Mr C is 58 and has been transferred to a rehabilitation unit following a stroke which has caused right-sided weakness. Mr C can walk a few steps with sticks and can transfer from the bed to the chair with assistance. He has no swallowing problems although his appetite is poor. He is uncommunicative and repeats certain phrases such as "What's the time?".
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1. What would be the likely health needs of the patient?
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Correct answer:
Patient priorities are likely to be to resume daily activities and be able to go home quickly.
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2. List three health promotion activities of the nurse working with this patient.
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Correct answer:
- Participation and involvement: involving the patient/client in their health care plan including for example, how to use a dosset box so he can remember to take his medication.
- Lifestyle advice: offer a short focused intervention to Mr C and family, skills to decrease risk factors on safe drinking levels and the importance of weight control.
- Signposting: providing information to Mr C and his family about support organizations such as the Stroke Association and its health promotion material and referral information to community programmes on patient's needs (e.g. smoking, walking, cooking, hobby groups that may aid communication).
