Impaired verbal communication r/t loss of facial or oral muscle tone control

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Definition

Decreased, delayed, or absentability to receive, process, transmit, and use a system of symbols

Related Factors

  • Decrease in circulation to brain, brain tumor
  • Anatomic deficit ( e.g. cleft palate, alteration of the neurovascular visual system, auditory system, or phonatory apparatus)
  • Difference related to developmental age
  • Physical barrier ( tracheostomy, intubation)
  • Physiological conditions (e.g. dyspnea ); alteration of central nervous system (CNS); weakening of the musculoskeletal system
  • Psychological barriers (e.g. psychosis, lack of stimuli); emotional conditions (depression, panic, anger); stress
  • Environmental barriers
  • Cultural difference
  • Lack of information
  • Side effects of medicaiton
  • Alteration of self-esteem or self-concept
  • Altered perceptions
  • Absence of SOs

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  • Acute Pain r/t fronto-temporal mass Definition Unpleasant sensory and emotional experience arising from actual or potential tissue damage or described in terms of such damage (International Association for the Study of Pain); sudden or slow onset of any intensity from mild to severe with an anticipated or predictable end and a duration of less than 6 months Related Factors Injury Agents (biological, chemical,
  • Acute Pain r/t surgery AMB incision on L arm Definition Unpleasant sensory and emotional experience arising from actual or potential tissue damage or described in terms of such damage (International Association for the Study of Pain); sudden or slow onset of any intensity from mild to severe with an anticipated or predictable end and a duration of less than 6 months Related Factors Injury Agents (biological, chemical,
  • Knowledge deficient r/t lack of information resource Definition Absence or deficiency of cognitive information related to specific tipic (lack of specific information necessary for clients/SO(s) to make informed choices regarding condition/treatment/lifestyle changes Related Factors Lack of Exposure Information Misinterpretation Unfamiliarity with information Resources Lack of Recall Cognitive Limitation Lack of Interest In Learning Client’s Request for no Information Inaccurate/incomplete information presented *You need an acrobat reader to view this file Click on the icon
  • Impaired physical mobility of the lower extremity r/t external fixator @ L leg Definition Limitation in independnt, purposeful physical movement of the body or of one or more extremeties Related Factors Sedentary Lifestyle, disuse or deconditioning; limited cardiovascular endurance Decreased muscle strength; control and/or mass; joint stiffness or contracture; loss of integrity of bone structures Intolerance to activity/decrease strength and endurance Pain/ Discomfort Neuromuscular/musculoskeletal impairment Sensoriperceptual/cognitive impairment; developmental delay Depressive mood state or anxiety Selective or generalized malnutrition;
  • Impaired adjustment r/t health status requiring change in lifestyle Definition Inability to modify lifestyle/behavior in a manner consistent with a change in health status Related Factors Disability or health status requiring change in lifestyle Mulitple stressors; intense emotional state Low state of optimism; negative attitude towards health behavior; lack of motivation to change behavior Failure to intend to change behavior Absence of social support for changed beliefs and practices (Physical and/or learning

This entry was posted on Saturday, December 15th, 2007 and is filed under Nursing Care Plan. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

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