WebSuspected Deep tissue injury: – Skin is intact; appears purple or maroon. – Blood filled tissue due to underlying tissue damage. – Affected area may have felt firm, boggy, mushy, warmer, or cooler to touch. Stage 1. – Skin is intact but red and non-blanchable. – Area is usually over a bony prominence. Stage 2. Web11 mrt. 2024 · A decreased level of consciousness including that which occurs with sedating medications. Fecal and/or urinary incontinence. Impaired circulation and tissue perfusion. Alterations in terms of the fluid balance. Altered neurological sensory functioning. Changes in terms of skin turgor. Boney prominences.
Nursing diagnosis Ineffective peripheral tissue perfusion
WebNursing Dx: Ineffective peripheral tissue perfusion r/t increased blood glucose levels AEB fasting blood glucose. levels ranging from 134-235 mg/dl, HgA1C of 9.5 %, and a non-healing wound to the LLE Long Term Goal: Pt will maintain and show improvement in peripheral tissue perfusion Outcome Intervention Rationale Evaluation Pt is a 62 y.o. … Web28 mrt. 2007 · my patient is an 88yo female, type 11 diabetes, anemic, paraplegic, stage IV pressure ulcer on R ischium ... Altered(or Ineffective) tissue perfusion:peripheral r/t interuption of arterial flow and decreased hemoglobin concentration in the blood aeb weak pedal pulses, slow healing of stage IV debubitis ulcer on right ischium. how to earn from game development
Ineffective Tissue Perfusion Nursing Diagnosis and Nursing Care Plan
Web20 jan. 2024 · This dataset was generated during the course of our study that sought to determine the mechanisms by which type 2 DM affects cerebral perfusion in older adults and by which uncontrolled DM contributes to cognitive impairment as assessed by a clinical assessment of each patient’s competence. WebClinical indicators to monitor patients with risk for ineffective cerebral tissue perfusion. de Abreu Almeida M, Barragan da Silva M, Paulsen Panato B, de Oliveira Siqueira AP, Palma da Silva M, Engelman B, Marques Severo I, Gaedke Nomura AT Invest Educ Enferm 2015;33(1):155-63. doi: 10.17533/udea.iee.v33n1a18. Web22 jul. 2013 · Ineffective Tissue perfusion (specify type): cerebral, renal, cardiopulmonary, GI, peripheral Decrease in oxygen resulting in failure to nourish tissues at the capillary level Defining Characteristics: Renal Altered blood pressure outside of acceptable parameters; hematuria; oliguria or anuria; elevation in BUN/creatinine ratio Gastrointestinal leclair\u0027s optical radcliff ky