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Negotiated Care Plan for a Person with Stroke

Resident Name: [Insert Name]

Date of Birth: [Insert DOB]

Date of Admission: [Insert Date]

Primary Diagnosis: Stroke

Other Diagnoses: [List any other conditions]

Care Plan Review Date: [Insert Review Date]

1. Medical and Personal Care Needs

Medication Management: Resident requires assistance with administering prescribed medications, including anticoagulants, antihypertensives, and other stroke-related medications. Staff will monitor adherence and report any side effects to the healthcare provider.

Vital Signs Monitoring: Blood pressure, heart rate, and oxygen levels will be checked daily to manage stroke risk factors.

Physician Appointments: Staff will coordinate and assist with transportation to follow-up medical appointments.

Emergency Plan: Staff will recognize signs of stroke recurrence (F.A.S.T. – Face drooping, Arm weakness, Speech difficulty, Time to call 911) and respond accordingly.

2. Activities of Daily Living (ADLs)

Personal Hygiene: Assistance with bathing, grooming, and dressing as needed.

Mobility Assistance: Use of mobility aids (walker, wheelchair) with staff supervision and support as required.

Toileting Needs: Assistance with toileting, incontinence care, and hygiene as necessary.

Nutrition & Hydration: Meal plans will include stroke-friendly, low-sodium, and high-fiber diets. Assistance with feeding if necessary.

3. Rehabilitation and Therapy

Physical Therapy: Staff will support prescribed physical therapy exercises to improve mobility and strength.

Occupational Therapy: Assistance with adaptive techniques for daily tasks, including using assistive devices.

Speech Therapy: Coordination with speech therapists for communication and swallowing difficulties.

Cognitive Stimulation: Participation in memory games, reading, and problem-solving activities to support brain function.

4. Psychosocial and Emotional Support

Social Interaction: Encouragement to participate in group activities, social events, and family visits.

Mental Health Support: Regular emotional check-ins; referral to counseling services if needed.

Religious & Cultural Needs: Staff will accommodate religious practices and cultural preferences.

5. Safety and Fall Prevention

Home Modifications: Installation of grab bars, non-slip mats, and adequate lighting in living areas.

Supervision: Staff will monitor movement to prevent falls and assist with transfers.

Emergency Call System: Resident will have access to a call button or alert system for emergencies.

6. Family and Resident Preferences

Personal Preferences: [List preferences regarding daily routine, meals, and activities.]

Family Involvement: Family members will be encouraged to participate in care and visits based on the resident’s wishes.

Plan Approval

Resident Signature: __________________________

Family Representative Signature: __________________________

Care Coordinator Signature: __________________________

Date: [Insert Date]

This care plan will be reviewed regularly and updated as needed based on the resident’s condition and preferences.


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