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Issue Statements |
Search Results for: pneumonia |
Dependent on tube feeding for nutrition and hydration, and is at risk for aspiration, other complications related to tube feeding.
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Difficulty swallowing related to [specify]
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Difficulty with food retained in his/her mouth causing [specify] problem.
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Feeding tube necessary for nutritional needs due to comatose status.
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Has a feeding tube which could lead to a fluid volume deficit related to inadequate fluid intake.
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Has frequent dietary complaints
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High risk for aspiration, complications due to dysphagia related to:
[SPECIFY]
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Impaired airway clearance, related to : [ SPECIFY ]
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Ineffective airway clearance related to [specify] as evidenced by
[specify]
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Must maintain nutritional status via tube feeding related to [inability to swallow/refusal to eat/low cal intake].
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Noncompliance related to [ SPECIFY ]
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Patient has tracheostomy. At risk for complications including respiratory distress, increased secretions, wt loss, infection.
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Potential for complications related to CVA as evidenced by
Decline in ADL abilities, Cognitive impairment, Communication impairment, Dysphagia, Behavior problems, or Visual disturbance
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Potential for complications related to dx of hyperparathyroidism, including osteoporosis and related conditions, kidney stones, hypercalcemia, dyspepsia, peptic ulcers
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Potential for complications related to dx of Parkinsons disease, including poor balance, constipation, poor coordination, drooling, tremors, dysphagia, gait disturbance.
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Potential for complications, s/sx related to dx of myasthenia gravis.
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Potential for s/sx, complications related to dx of Guillain-Barre Syndrome or other polyneuritis as evidenced by:
__ Weakness
__ Numbness
__ Paralysis
__ Respiratory
Insufficiency
__ Autonomic nervous
system involvement
(tachycardia,
bradycardia,
blood pressure
changes, cardiac
dysrhythmia, facial
flushing, urinary
retention, inability to
perspire, ileus,
increased
respiratory secretions)
__ Dysphagia
__ Aphasia
__ Paresthesias
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Potential for s/sx, complications related to dx of influenza, including:
S/sx:
__ Pain (musculoskeletal,
headache, sore throat)
__ Malaise
__ Fatigue
__ Fever
__ Chills
__ Nasal congestion
__ Cough
__ Tachypnea
Complications:
__ Pneumonia
__ COPD exacerbation
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Resident has a history of substance abuse: __Alcohol __Narcotics __Other drug use
and has potential for complications such as recurrence of substance abuse, postacute withdrawal symptoms, mood and/or behavioral disturbances.
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RESPIRATORY: Impaired breathing pattern, shortness of breath on exertion related to: [ SPECIFY ]
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