Developing a Recovery Plan for Stroke Patients: A Nurse's Guide to Success

What is the nurse's first action when initiating discharge planning for a client who has had a stroke and is experiencing right-sided weakness?

a) Schedule follow-up appointments
b) Review the medical team's recommendations
c) Assess the client's needs and abilities
d) Discuss rehabilitation goals

Answer:

c) Assess the client's needs and abilities

When initiating discharge planning for a client who has had a stroke and is experiencing right-sided weakness, the nurse's first action is to assess the client's needs and abilities. This assessment is crucial in developing a personalized and effective discharge plan that addresses the patient's unique requirements.

By assessing the client's current condition and abilities, the nurse can identify the level of support and care needed upon discharge. This allows for the creation of a comprehensive plan that may include physical and occupational therapy, home modifications, caregiver training, and education on medication management.

Assessing the client involves conducting a thorough evaluation of the physical condition, including the extent of right-sided weakness, mobility, cognitive and communication abilities, and any deficits resulting from the stroke. Additionally, evaluating the client's functional status in performing activities of daily living and understanding the available support system at home are vital steps in designing a successful recovery plan.

Collaboration with the interdisciplinary healthcare team, discussing rehabilitation goals with the client and their family, and arranging for follow-up care are important aspects of the discharge planning process. By prioritizing the assessment of the client's needs and abilities, the nurse sets the foundation for a smooth transition from the hospital to home or another care setting, ultimately promoting the patient's well-being and recovery.