Details

Care Plan Detail

At risk for developing a pressure ulcer due to [specify].

Description
A patient's heightened risk ... Please Login or Join to access this information
Record Id
211
Code
00211
Downloads
241
References
Gill, F. L., & Reddy, K. (2018). Pressure ulcer prevention in high-risk postoperative cardiovascular patients. Critical Care Nurse, 38(4), 44–53. https://doi.org/10.4037/ccn2018412
Tricco, A. C., Antony, J., Vafaei, A., Khan, P. A., Harrington, A., & Cogo, E. (2021). Seeking effective interventions to treat complex wounds: an overview of systematic reviews. BMC Medicine, 19, 33. https://doi.org/10.1186/s12916-020-01851-0

Outcomes

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Will maintain skin integrity, ... Please Login or Join to access this information
Description: Client will keep ... Please Login or Join to access this information
Rationale: Maintaining skin integrity ... Please Login or Join to access this information
Record Id
1542
Downloads
12,924
Evaluate in days
90
Evaluation Date
06/15/2026
Outcome References
Wei, J., Jiang, H., Gao, Y., Chen, J., & Zhang, Y. (2020). Impact of PICC (Peripherally Inserted Central Catheters) assisted with ultrasound on catheter-related infection and occlusion among cancer patients. Journal of Infection and Public Health, 13(2), 284-288. https://doi.org/10.1016/j.jiph.2019.09.014
Labeau, S. O., Van de Vyver, K., Brusselaers, N., Vogelaers, D., & Blot, S. I. (2017). Prevention of ventilator-associated pneumonia with oral antiseptics: a systematic review and meta-analysis. The Lancet Infectious Diseases, 17(11), 1128-1137. https://doi.org/10.1016/S1473-3099(17)30412-6

Actions

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Observe and record condition ... Please Login or Join to access this information
Description: Monitor the client's ... Please Login or Join to access this information
Rationale: Regularly monitoring skin ... Please Login or Join to access this information
Record Id
1589
Downloads
21,492
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Use caution when transferring ... Please Login or Join to access this information
Description: Encourages careful client ... Please Login or Join to access this information
Rationale: Moving cautiously in ... Please Login or Join to access this information
Record Id
1590
Downloads
21,492
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Keep skin clean and ... Please Login or Join to access this information
Description: Involves maintaining client's ... Please Login or Join to access this information
Rationale: Keeping skin clean ... Please Login or Join to access this information
Record Id
1591
Downloads
21,492
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Provide pressure redistribution surface ... Please Login or Join to access this information
Description: Involves offering adaptable ... Please Login or Join to access this information
Rationale: Pressure redistribution surfaces ... Please Login or Join to access this information
Record Id
1592
Downloads
21,492
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Check frequently for bowel ... Please Login or Join to access this information
Description: Monitor regularly for ... Please Login or Join to access this information
Rationale: Regular checks for ... Please Login or Join to access this information
Record Id
1593
Downloads
21,492
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Body audits per protocol. ... Please Login or Join to access this information
Description: Body audits per ... Please Login or Join to access this information
Rationale: Body audits per ... Please Login or Join to access this information
Record Id
2099
Downloads
21,492
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Assess/record/report to MD prn ... Please Login or Join to access this information
Description: Involves monitoring and ... Please Login or Join to access this information
Rationale: Monitoring and recording ... Please Login or Join to access this information
Record Id
2100
Downloads
21,492
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Administer medications and treatments ... Please Login or Join to access this information
Description: Involves delivering prescribed ... Please Login or Join to access this information
Rationale: Administering medication as ... Please Login or Join to access this information
Record Id
2101
Downloads
21,492
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Obtain and monitor lab/diagnostic ... Please Login or Join to access this information
Description: Involves securing and ... Please Login or Join to access this information
Rationale: It ensures accurate ... Please Login or Join to access this information
Record Id
2102
Downloads
21,492
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Provide diet, supplements, extra ... Please Login or Join to access this information
Description: Involves administering a ... Please Login or Join to access this information
Rationale: Providing the right ... Please Login or Join to access this information
Record Id
2103
Downloads
21,492
Action References
Peres, B., Craig, Z., & Harb, L. (2017). The efficacy of antipyretic administration to children receiving intravenous fluids at room temperature for treatment in the emergency department. Journal of Advanced Nursing, 73(4), 890-896. https://doi.org/10.1111/jan.13186
Oguz, R., DiNino, E., & Padbury, J. F. (2018). The effectiveness of room temperature i.v. fluids versus warmed i.v. fluids on maternal temperature during cesarean delivery. Journal of Obstetric, Gynecologic & Neonatal Nursing, 47(6), 756-765. https://doi.org/10.1016/j.jogn.2018.09.003
Bauer, K. A., West, J. E., Balada-Llasat, J. M., Pancholi, P., Stevenson, K. B., & Goff, D. A. (2018). An Antimicrobial Stewardship Program’s Impact with Rapid Polymerase Chain Reaction Methicillin-Resistant Staphylococcus aureus/S. aureus Blood Culture Test in Patients with S. aureus Bacteremia. Clinical Infectious Diseases, 57(8), 1232-1237.
Woll, A., LaChapelle, C., Qian, S., Parmanto, B., & McCue, M. P. (2021). Proactive Interoperable Health Information Technology Infrastructure for Disaster Preparedness Based on Cloud Computing. Healthcare Informatics Research, 27(1), 45-54. https://doi.org/10.4258/hir.2021.27.1.45
Demir, F., Khorshid, L. (2018). The Effect of Using an Infusion Pump on the Pain and Anxiety Experienced by Patients: A Randomized Controlled Trial. Pain Management Nursing, 19(3), 201-211. https://doi.org/10.1016/j.pmn.2017.11.001
Lavdaniti, M., Tsitsis, N. (2019). Nursing Assessment of Patients Receiving Intravenous Therapy. The Journal of Vascular Access, 20(2), 117-122. https://doi.org/10.1177/1129729818779521
Hugill, K. (2018). Vein care: Preventing infection in IV therapy. Nursing Times, 114(2), 52-54.
Infusion Nurses Society. (2020). Infusion therapy standards of practice. Journal of Infusion Nursing, 43(1S), S1-S224. doi:10.1097/NAN.0000000000000355
Reed, K., & Lowell, J. (2018). Recognizing fluid overload: factors identifying cardiac decompensation in patients resulting in hospital readmissions. Journal of the American Association of Nurse Practitioners, 30(2), 78-84. https://doi.org/10.1097/JXX.0000000000000045
Ingram, P., & Lavery, I. (2017). Prevention of hospital-acquired hyponatremia: A case for providing comprehensive, patient-centered care. Journal of Clinical Nursing, 26(1-2), 13-22. https://doi.org/10.1111/jocn.13463