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Edema +4 in the index finger. Ring cannot fit anymore into the index finger. Skin pigmentation change. Disruption of skin surface. When palpated tenderness occur. After 7 days of nursing intervention the client will be able to Display timely healing of skin lesion, pressure sores without complication Maintain optimal nutrition / physical well-being. "Ah, kaya pala ganito, alam ko na ang mga gagawin
Edema +4 in the index finger. Ring cannot fit anymore into the index finger. Skin pigmentation change. Disruption of skin surface. When palpated tenderness occur. After 7 days of nursing intervention the client will be able to Display timely healing of skin lesion, pressure sores without complication Maintain optimal nutrition / physical well-being. "Ah, kaya pala ganito, alam ko na ang mga gagawin
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Edema +4 in the index finger. Ring cannot fit anymore into the index finger. Skin pigmentation change. Disruption of skin surface. When palpated tenderness occur. After 7 days of nursing intervention the client will be able to Display timely healing of skin lesion, pressure sores without complication Maintain optimal nutrition / physical well-being. "Ah, kaya pala ganito, alam ko na ang mga gagawin
Copyright:
Attribution Non-Commercial (BY-NC)
Verfügbare Formate
Als DOCX, PDF, TXT herunterladen oder online auf Scribd lesen
Subjective: Impaired skin Edema is caused by Independent: Partially
“Minamanas integrity reduce circulation Long term outcome: achieved ang daliri ko related to into the extremities After 7 days of nursing • Assist the client in • Enhances commitment tignan mo oh” reduced due to uterine intervention the client understanding and to plan optimizing The client was as verbalized circulation pressure and general will be able to the following outcomes able to Verbalize by the client. into the fluid retention. • Display timely medical regimen feelings of extremities as healing of skin and developing increased self- evidence by Reference: maternal lesion, pressure program of esteem and edema on her and child volume one sores without preventive care and ability to manage Objective: finger 5th edition chapter 11 complication daily maintaining. situation. page 285 • Maintain optimal Edema +4 in nutrition/physical “ah, kaya pala the index well-being • Emphasize the • Impede lower ganito, alam ko finger. importance of extremity na ang mga Short outcome: proper fit clotting circulation and gagawin ko Ring cannot fit After 2 days of nursing venous return. ngayon”, as anymore into intervetion, the client will • Put feet high verbaluzed by the index be able to: • To reduce the patient. whenever possible finger. pressure to • Verbalize • Take regular breaks veins. Skin feelings of from sitting or pigmentation increased standing change. self-esteem • A short walk and ability to every so often Disruption of manage collaborative: will help keep skin surface. situation blood When • Assess blood circulating. palpated supply and tenderness sensation of occur. affective area. • To evaluate actual/potential for impairment of circulation to lower extremities.