What is a Stroke Nursing Care Plan Template?

A cerebrovascular accident, commonly referred to as a stroke, is a medical event that occurs when blood flow to the brain is compromised. The event can be classed into either an ischemic stroke, where a clot blocks the blood flow to the brain, or a hemorrhagic stroke, where there is a burst artery causing sudden bleeding in the brain. This may occur as a result of an aneurysm, high blood pressure, or trauma. Blockages that dissolve before causing major damage are referred to as transient ischemic attacks, and a patient who has had these in the past may be at a higher risk of having a stroke in the future. 

A Stroke Nursing Care Plan is a comprehensive outline of interventions and strategies designed to support patients affected by a stroke, aiming to promote recovery, prevent complications, and enhance their overall well-being. The importance of such a plan cannot be emphasized enough due to the critical nature of stroke, its potential for debilitating effects, and the need for specialized and attentive care. 

Immediate nursing interventions following a stroke focus on stabilizing the patient and preventing further damage. This involves a quick assessment of vital signs and neurological status and identifying the stroke's type and location. Timely actions, such as ensuring a patent airway, providing oxygen if needed, and monitoring for any signs of deterioration, are critical aspects of the initial care plan. Once the acute phase is managed, ongoing care shifts towards facilitating rehabilitation and preventing complications. 

A Stroke Nursing Care Plan is indispensable in providing comprehensive, holistic, patient-centered care. It addresses acute medical needs, supports recovery and rehabilitation, prevents complications, and empowers patients and their families with the knowledge and tools needed for optimal recovery and long-term stroke management. The collaborative efforts of nurses and the healthcare team significantly contribute to improving outcomes and enhancing the quality of life for stroke survivors. A care plan for those who have suffered from a stroke is paramount and highlights the importance and need for this particular resource.

How does it work?

Step One: Gather your resources

Stroke Nursing Care Plans are a valuable resource and essential to keep on hand. Make sure that you have a copy of the free printable PDF when the need arises by either clicking the “Download Template” or “Use Template” button or by searching “Stroke Nursing Care Plan” on Carepatron’s template library’s search bar on the website or app.

Step Two: Collate essential information

Once the patient has been diagnosed and assessed for stroke, utilizing the Stroke Nursing Care Plan Template to ensure all goals of care are met is seamless and easily accessible to relevant parties via Carepatron's centralized workspace. Assessment, symptom management, and interventions can be collated within the single care plan and safely stored on a single database. The care plan allows for individualized treatment options. It acts as a scaffolding to ensure goals of care are met, and the next steps are recorded for future reference or distribution to other healthcare specialists who are part of the patient's care team.

Step Three: Store the chart securely

After reviewing the Stroke Nursing Care Plan and creating a viable and individualized plan for the patient, you need to secure the plan so that access is only granted to relevant parties.

Ensure this through Carepatron's HIPAA-compliant free patient records software. Here, all relevant medical records can be safely stored and collated for ease and security.

When would you use this template?

A Stroke Nursing Care Plan is implemented across various stages of stroke care and can be utilized in multiple settings, some of which are outlined below:

Acute care

Immediately following a stroke, in settings such as emergency departments or intensive care units, a nursing care plan is crucial. It stabilizes the patient, monitors vital signs, and provides acute interventions to prevent further damage or complications.

Inpatient rehabilitation

For stroke survivors admitted to specialized rehabilitation units, a care plan guides nurses in facilitating recovery through mobility exercises, therapies, and ongoing monitoring to improve functional abilities and regain independence.

Long-term care facilities

Patients who require extended care due to health implications and changes post-stroke benefit from tailored care plans in long-term care settings. These plans aim to maintain quality of life, prevent complications, and provide ongoing rehabilitation.

Outpatient or home care

Once discharged, stroke survivors often receive care at home or through outpatient services. Nursing care plans help transition from the hospital to home by guiding medication management, rehabilitation exercises, lifestyle modifications, and monitoring for any signs of complications.

Preventive care and education

Nursing care plans are also utilized in stroke prevention programs. Nurses educate at-risk individuals about risk factors, lifestyle changes, and preventive measures to reduce the likelihood of future strokes.

Family and Caregiver Support

Care plans extend to providing support and education to family members and caregivers. They help understand the patient's needs, provide care at home, recognize signs of complications, and access resources for continued support.

What do the results mean?

Nursing care plans for stroke patients have particular goals of care. These are based on the phase of the cerebrovascular accident. During the acute phase, the focus lies on survival and complication prevention. This may involve neurologic assessments, respiratory support, vital sign monitoring, cautious positioning to avoid aspiration and contractures, managing GI issues, and ensuring electrolyte and nutritional balance. A comprehensive nursing care plan prioritizes:

  • Early recognition and assessment of stroke signs.
  • Prompt emergency response and medical intervention.
  • Stabilizing vital signs and neurological status.
  • Coordinating diagnostic imaging for confirmation and stroke type determination.
  • Implementing time-sensitive treatments like thrombolytic therapy if appropriate.
  • Providing supportive care to manage complications and promote recovery.
  • Collaborating for an individualized care plan.
  • Facilitating rehabilitation services and educating on stroke prevention.

The results of a stroke can vary widely based on several factors, all of which should be considered within the care plan. The results of a stroke encompass a wide spectrum, ranging from mild, temporary symptoms to severe, lasting disabilities. Comprehensive care, rehabilitation, and ongoing management play crucial roles in minimizing the impact of a stroke and supporting individuals in their recovery journey. A stroke care plan will consider the following factors: 

Severity

The severity of a stroke determines its impact on the individual. A mild stroke might result in temporary weakness or speech difficulties, while a severe stroke can cause significant disability or even death.

Location

The area of the brain affected by the stroke influences the resulting symptoms. For instance, a stroke affecting the motor area might lead to weakness or paralysis on one side of the body. In contrast, a stroke impacting language centers could cause speech difficulties or aphasia.

Recovery and rehabilitation

Some individuals experience partial or complete recovery from stroke symptoms through rehabilitation, which involves physical, occupational, and speech therapy. The extent of recovery varies among individuals and depends on factors like age, overall health, and the promptness of treatment.

Complications

Stroke survivors might face long-term complications such as muscle weakness, cognitive impairments, difficulty swallowing (dysphagia), depression, or increased risk of future strokes. These complications can impact daily life and require ongoing management and support.

Quality of life

Stroke outcomes profoundly affect a person's quality of life. While some individuals regain independence and resume most activities, others might require ongoing assistance with daily tasks or experience limitations in mobility, communication, or cognition.

Prevention and lifestyle changes

The experience of a stroke often prompts lifestyle modifications and preventive measures to reduce the risk of future strokes. This might include changes in diet, exercise, medication adherence, and managing underlying health conditions like hypertension or diabetes.

Research & evidence

The prevalence of strokes and the complications that come with the event have solidified the condition as the second most common cause of death and the third most prevalent cause of disability globally. Annually, 15 million people worldwide experience a stroke, with 5 million of these cases dying, and another 5 million suffering with permanent disability (World Health Organization, 2022).

The instigation of effective treatment for strokes has been shown to prevent long-term disability and ultimately save lives. Facilitating successful care transitions from hospital to in-home care is flagged as a key aspect of nursing competency (Vaughn et al., 2016). Patients who have suffered from a stroke host a variety of complex social and health needs and often require a multidisciplinary team over a long period to instigate and facilitate rehabilitation. By using a clear, easily distributed care plan, all relevant professionals contributing to the patient's recovery can see and edit the framework, reducing the chances of miscommunication or oversight. Comprehensive stroke care has historically focused on the early recognition and treatment during the acute phase, with a heavy focus on medical management during discharge, yet with recent findings, a call is being made to distribute this focus onto the psychosocial issues and emphasize the importance of reintegration into the community (Miller et al., 2019.)

A recent study published in The Lancet Regional Health Western Pacific (Andrew et al., 2023) highlights the pivotal role of chronic disease management strategies in primary care for patients' extended recovery and survival. By examining over 12,000 participants, with a median age of 70, drawn from the Australian Stroke Clinical Registry across 42 hospitals in Victoria and Queensland, the study focused on individuals residing in the community who had survived at least 18 months following a stroke or transient ischemic attack. The results highlighted a significant finding in which individuals with an established management plan with their general practice exhibited a 26% lower mortality rate than those without such a plan. The same study also highlights the importance of effective care planning, with the research indicating that those with a management plan were notably more inclined to adhere to preventive medications (Andrew et al., 2023).

References

Andrew, N. E., Ung, D., Olaiya, M. T., Dalli, L. L., Kim, J., Leonid Churilov, Sundararajan, V., Thrift, A. G., Cadilhac, D. A., Nelson, M. R., Lannin, N. A., Barnden, R., Srikanth, V., & Kilkenny, M. F. (2023). The population effect of a national policy to incentivize chronic disease management in primary care in stroke: a population-based cohort study using an emulated target trial approach. THE LANCET Regional Health, 34, 100723–100723. https://doi.org/10.1016/j.lanwpc.2023.100723

Miller, K. K., Lin, S. H., & Neville, M. (2019). From Hospital to Home to Participation: A Position Paper on Transition Planning Poststroke. Archives of Physical Medicine and Rehabilitation, 100(6), 1162–1175. https://doi.org/10.1016/j.apmr.2018.10.017

Vaughn, S., Mauk, K. L., Jacelon, C. S., Larsen, P. D., Rye, J., Wintersgill, W., Cave, C. E., & Dufresne, D. (2016). The Competency Model for Professional Rehabilitation Nursing. Rehabilitation Nursing, 41(1), 33–44. https://doi.org/10.1002/rnj.225

World Health Organization. (2022). WHO EMRO | Stroke, Cerebrovascular accident | Health topics. World Health Organization - Regional Office for the Eastern Mediterranean. https://www.emro.who.int/health-topics/stroke-cerebrovascular-accident/index.htm

How do you create a Stroke Nursing Care Plan Template?
How do you create a Stroke Nursing Care Plan Template?

Commonly asked questions

How do you create a Stroke Nursing Care Plan Template?

To create a comprehensive nursing care plan for stroke management, simply create a customized plan from the scaffolding provided by Carepatron and cater to the patient's needs through the key aspects of assessment, diagnosis, planning, intervention, and evaluation.

When are Stroke Nursing Care Plan Templates used?

These valuable plan templates can be used at any point of the treatment journey for a patient who has had a stroke to track, monitor, and plan all interventions both by healthcare professionals and the patient themselves.

How are the Stroke Nursing Care Plan Templates used?

Stroke Nursing Care Plan Templates are used as a planning tool for efficient and confident care delivery. They are designed to be customized to meet the individual patient's needs.

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