered consultation physical therapy, occupational, and speech to evaluate the
patient's functional status and make recommendations regarding further treatment.
Patients with Low Density Lipoprotein (LDL) is recommended to use drugs which serves
to lower cholesterol levels such as statins. This is done to minimize the development of plaque in
the arteriosclerosis.
Deep Vein Thrombosis (DVT) can be a problem in a person suffering a stroke. The decline
in the movement, the state had to bed-rest, and hyper coagulant can increase the risk of
DVT. DVT causes pain, complications that affect the legs, blood clots can be removed and pass
through the lungs and cause a pulmonary embolism, or to the brain and cause a stroke.
Treatment that can be given is heparin, enoxaparin (Lovenox), or warfarin
(Coumadin). Treatment in addition to a given drug is to use the instrument of oppression and
elastic stockings in accordance with the order.
Clients have some complication on the respiratory system due to several reasons. They are
particularly at risk increased intracranial pressure. They can experience the aspiration for their loss
of consciousness and a decreased ability to swallow. Clients must keep clean the airway by
means of suction. A clients who experienced vomiting should sleep on his side to reduce the risk
of aspiration. Feeding orally only be given to patients who still have high levels of vigilance and
able to swallow safely. Feeding should be done carefully and slowly.
Client with warning signs of stroke and patients with significant carotid artery occlusion
(carotid endarterectomy) become candidates for surgery.
The incidence of stroke can be reduced by reducing the risk factor. There are by keeping
blood pressure at normal level, cholesterol levels, body weight, and diabetes under
control. Quitting smoking is fundamental to preventing stroke.
Embolism can be prevented by administration of warfarin for those who have a high risk
of atrial fibrillation. Anti-aspirin or other platelet helps to reduce the abnormal clotting.
The essential for the maintenance of educating patients about stroke and the possibility to
recover from a stroke by using a thrombolytic agent. Patients should be educated on the risk
factors of stroke, warning signs and the importance of immediate action to Emergency Medical
Service (EMS) when stroke symptoms occur.
The nursing diagnosis of chronic cerebrovascular accident are impaired physical mobility,
risk for falls, and risk for infection
