Neuro – Nursing Diagnosis

Nursing Diagnosis for Ischemic Stroke:

  • Impaired physical mobility related to hemiparesis, loss of balance and coordination, spasticity, and brain injury
  • Acute pain (painful shoulder) related to hemiplegia and disuse
  • Self-care deficits (bathing, hygiene, toileting, dressing, grooming, and feeding) related to stroke sequelae
  • Disturbed sensory perception related to altered sensory reception, transmission, and/or integration
  • Impaired swallowing
  • Total urinary incontinence related  to flaccid bladder, detrusor instability, confusion, or difficulty in communicating
  • Disturbed thought processes related to brain damage, confusion, or inability to follow instructions
  • Impaired verbal communication related to brain damage
  • Risk for impaired skin integrity related to hemiparesis, hemiplegia, or decreased mobility
  • Interrupted family processes related to catastrophic illness and caregiving burdens

 

Nursing Diagnosis for Hemorrhagic Stroke:

  • Ineffective tissue perfusion (cerebral) related to bleeding or vasospasm
  • Disturbed sensory perception related to medically imposed restrictions (aneurysm precautions)
  • Anxiety related to illness and/or medically imposed restrictions (aneurysm precautions)

 

Nursing Diagnosis for Altered Level of Consciousness

  • Ineffective airway clearance related to altered LOC
  • Risk of injury related to decreased LOC
  • Deficient fluid volume related to inability to take fluids by mouth
  • Impaired oral mucous membrane related to mouth-breathing, absence of pharyngeal reflex, and altered fluid intake
  • Risk for impaired skin integrity related to immobility
  • Impaired tissue integrity of cornea related to diminished or absent corneal reflex
  • Ineffective thermoregulation related to damage to hypothalamic center
  • Impaired urinary elimination (incontinence or retention) related to impairment in neurologic sensing and control
  • Bowel incontinence related to impairment in neurologic sensing and control and also related to changes in nutritional delivery methods
  • Disturbed sensory perception related to neurologic impairment
  • Interrupted family processes related to health crisis

 

Nursing Diagnosis for Patient with Increased Intracranial Pressure

  • Ineffective airway clearance related to diminished protective reflexes (cough, gag)
  • Ineffective breathing patterns related to neurologic dysfunction (brain stem compression, structural displacement)
  • Ineffective cerebral tissue perfusion related to the effects of increased ICP
  • Deficient fluid volume related to fluid restriction
  • Risk for infection related to ICP monitoring system (fiberoptic or intraventricular catheter)

Nursing Diagnosis for Craniotomy

  • Ineffective cerebral tissue perfusion related to cerebral edema
  • Risk for imbalanced body temperature related to damage to the hypothalamus, dehydration, and infection
  • Potential for impaired gas exchange related to hypoventilation, aspiration, and immobility
  • Disturbed sensory perception related to periorbital edema, head dressing, endotracheal tube, and effects of ICP
  • Body image disturbance related to change in appearance or physical disabilities

Nursing Diagnosis for Epilepsy

  • Risk for injury related to seizure activity
  • Fear related to the possibility of seizures
  • Ineffective individual coping related to stresses imposed by epilepsy
  • Deficient knowledge related to epilepsy and its control

Nursing Diagnosis for Brain Injury

  • Ineffective airway clearance and impaired gas exchange related to brain injury
  • Ineffective cerebral tissue perfusion related to increased ICP, decreased CPP, and possible seizures
  • Deficient fluid volume related to decreased LOC and hormonal dysfunction
  • Imbalanced nutrition, less than body requirements, related to increased metabolic demands, fluid restriction, and inadequate intake
  • Risk for injury (self-directed and directed at others) related to seizures, disorientation, restlessness, or brain damage
  • Risk for imbalanced body temperature related to damaged temperature-regulating mechanisms in the brain
  • Risk for impaired skin integrity related to bed rest, hemiparesis, hemiplegia, immobility, or restlessness
  • Disturbed thought processes (deficits in intellectual function, communication, memory, information processing) related to brain injury
  • Disturbed sleep pattern related to brain injury and frequent neurologic checks
  • Interrupted family processes related to unresponsiveness of patient, unpredictability of outcome, prolonged recovery period, and the patient’s residual physical disability and emotional deficit
  • Deficient knowledge about brain injury, recovery, and the rehabilitation process

28 Responses to Neuro – Nursing Diagnosis

  1. lifenurses says:

    thanks it’s nice article on stroke

  2. Tahlia says:

    So helpful! Just an FYI… Disturbed thought processes was deleted from the NANDA list in 2008!

  3. fortune says:

    i am so happy to discover we have such a wondersite,i need help,i need a comprehensive nursing care plan for a patient with meningitis and benign prostate hypertrophy,its urgent cos m writing a care study on those conditions

  4. Gyata says:

    It was realy helpful!!!! thank u!!

  5. manoj says:

    it was very helpful to me. thanks a lot!!!!!!!!!!!!!!!!!!!

  6. Sunitha says:

    Very good information, very useful for students like me. Thanks.
    Sunitha

  7. dhannist says:

    it was very helpfull! thanks ..its more interest to learn this!!thanks

  8. Uzokwe Emmanuel Tochukwu says:

    This is too good and serves as a reminder.

  9. evan says:

    thank u so much.it helped me a lot in doing my case study for neurologic patients.i hope u will also provide a sample Nursing Care Plans foe each Nursing Diagnosis so at least we can have a brief overview of a perfect and useful NCP.more power and God bless us always.

  10. powkz says:

    thank you sooooo much,,, it helps a lot to me,,,,,,
    now i can sleep ealier….

  11. it is very useful for me thank u very much

  12. yvette f Gham says:

    Thank you. very helpful

  13. Godfrey Opatile says:

    very helpful and i appreciate that. it helped me a lot to care for my psychiatric patients..keep it up and God bless you as always!!!

  14. Nyc nrsng diagnoses that are self explanation.thank u

  15. susan langdon says:

    thank goodness i am not the only one who needs help! sites like this are invaluable.

  16. Eric Were says:

    Thanks very much. It has reminded me alot. However, it will sound smarter if it is a 3 part nursing diagnosis thus bringing in the probable assessment data of the patient .

  17. dk says:

    very helpful

  18. pardeep says:

    please yr intrvesions v paea kro

  19. Anna says:

    Thank you very much this is an indispensible site for nursing students and RNs

  20. linda says:

    So 8 weeks into nursing program and doing my first careplan on a stroke patient. When I am looking at the diagnostic nursing actions, I want to make sure I am doing them right. My diagnosis is impaired physical mobility related to loss of balance secondary to stroke manifested by limited range of motion, inability to sit up in bed without help, and weakness in legs.

    I want to make sure I am going in the right direction. Any help would be greatly appreciated or suggestions.

  21. clara says:

    awesome site thank u sooo much

  22. Josef Menya says:

    I lov this and I would love to practice this to help our patients here in Uganda.

  23. RICO says:

    JUST THE ONE

  24. Nhamoinesu Justine says:

    Well done

  25. Azeb says:

    It helps me a lot.Very helpful thank u.

  26. such a great site. Thank you, so helpful

  27. mathias says:

    i have been interested much with these diagnoses,my semester exam went and passed like a shadow,thanks

  28. pinky says:

    Very useful

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