The Nursing Process

    Case Study L.P. is a 62-year-old woman with a history of hypertension and hyperlipidemia who presented to a primary stroke center with sudden onset weakness of the right side. On assessment, she had aphasia, left gaze preference, right hemianopsia, right facial droop, dysarthria, and right hemiplegia (Stroke Scale = 22). Head CT angiography showed a left middle cerebral artery occlusion. She was given Alteplase intravenous tPA at 2 hours from symptom onset and transferred to a comprehensive stroke center. She also underwent mechanical thrombectomy. Three months later she had no neurological deficits. Assignment Instructions Please complete the following case study analysis utilizing the following: The Nursing Process: A – Assessment D - Diagnosis (Use NANDA nursing diagnoses) P – Plan (Outcome with a specific short and long term goal) I – Implementation E - Evaluation Additional Information to include if applicable: Medication (class, mechanism of action, dosage [standard if not provided], indication, side effects, contraindications)