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

48 thoughts on “Neuro – Nursing Diagnosis”

  1. 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

  2. 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.

  3. 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!!!

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

  5. 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 .

  6. 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.

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

  8. many have benefit and many are still benefiting including myself. very helpful indeed.

  9. questions are very helpful…do you have more? especially regarding cardiac medications and more questions on hemodynamics…do you have examples of concept maps? we have to do them for clinical and i’m having a hard time…so anyone out there that can help that would be great

  10. I have leant a lot from these diagnosises I had some problems conceaning diagnosises on head injury

  11. Thanx alot for the educative information, but please include for example: ineffective airway clearance and impaired gas exchange related to brain injury as evidenced by difficulties in breathing etc.

  12. THANKS FOR GOOD WORK, MAY YOU INCLUDE POSSIBLE EVIDENCES NEXT TIME FOR MENTIONED ABOVE NURSING DIAGNOSIS.

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