as
reated t o
-
light
ae
Interventions
to
as
to
per evaluation
bathroem
light when
to not
Pahient
No Itervetion neede
Updated
35
eetout+
wihow ass.otance
Pattent
near
Patien+ Used cal
needes
of
Coner2: Tisue Legrity
ar related to
Pakent
79
R 1 BP:go/42
-
in
Rom bera Postive
heart.
-Nomurmurs auscultutes
clear lung Sound
HR
vtal Sians
Patren Alertress,
Head to Toe Assessment:
*o r e v e
and aires.
dressin
of
tighthy apped gase
Tumed red and Swollen becanse
Paticnts sfn arond
ehenae
drecSn
a « e oreownd
b i a uPon nexF
loosy wrap
Updated Interventions as per evaluation
-
Evaluation methods and results:
S i n ad +issne damge or inec
-Keep Dresina D
freque tly
-Tnspec+ skin far Seli
Patient Teaching:
-Change atients dressin
adwited witm
g h e r ond hiqh
History:
-Ulkers on dista
Tiba
wwetd Lound desinaPtiCnt had unknown infection
Assessments and Data related to the concept:
with hgh wBc of 7.6
Pathophysiology for patient teaching
Bed Alarm is Countiuslyec, with mild Confrsion
-nd Wounds o n g
ibia
Evaluation methods and results:
of bed
Teach
Patient Teaching:
Calt
On
Ma ke Sure
Interventions:
Morse fal Scale
-Tjury to ight +ibia
Assessments and Data related to the concept:
Lmpure nability
Concep+1: Safet
7.5
180
X a y indicated
ibial froturee
Assessments and Data related to the concept:
hove
infaton
hree weeks.
ro
in
-
Patier Rated Pn 6 outof
ST: Patient glacase will emain betee Interventions:
Concept #3he e
LT atient
wil
t h e next 244 hrs.
lo.
skin wil remain dey swihin i n R a eawitmin one year.
the nex+ maunth
Concept
#2
ST:hient
LTRatent will ceprt no in jcy in
ST Atcnt will hawe no all durig vis
Concept #1
Goals:
as related to
Concept #4ain
+thia fadare
Evaluation methods and results:
1 3o
new Loterventiens
eeded
No
Updated Interventions as per evaluation findings.
to
eeed in limit F Pain
nd discomfoct w min
thea next two weelS
incrcase funchian witho
Pter
+
hs
s
aut
No interventren nseded.
Updated Interventions as per evaluation
0
Patient rated i n
Evaluation methods and results:
I30-to for the neyt 72 hrs Adminster Acetaninophen as P
Adninster insulin as prescribe LT:
Pahient A.c will drep ts 6.9
PCP oder
by Pcp
Concept #4wthin 3 Mortth
Erssre patient is on d.qbetic diet
ST:Patietwil
o
ae
Patient Teaching:
Patient Teaching:
| 0 within the Pan o
nextS hrs TEach Rattent haw to use ather
Teach utient haw to uce glucsse
LT: Paient willGradually
Methods oP pn releif.
monifor
Interventions:
Accucheck leel of
A,c level of
Assessments and Data related to the concept:
Paticnt alwese leel droped
-
-
Concept #3 Guae Rqultas related to
2rab etes.