Fluid volume excess related to the disease conditon
Risk for infection related to diabetic ulcer as evidenced by warmth in upper extrimities
Risk for bed sore related to bedridden
Poor knowledge related to the illness as evidenced by poor control of dibetes
Anxiety related to disease condition
I need a nursing diagnosis for the following: GI: H/O DM. GU: Stage 4 Chronic Kidney...
Please! I need help creating nursing diagnoses for the following: Vital Signs: BP 137/50, P 82, R 15, Temp 36.5 C, PO2 99% on 100% room air (Would this have a nursing diagnosis???) Neurological: A & O x 4, pain 0/10. H/O CVA with mild residual dysarthria. Unsteady gait. (Diagnosis for the CVA/dysarthria and unsteady gait?) GI: H/O DM. BM 2x/day. The abdomen is soft, tender, and nondistended. Bowel sounds are normoactive in all four quadrants. The patient is on...
I need the codes and the codes in the correct sequence 4. OFFICE Gender: M Age: 45 Reason for encounter: HIV positive patient with no related conditions presents with dysuria, weakness and fever Assessment: Urosepsis (UTI) d/t E. coli (non-Shiga toxin-producing) Plan: Antibiotics Tip: Urosepsis is not sepsis or septicemia. Refer to OGCR I.C.1.a.2)(d) and I.C.1.b. 3 ICD-10-CM Codes 5. INPATIENT HOSPITAL Gender: F Age: 77 Reason for admission: Admitted from SNF 1 day post-hospital-discharge with 102° F fever, dyspnea,...
please help me fill out Database based on Case Study w the case stady for patient Concept Map Case Study Mr. Al Soto is a 67 year old Hispanic male admitted with the medical diagnosis of hyperglycemia secondary to uncontrolled non-insulin type diabetes mellitus (DM). Mr. Soto has been diagnosed with DM for two years and has been controlled with diet, exercise, and oral hypoglycemic medications. Mr. Soto admits to forgetting to take his medications despite a home care nurse...
Record Number: 84-50-77 Age: 53 Gender: Male Length of Stay: 6 Days Service Type: Inpatient Discharge Status: To Home Diagnosis/Procedure: Atherosclerosis Coronary Arteries. Unstable Angina. Double Coronary Artery Bypass. DISCHARGE SUMMARY PATIENT: JED INPATIENT RECORD NUMBER: 84-50-77 ADMITTED: 06-15-XX DISCHARGED: 06-20-XX PHYSICIAN: DR. ALEX, M.D. DIAGNOSIS: Atherosclerosis coronary arteries with chronic total occlusion. Unstable angina. Congestive heart failure, combined systolic and diastolic, chronic. PROCEDURE: Coronary artery bypass graft x 2. HISTORY OF THE PRESENT ILLNESS: The patient is a 53-year-old...
Use the answer sheet provided for the project to identify which (if any) of the events or sitautions described happened in each cases. Use our report template to create a report for the medical staff review committee. Under conclusion discuss one process change that can be implemented to reduce risk exposure and provide at least two ways in which change can be managed smoothly when implementing the new process. Presume you are a data analyst in the hospital health information...