At risk for developing a pressure ulcer due to [specify].
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Client at risk for weight gain due to slowed metabolism from hypothyroidism.
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Client experiences chronic back pain due to unspecified dorsalgia, limiting daily activities.
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Client experiences chronic low back pain impacting daily activities and mobility.
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Client experiences impaired balance and coordination due to Wallenberg syndrome.
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Client reports reduced mobility due to pain from unspecified dorsalgia.
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Confined to a chair with safety belt or positioning pillow that prevents rising related to [specify]
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Decreased endurance related to [specify]
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Fear of [specify] related to [specify]
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Frequent falls due to impaired balance and unsteady gait.
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Has fallen [specify#] times in the last [specify#days]
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High risk for falls related to [specify]
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High risk for pressure ulcer due to [specify].
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Impaired skin integrity related to incontinence and immobility.
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Inability to maintain appearance at a satisfactory level due to [bedfast/decreased strength/limb contracture/loss leg movement].
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Inability to maintain appearance at a satisfactory level due to [impaired mobility/decreased strength/short term memory deficit]
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Inability to perform own oral hygiene independently related to [specify]
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Inadequate fluid intake related to [specify]
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Limited physical mobility secondary to [specify]
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Mobility impaired related to: [specify]
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Needs assistance with Bathing/Hygiene related to [specify]
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Noncompliance related to [specify]
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Not participating to fullest capability in some activities of daily living such as [specify].
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Potential for complications related to use of foley catheter due to [specify]
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Potential for discomfort, complications related to dx of scleroderma
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Potential for drug-related movement disorder or gait disturbance related to taking [MEDICATION] and [(Parkinsons/poor balance/tardive dyskinesia/loss of limb movement/motor agitation/swallowing problem/vertigo/accidents)].
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Potential for skin breakdown related to [wt. loss/previous ulcers/impaired tactile sensory perception/use of medications/restraints/impaired cognitive ability].
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Potential for skin tears due to aging, fragile skin.
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Pressure ulcer or altered skin integrity related to [specify] as evidenced by [specify]
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Pressure ulcers: Potential for skin breakdown or pressure ulcers related to [specify] as evidenced by:
[specify]
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Requires [#] siderails when in bed related to [specify]
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Requires gerichair with tray related to [specify]
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Social isolation related to [specify]
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Toileting deficit related to [specify]
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Total care for all ADL tasks related to [specify]
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Urinary catheter is needed due to [specify].
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Wears external catheter due to [specify].
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