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annotated-ALBOS_NCP-3-ROMEO.pdf - NCP 3 ROMEO SUBJECTIVE...

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NCP 3 ROMEOSUBJECTIVE DATA:"Masakit at nahihirapan akong dumumi parang may nakalawit na balat dito sa pwet ko"(I've been having trouble / pain pooping, itseems that there's a skin protruding at my anus)as verbalized by the patient.OBJECTIVE DATA:Pt. Name: Romeo GarciaAge: 18 y/oGuarding behaviorRestlessnessFacial mask of painV/S taken as follows:Temp - 37.2OCPR - 95RR - 20BP - 130/80Instructions:Formulate 1 nursing care plan BASED ON THE GIVEN ASSESSMENT.
AssessmentNursingDiagnosisPlanningImplementation/InterventionRationaleEvaluationSUBJECTIVE:"Masakit at nahihirapanakong dumumi parangmay nakalawit na balatdito sa pwet ko" (I've beenhaving trouble/painpooping, it seems thatthere's a skin protruding atmy anus) as verbalized bythe patient.OBJECTIVE:Pt. Name: Romeo GarciaV/S taken asfollowsTemp -37.2OCPR - 95 BPMRR - 20CPMBP - 130/80Hemorrhoidsas evidencedby havingtrouble/painand skinprotruding inthe anus.Increasedpulse rate andelevated bloodpressure,Lumpiness,discomfortand itching inthe analregion. Thepain (acute orchronic) isrelated torectal swellingand prolapse.

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Term
Fall
Professor
NoProfessor
Tags
Rectum

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