The primary nursing care plan goals for patients with stroke depend on the phase of CVA the client is in. During the acute phase of CVA, efforts should focus on survival needs and prevent further complications. Care revolves around efficient continuing neurologic assessment, support of respiration, continuous monitoring of vital signs, careful positioning to avoid aspiration and contractures, management of GI problems, and monitoring of electrolyte and nutritional status. Nursing care should also include measures to prevent complications. Listed below are 12 nursing diagnoses for stroke (cerebrovascular accident) nursing care plans: Risk for Ineffective Cerebral Tissue Perfusion Impaired Physical Mobility Impaired Verbal Communication Acute Pain Ineffective Coping Self-Care Deficit Risk for Impaired Swallowing Activity Intolerance Risk for Unilateral Neglect Deficient Knowledge Risk for Disuse Syndrome Risk for Injury Other Nursing Diagnosis