Care Plan Detail

Client has tracheostomy. At risk for complications including respiratory distress, increased secretions, wt loss, infection.

Description
A tracheostomy patient faces ... Please Login or Join to access this information
Record Id
230
Code
00230
Downloads
29

Outcomes

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Will demonstrate clear and ... Please Login or Join to access this information
Description: Client will exhibit ... Please Login or Join to access this information
Rationale: Achieving clear, equal ... Please Login or Join to access this information
Record Id
234
Downloads
4856
Evaluate in days
30
Evaluation Date
04/20/2025
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Will have WBC Count ... Please Login or Join to access this information
Description: Client will achieve ... Please Login or Join to access this information
Rationale: Maintaining the client's ... Please Login or Join to access this information
Record Id
236
Downloads
4856
Evaluate in days
30
Evaluation Date
04/20/2025
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Will have no abnormal ... Please Login or Join to access this information
Description: Client will show ... Please Login or Join to access this information
Rationale: Ensuring no abnormal ... Please Login or Join to access this information
Record Id
237
Downloads
4856
Evaluate in days
30
Evaluation Date
04/20/2025
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Will maintain or increase ... Please Login or Join to access this information
Description: The client will ... Please Login or Join to access this information
Rationale: Maintaining or increasing ... Please Login or Join to access this information
Record Id
238
Downloads
4856
Evaluate in days
30
Evaluation Date
04/20/2025

Actions

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Assess respiratory rate, depth, ... Please Login or Join to access this information
Description: This nursing care ... Please Login or Join to access this information
Rationale: Monitoring respiratory rate ... Please Login or Join to access this information
Record Id
1686
Downloads
4856
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Monitor vital signs as ... Please Login or Join to access this information
Description: This nursing care ... Please Login or Join to access this information
Rationale: Monitoring vital signs ... Please Login or Join to access this information
Record Id
1687
Downloads
4856
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Assess level of consciousness, ... Please Login or Join to access this information
Description: This nursing care ... Please Login or Join to access this information
Rationale: Regular assessment of ... Please Login or Join to access this information
Record Id
1688
Downloads
4856
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Encourage to cough and ... Please Login or Join to access this information
Description: This nursing care ... Please Login or Join to access this information
Rationale: Coughing and deep ... Please Login or Join to access this information
Record Id
1689
Downloads
4856
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Suction as necessary; when ... Please Login or Join to access this information
Description: This nursing care ... Please Login or Join to access this information
Rationale: Suctioning helps clear ... Please Login or Join to access this information
Record Id
1690
Downloads
4856
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Follow universal precautions when ... Please Login or Join to access this information
Description: Implement standard safety ... Please Login or Join to access this information
Rationale: Following universal precautions ... Please Login or Join to access this information
Record Id
1691
Downloads
4856
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Administer humidified O2 as ... Please Login or Join to access this information
Description: This nursing care ... Please Login or Join to access this information
Rationale: Administering humidified O2 ... Please Login or Join to access this information
Record Id
1692
Downloads
4856
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Maintain hydration (2-3 liters/day) ... Please Login or Join to access this information
Description: This nursing care ... Please Login or Join to access this information
Rationale: Keeping hydrated aids ... Please Login or Join to access this information
Record Id
1693
Downloads
4856
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Monitor intake & output ... Please Login or Join to access this information
Description: This nursing care ... Please Login or Join to access this information
Rationale: Monitoring intake and ... Please Login or Join to access this information
Record Id
1694
Downloads
4856
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Ensure that tracheostomy ties ... Please Login or Join to access this information
Description: This nursing care ... Please Login or Join to access this information
Rationale: Securing tracheostomy ties ... Please Login or Join to access this information
Record Id
1695
Downloads
4856
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Assess tracheostomy incision for ... Please Login or Join to access this information
Description: This nursing care ... Please Login or Join to access this information
Rationale: Checking the tracheostomy ... Please Login or Join to access this information
Record Id
1696
Downloads
4856
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Weigh client ______________ (frequency). ... Please Login or Join to access this information
Description: This action in ... Please Login or Join to access this information
Rationale: Regularly weighing a ... Please Login or Join to access this information
Record Id
1697
Downloads
4856
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Provide mouth care before ... Please Login or Join to access this information
Description: This nursing care ... Please Login or Join to access this information
Rationale: Proper mouth care ... Please Login or Join to access this information
Record Id
1698
Downloads
4856
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Provide for adequate rest ... Please Login or Join to access this information
Description: Ensure the client ... Please Login or Join to access this information
Rationale: Rest periods between ... Please Login or Join to access this information
Record Id
1699
Downloads
4856
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Speak to in a ... Please Login or Join to access this information
Description: This nursing care ... Please Login or Join to access this information
Rationale: Speaking normally and ... Please Login or Join to access this information
Record Id
1700
Downloads
4856
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Provide alternative forms of ... Please Login or Join to access this information
Description: This nursing care ... Please Login or Join to access this information
Rationale: Alternative communication forms ... Please Login or Join to access this information
Record Id
1701
Downloads
4856
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Allow client time to ... Please Login or Join to access this information
Description: This nursing care ... Please Login or Join to access this information
Rationale: Allowing time for ... Please Login or Join to access this information
Record Id
1702
Downloads
4856
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Keep call light within ... Please Login or Join to access this information
Description: Ensure the client's ... Please Login or Join to access this information
Rationale: Having the call ... Please Login or Join to access this information
Record Id
1703
Downloads
4856
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Assist with ADLs as ... Please Login or Join to access this information
Description: This nursing care ... Please Login or Join to access this information
Rationale: Assisting with Activities ... Please Login or Join to access this information
Record Id
1704
Downloads
4856
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Monitor skin status. Use ... Please Login or Join to access this information
Description: This nursing care ... Please Login or Join to access this information
Rationale: Monitoring skin status ... Please Login or Join to access this information
Record Id
1705
Downloads
4856
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Provide Range of Motion ... Please Login or Join to access this information
Description: This action involves ... Please Login or Join to access this information
Rationale: Range of motion ... Please Login or Join to access this information
Record Id
1706
Downloads
4856