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CARE PLAN CONCEPT MAP - Laura Norwalt

CARE PLAN CONCEPT MAP Student Laura Norwalt Date 3/16/13 3/17/18 Key to Coloring (Related color to nursing diagnosis) 1) Acute Pain 2) Impaired skin Integrity 3) Risk for Falls Vitals BP P Resp Temp O2 % Admit 152/92 88 18 F 98 % Pre Clin. 141/79 96 18 F 98 % 0800 131/66 108 14 F 96 % 1200 136/69 88 16 F 95 % 1600 N/A N/A N/A N/A N/A Review of Systems Respiratory Respiration rate 14 breaths/min,unlabored and symmetrical. Bilateral breath sounds of posterior/anterior and upper/lower lobes clear.

Skin/Mucosa Skin is usual for ethnicity, warm, and dry. Mucous membranes pink and moist. Turgor ... By having the nurse or CNA present for ambulation, the patient is less likely to experience ... biopsy - tissue trauma, infection 4) Right AKA (Gould 667) - Removal of right lower

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