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Outside stressors such as: work, school, kids, bills
Vital signs are taken every
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4 hours usually unless needed more often, asses pain here
PQRST
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Pain assessment chart
Provoking factors: what provoked the pain?
Quality: Describe the pain/characteristics
Region/Radiation: Where is the pain? does it radiate?
Severity: Rate pain 1-10
Time: How long has the patient had the pain?
Wound Stage 2:
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Partial thickness, skin loss with serous drainage
ADLs
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- Brushing hair
- Feeding
- Toileting
- Dressing
- Ambulation
Secondary Prevention
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, (Screening)
-Mammograms
-Ultrasound
-Lab work
-Colonoscopy
-Health screening
What causes psychological stress?
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PTSD, divorce, moving, job loss
What are reasons for NG tube placement
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PTS with dysphasia (difficult swallowing)
PTS status with post gastric surgery
PTS who refuse to eat
PTS with a bowel obstruction
physiological stress
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Internal stresses such as: backaches, headaches, sweaty palms, nausea