rehab : nursing care plan for spinal and brain injury – Flashcards
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grieving related to loss of function
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nursing diagnosis for spinal cord injury?
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patient will acknowledge disability
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patient goals and epected outcomes
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offer guidance and support through warly stage of grieving
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nursing interevention for greiving
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patient is able to verbalize his distress with his altered lifestlye
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evaluation for greving
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imparied bed mobility related to inability to move the body purposefully
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nursing diagnosis for spinal cord injury
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will be able to perform independent bed mobility skills
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patient goal and outcome for spinal cord
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instruct and assit the patient in maximizing his ability to move around in the enviroment
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nursing interventions
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achieve optimal independence in transfers from one surface to another
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evaluation of spinal cord injury
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assit the patient in maintaining optimal body alignment to promote skin integrity and prevent contracture
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nursing interevention for spinal cord injury
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guide realistic goal setting and planning to meet goals
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nursing interevention for spinal cord injury
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decreased intracranial adapative capacity
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nursing diagnosis for brain injury
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will provide accurate responses to orientation testing
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patient goals for brain injury
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will have increased attention span
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patient goal for brain injury
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implement memory training program
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nursing intervention for brain injury
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patient is able to fallow 3 step command consistently
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evaluation for brain injury
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risk for injury ralted to neurologic deficit resulting in impaired judgement
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nursing diagnosis for brain injury
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will demonstrate an awarness of potential safety hazards
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expected outcome for brain injury
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initiate appropriate safety precautions to protect patient from injury
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nursing intervention for brain injury
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assume nothing: review review review
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nursing intervention for brain injury
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periodically evaluate and document patient's progress toward prevention of injury
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evaluation for brain injury
