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Archive for November, 2009 ↓

Sleep Pattern Disturbance

Sleep Pattern Disturbance (_)Actual (_) Potential Related To: [Check those that apply] (_) Impaired oxygen transport (_) Impaired elimination (_) Impaired metabolism (_) Immobility (_) Medication (_) Hospitalization (_) Lack of exercise (_) Anxiety response (_) Life-style disruptions (_) Other:_____________________________ ____________________________________ ____________________________________   As evidenced by: [Check those that apply] Major: (Must be present) (_) […]

Social Isolation

Social Isolation (_)Actual (_) Potential   Related To: [Check those that apply] (_) Death of s/o (_) Divorce (_) Substance abuse (_) Illness:____________________________ ____________________________________ (_) Other:_____________________________ ____________________________________ ____________________________________   As evidenced by: [Check those that apply] Major: (Must be present) (_) Expressed feelings of unexplained dread or abandonment (_) Desire for more contact with people […]

Spiritual Distress

Spiritual Distress (_)Actual (_) Potential Related To: [Check those that apply] (_) Pain (_) Trauma (_) Loss of body part/function (_) Terminal illness (_) Death of s/o (_) Unable to practice religious rituals (_) Other:_____________________________ ____________________________________ ____________________________________   As evidenced by: [Check those that apply] Major: (Must be present) (_) Experiences a disturbance in belief […]

Violence

Violence (_)Actual (_) Potential Related To: [Check those that apply] (_) Acute agitation (_) Poor impluse coordination (_) Mania (_) Feelings of helplessness (_) Other:_____________________________ ____________________________________ ____________________________________   As evidenced by: [Check those that apply] Major: (Must be present) (_) History of harm to others (_) Destruction of property (_) Overt aggressive acts Minor: (May […]

Alteration in Bowel Elimination: Diarrhea

Alteration in Bowel Elimination: Diarrhea (_)Actual (_) Potential Related To: [Check those that apply] (_) Inflammation of bowels (_) Colon mucosa ulceration (_) Fecal impaction (_) Gastric bypass (_) Infant – breast fed (_) Decreased sphincter reflexes (_) Allergies (_) Medications_______________________ ____________________________________ (_) Stress/anxiety (_) Tube feedings (_) Decreased tolerance to dietary program: ____________________________________ ____________________________________ […]

Alteration in Bowel Elimination: Constipation

Alteration in Bowel Elimination: Constipation (_)Actual (_) Potential Related To: [Check those that apply] (_) Malnutrition (_) Metabolic and endocrine disorders (_) Sensory/motor disorders (_) Stress (_) Immobility (_) Inadequate diet (_) Irregular evacuation pattern (_) Drug side effects (_) Pain (upon defecation) (_) Pregnancy (_) Surgery (_) Lack of privacy (_) Dehydration (_) Other:_____________________________ […]

Activity Intolerance

Activity Intolerance (_)Actual (_) Potential Related To: [Check those that apply] (_) Alterations in O2 transport (_) Chronic disease:____________ ____________________________ (_) Depression (_) Diabetes Mellitus (_) Fatigue (_) Lack of motivation (_) Malnourishment (_) Pain (_) Prolonged immobility (_) Stressors (_) Other:_____________________________ ____________________________________ ____________________________________   As evidenced by: [Check those that apply] Major: (Must be […]

Nursing Station

The Nursing Station is the central hub for nurses. It is the central hubof the floor. All nursing activities begin and end in The Nursing Station.

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