Ineff Perph Perf (2)

Ineff Perph Perf (2) - UNIVERSITY OF NORTH ALABAMA COLLEGE...

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UNIVERSITY OF NORTH ALABAMA COLLEGE OF NURSING ADULT HEALTH NURSING 1 - NU 304 DATE OF CLINICAL EXPERIENCE: 10/11/10 NURSING PROCESS FORM STUDENT’S NAME: Kim Biro Nursing Diagnosis Goals (Planning) (3) Nursing Interventions Rationale for Interventions * must list sources Evaluation of Goals Risk for Ineffective Peripheral Tissue Perfusion related to decreased venous flow secondary to post-operative immobility. Given the prescribed nursing care, the patient will maintain effective peripheral tissue perfusion during her hospital stay AEB: 1. Absence of cyanosis in the extremities. 2. Palpable peripheral pulses; grade 2+. 3. Skin in the extremities will remain warm. 4. Capillary refill of less than 3 seconds. 5. No peripheral edema. 6. Patient remains free of signs of DVT, including calf hardness or tenderness. Resources: Swearingem, Pamela. (2008). All-in-One Care Planning Resource. (2 nd Edition). St. Louis, MO: Mosby, Inc.
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This note was uploaded on 10/06/2011 for the course NU 314 taught by Professor Rock during the Spring '11 term at North Alabama.

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Ineff Perph Perf (2) - UNIVERSITY OF NORTH ALABAMA COLLEGE...

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