Second Trimester - SecondTrimester NURSINGDIAGNOSIS:...

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Second Trimester NURSING DIAGNOSIS: Body Image, risk for disturbance Risk Factors May Include: Perception of biophysical changes, responses of others Possibly Evidenced By: [Not applicable; presence of signs/symptoms establishes an  actual  diagnosis] DESIRED OUTCOMES/EVALUATION  Verbalize gradual acceptance/adaptation to  CRITERIA—CLIENT WILL: changing self-concept/body image. Demonstrate a positive self-image by maintaining an overall  satisfactory appearance; dress in appropriately fitting clothes and  low-heeled shoes. ACTIONS/INTERVENTIONS RATIONALE Independent Review/assess attitude toward pregnancy,  In the second trimester,the changing body  changing body shape, and so forth. (Refer to CP:   contours are readily visible. Negative responses to  First Trimester; ND: Body Image disturbance.) such changes may occur in the client/couple whose  fragile self-concept is based on physical appearance.  Other visible effects caused by prenatal hormones  such as chloasma, striae gravidarum, telangiectasia  (vascular spiders), palmar erythema, acne, and  hirsutism can contribute to the client’s emotional  changes. These feelings may affect how she deals  with the changes that are occurring. Discuss physiological aspects of, and client’s  Individuals react differently to the changes that  response to, changes. Provide information about  occur, and information can help the client  normalcy of changes. understand/accept what is happening. Suggest styles and available sources of maternity  Individual circumstances dictate needs for  clothing. clothing that will enhance the client’s appearance for  work and leisure activities. Discuss methods of skin care and makeup (to  Learning about, and being involved in, ways to  minimize/hide darkened areas of the skin), the use  look and feel better may be helpful for maintaining  of support hose, maintenance of posture. positive feelings about the self. Collaborative Refer to other resources, such as classes in childbirth  May be helpful in providing additional support  education and parenting or counseling. during this period of change; identifies appropriate  role models.
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NURSING DIAGNOSIS: Breathing Pattern, ineffective May Be Related To: Impingement of the diaphragm by the enlarging uterus Possibly Evidenced By: Complaints of shortness of breath, dyspnea, changes in respiratory  depth DESIRED OUTCOMES/EVALUATION  Report decrease in frequency/severity of  CRITERIA—CLIENT WILL: complaints.
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This note was uploaded on 02/01/2011 for the course PNR 182 taught by Professor Toole during the Spring '10 term at Orangeburg-Calhoun Technical College.

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Second Trimester - SecondTrimester NURSINGDIAGNOSIS:...

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