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[DOCX File]AHRQ’s Safety Program for Nursing Homes: On-Time Pressure ...
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Periwound area (skin color, heat/redness, edema, and induration) Granulation tissue. Epithelialization. Ulcer pain. Current stage. Followup ulcer status (improving, no change, worsening) per nursing judgment. Treatments . Adjunctive therapies. Interventions and consultations. The following materials are provided: On-Time Pressure Ulcer ...
skin color assessment for nurses

Comprehensive Assessment Database
Nursing Diagnosis Related to Wound Care. Physical Assessment. Dietary. Problems with Swallowing. Problems with Chewing. Dentures. N/V. Needs Assistance with Feeding. Dehydration. Other. Within Normal Limits for Patient. Tube Feeding. Type of Tube Feeding. ... Urine Color. Urine Clarity ...
dusky vs ashen skin

[DOCX File]Student_________________________ Clien
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Skin warm to touch: Yes No . Skin Color: Normal For Ethnic Group . Abnormal: Pale Dusky Cyanotic. Color of nail beds: Pink Blue or Grey . Dyspnea: At Rest On Exertion Chest Pain . Temperature: Enter Temp. Radial pulse rate: Enter pulse Apical pulse rate: Enter pulse. Blood pressure: Enter B/P Resps/min: Enter Respiration
dusky skin assessment

[DOC File]Nursing Process Focus: Hydrochlorothiazide*
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Instruct the patient to immediately report: angina-like symptoms: chest, arm, back and/or neck pain, palpitations, faintness, dizziness, drowsiness, any sensation of cold, numbness, tingling, pale or dusky look to the hands and feet. headache or signs of stroke: …
ashen vs dusky skin color

[DOC File]Department of Medical Nursing, Faculty of Nursing, Chiang ...
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Abnormal skin color (pale, dusky) Altered tissue perfusion (cardiac) r/t imbalance between oxygen demand and supply. Defining characteristics of altered cardiac tissue perfusion includes: Altered respiratory rate (shortness of breath, dyspnea) Use of accessory muscles to breath
ashen skin color nursing

[DOC File]Nursing III - SUNY Orange
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Nursing III. Student: Date: Client’s initials: Gravida: Living children ages: ... Skin Color: Normal for ethnic group . Abnormal: Pale Dusky Cyanotic . Color of Nailbed: Dyspnea: at rest on exertion Chest pain . Temperature: Radial pulse: Apical pulse: Blood pressure: Resps/min: ... Skin turgor over sternum: Tongue and lips: Amount of liquids ...
dusky vs pale

[DOC File]mydsn.net
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Nursing diagnosis related to X as evidenced by Y and Z. General format for a potential or “at risk” diagnosis: Nursing diagnosis related to X. The nursing diagnosis statement is written using the PES (problem, etiology, signs/symptoms) format: P. roblem . Nursing diagnosis . E. tiology or cause of problem. The "related to" portion of the ...
dusky skin color medical

[DOC File]SOAP
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1. Right calf is dusky-purple in color. There is no erythema. Skin intact without open areas or drainage. Skin is very dry with white, flakey peeling skin over surface. There is 1-2 + non-pitting edema at ankle. Dorsalis pedis pulses 1+ bilaterally. Feet are warm. Circumference of calf appears equal in size to the left. Negative Homan’s ...
skin color descriptions nursing

[DOC File]Trinity Valley Community College Homepage
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Pale, Dusky Blotchy, Jaundiced +1 Cyanotic Nailbed, Lips, Skin 0 TOTAL SCORE RESULTS OF POST-ANESTHETIC SCORE. OPTIMUM SCORE – 10. Patient may be discharged from R.R. with scores of 8,9, or 10. Nursing judgment must be utilized.
skin color assessment for nurses

[DOC File]Florida Gulf Coast University
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Florida Gulf Coast University College of Health Professions School of Nursing. Nursing 3465C: Client Care Worksheet. Student: _____Date(s) of Client Care:_____ Date Turned In: _____ This form is completed on one person for whom you provided care for each week.
dusky vs ashen skin

Nursing dusky skin color