Nursing care for clients with cerebrovascular accident

Abstract

Nursing care for cerebrovascular accident (CVA) clients aims to fulfill basic human needs through a comprehensive nursing process—assessment, diagnosis, intervention, implementation, and evaluation—in patients with localized or global neurological dysfunction caused by cerebral infarction. This study aimed to provide nursing care to clients with CVA infarction in the stroke unit of Dr. Soedomo Trenggalek Regional General Hospital. A qualitative descriptive case study was conducted using interviews, observations, physical examinations, and documentation. Findings revealed discrepancies between theoretical nursing care standards and clinical practice, particularly in aspects of medical history, sensory and cognitive assessments, and cranial nerve evaluation. Identified nursing diagnoses included risk for cerebral perfusion impairment related to hypertension, impaired physical mobility due to decreased muscle strength, and impaired verbal communication related to dysarthria. Appropriate nursing interventions were crucial for accelerating recovery and improving the quality of care to prevent complications.