WebPLANNING Short term goal: After 48 hours of rendering nursing intervention, the patient will be able to: Verbalize understanding of condition, therapy regimen and side effects of medications With good capillary refill of 1-2 secs Skin warm and dry Lab values within normal range: Hct- 40-54% Hgb- 14-18 WebMar 23, 2024 · Step 1: Data Collection or Assessment Step 2: Data Analysis and Organization Step 3: Formulating Your Nursing Diagnoses Step 4: Setting Priorities Step 5: Establishing Client Goals and Desired …
Burn Planning – Pheasants Forever - nebraskapf.com
WebOct 11, 2024 · Nursing Care Plan 1. Nursing Diagnosis: Impaired skin integrity related to immobility as evidenced by stage 2 pressure ulcer to the sacrum. Desired outcome: Patient will not experience worsening of pressure ulcer. Wound care differs depending on the type of skin breakdown, location on the body, and size of the wound. WebNursing Care Plan for Ineffective Airway Clearance 1 Cerebrovascular Accident (CVA or Stroke) Nursing Diagnosis: Ineffective airway clearance related to neuromuscular involvement secondary to CVA infarct as evidenced by the presence of abnormal breath sounds and dyspnea options 7.4
Nursing Care Plans (NCP): Ultimate Guide and List
WebSep 23, 2024 · Nursing Care Plan 4. Nursing Diagnosis: Acute pain related to chemical burns on back as evidenced by patient reports burning pain rated 6/10, restlessness when lying down, and antalgic positioning to avoid pressure on back. Desired Outcome: Within 4 hours of nursing interventions, the patient will report pain 3 or less and ability to rest in bed. WebAug 23, 2024 · Burns are injuries of the skin involving the two main layers - the thin, outer epidermis and the thicker, deeper dermis. There are various types of burns. Chemical burns are divided into acid or alkali burns. Alkali burns tend to be more severe causing more penetration deeper into the skin by liquefying the skin (liquefaction necrosis). WebBurns Nursing Care Plans Diagnosis and Interventions Burns NCLEX Review and Nursing Care Plans Burns occur as a result of skin damage secondary to exposure to heat, chemicals, sunlight, electricity, or radiation. Most burns happen accidentally. Burns come in a variety of degrees. optionrom签名