Infection r/t Bartholin’s duct cyst AMB pain and swelling of the duct

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Definition

At increased risk for being invaded by pathogenic organisms

Related Factors

  • Inadequate primary defense (broken skin, traumatized tissue, decrease in ciliary action, stasis of body fluids, change in pH secretions, altered peristalsis)
  • Inadequate secondary defenses (e.g. decreased hemoglobin, leukopenia, suppressed inflammatory response) and immunosuppression
  • Inadequate acquired immunity; tissue destruction and increased environmental exposure; invasive procedures
  • Pharmaceutical agents (including antibiotic therapy)
  • Rupture of amniotic membranes
  • Insufficient knowledge to avoid exposure to pathogens

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  • Risk for uterine infection r/t lochia and episiotomy  Definition At increased risk for being invaded by pathogenic organisms Related Factors Inadequate primary defense (broken skin, traumatized tissue, decrease in ciliary action, stasis of body fluids, change in pH secretions, altered peristalsis) Inadequate secondary defenses (e.g. decreased hemoglobin, leukopenia, suppressed inflammatory response) and immunosuppression Inadequate acquired immunity; tissue destruction and increased environmental exposure; invasive procedures Pharmaceutical agents (including antibiotic therapy) Rupture
  • 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,
  • 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,
  • 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
  • Ineffective Airway Clearance r/t secretions in the bronchi Definition Inability to clear secretions or obstructions from the respiratory tract to maintain a clear airway. Related Factors: Environmental Smoking; second hand smoke; smoke inhalation Obstructed Airway Retained Secretions Secretions in the Bronchi Exudate in the Alveoli Excessive Mucus Airway Spasm Foreign Body in Airway  Presence of Artificial Airway Physiological Chronic Obstructive Pulmonary Disease (COPD) Asthma Allergic Airways Hyperplasia of the Bronchial Walls Neuromuscular Dysfunction Infection *You need an acrobat reader to view this file Click

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