{"aaData": [["Nursing Care Plan", "
FRAME
\n", "
NURSC
\n", "
PRIME DOCUMENT
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN1^NURCCPU1
\n", "", "
K NURSCPE
\n"], ["Cognitive-Sensory Area", "
FRAME
\n", "
NURSC
\n", "
NURSING SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["substance abuse, alcohol", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess general appearance", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["test stool for Guiac", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["diaphoretic", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["pale", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["cyanotic", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["anxious/fearful", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["about critical care environment and routines", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["monitor side effects and tolerance of all medications", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["advise patient to notify the nurse of pain/discomfort", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["administer prescribed narcotic/analgesic", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["substance abuse, drugs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["restrict foods/fluids that percipitate diarrhea [list items]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Morphine Sulfate [dose] or other analgesic", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["document medication response", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["notify MD of untoward reactions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["anticipate drug orders for persistent angina", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["provide non-irritating diet (clear liquid/soft/low residue)", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintain good hygiene of perineal area:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["nitroglycerin Sl or IV [sig] repeat at 5 min intervals", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["pericare after each bowel movement", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["apply lotion/ointment to skin as indicated/ordered", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["identifies factors restricting self-care and home management", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["expose area to air, use heat lamp if needed to keep area dry", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["administer antidiarrhea medication as ordered/indicated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach appropriate diet, medication usage", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["obtain stool culture", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["initiate consult", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["isordil [dose] as indicated", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
24
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
23
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["propranolol [dose] as indicated", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
20
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["demonstrates skills for home maintenance", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
20
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["calcium channel blockers [agent] as indicated", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess enzyme and iso-enzyme levels", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "
1
\n", "", "", "", "
; document and report
\n", "
TABULAR
\n", "", "", "", ""], ["perception or cognitive impairment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["CPK", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["restrict foods/fluids that percipitate diarrhea [list items]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["SGOT", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lab data and related tests", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "
assess, monitor, and document
\n", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["reduced consciousness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["perceptual impairment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["expresses satisfaction with the home situation", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["psychological impairment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["visual impairment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["paralysis/plegia, loss of limb, quadri, para, hemi, mono", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["injury", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["restrictive devices", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["pain", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["decrease strength and endurance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["age", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["nutritionally deprived", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Injury, Potential For", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["assess causative/contributing factors", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["myocardial ischemia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
25
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
24
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["LDH1 - LDH2", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
21
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["SMA-6", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["SMA-12", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["PT/PTT q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["x-ray", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes level of comfort/pain", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["reduce or eliminate causative/contributing factors", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["provide for personal hygiene", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["demonstrates maximal functional ability", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["has a relaxed facial expression", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assess level, location and severity of pain q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["bathe and turn patient q [frequency] hrs.", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide appropriate medical treatment per protocol", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist with self-care as indicated/ordered", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["offer commode q [frequency] hrs. while providing privacy", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["support pain management", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
with appropriate
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["reposition q[frequency]hrs", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lack of knowledge", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["splinting q [frequency]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["arrange activities for psychological support", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach appropriate drug use and timing for pain management", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["evaluate for stress management", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["apply anti-embolic stockings as prescribed", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["remove and reapply q [frequency] hrs.", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["avoid wrinkles, check q [frequency] hrs.", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["check pulse rate q [frequency] hrs.", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["chronic physical/psychosocial disability", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["avoidance of Valsalva maneuver", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lack of necessary equipment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["risk factors, preventive measures for CAD", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
26
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
25
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
22
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess level of understanding and decision making ability", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["delay teaching until transient condition stabilizes", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["alter teaching strategy to correspond with need/ability", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["verbalizes understanding of health and self care situations", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["appears free from anxiety about health care situations", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates the ability to maintain safety", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["inability to perform household tasks", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["has no injury due to altered cognitive ability", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["has an adequate balance of social and physical stimulation", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["inadequate perfusion", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["seizure", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["surgery involving cerebral hemisphere", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sensory overload/monitoring", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["depressive behavior", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["hallucination", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
27
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
26
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Sleep/Rest", "
FRAME
\n", "
NURSC
\n", "
NURSING SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["impaired cognitive functioning", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
23
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["anatomic deficit [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["cultural differences", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["decrease in circulation to the brain", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["developmental/age-related", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess for EKG changes (lead 1/AVL/V1-V4)", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
; record and notify MD
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["physical barrier: brain tumor, tracheostomy, intubation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["psychological barriers, psychosis, lack of stimuli", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inability to speak", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["voice rest (medical protocol)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["impaired emotional functioning", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["tracheostomy (medical protocol)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["intubation (medical protocol)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["psychosis", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["language barriers", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inability to understand", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["impaired articulation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["tissue damage-hearing loss", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["preserves individual integrity", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
28
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["achieves reduced number of incontinent episodes, <[ ]X/day", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assist patient/family to plan for a clean, healthful home", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["is continent of stool", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes knowledge of available assistive devices", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains skin integrity of perineal area", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["evaluate diet", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["observe for behaviors indicating a desire to defecate", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide for regular evacuations at [times]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["toilet 1/2 hour after eating", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["toilet prior to periods of increased activity", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide access to or keep equipment in a convenient place", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["initiate a specific bowel program", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["refer to Social Work for assistance with finances", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach patient and S/O in underlying cause(s)", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach muscle tone/strength exercises as individually able", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach patient and/or S/O in assistive devices available", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
29
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
27
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
24
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
21
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["congestive heart failure", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["cardiogenic shock", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["expresses knowledge of voiding patterns", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assist patient/family to acquire needed equipment/supplies", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["arrhythmias associated with pump failure", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["develops fluid intake schedule", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["intraventricular conduction disturbances", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess/record bladder distention q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["record patterns and amounts of incontinences", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["offer urinal/bedpan q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["take to bathroom q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintain fluid intake of [ ]cc q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["restrict fluids at bedtime", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["limit diuretic producing liquids:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["refer to O.T. for instructions on work simplification skills", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["positive reinforcement for voiding/absence of incontinence", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["initiate bladder training program", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["establish procedures/treatments for LCA occlusion", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["discuss reason for incontinence", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["IABP assist", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["temporary pacemaker", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["antiarrhythmic agents", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["defibrillation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
30
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
28
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["refer to community agency for homemaker services/meals", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
25
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
22
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["assess for EKG changes (leads II/III/AVF)", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
; record and notify MD
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["invasive procedures", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["urinary collection device: external cath", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["urinary collection device: indwelling cath", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["urinary collection device: straight cath", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sinus node disturbance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["escape beats and rhythm", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["remains free of S/S of infection", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
such as:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["report building violations to landlord/city department", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["nonparoxysmal ventricular tachycardia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["premature ventricular beats and ventricular fibrillation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["AV block progressing to complete heart block", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["atrial arrhythmias", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["burning", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["frequency on voiding", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["establish procedures/treatments for RCA occlusion", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["expresses understanding of S/S of possible urine infection", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates practices to prevent recurrence", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["voiding schedule", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["encourage patient/family to report building violations", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["perineal hygiene q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["self-cath with clean technique", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["adequate cardiac output while using commode", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
as evidenced by
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["assess and record:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["voiding patterns", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sensations", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["heart rate/rhythm unchanged", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["dysuria", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["character of urine", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["skin color and temperature unchanged", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess ability to safely maintain household", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["amount", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["hematuria", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["proteinuria", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess patency of indwelling catheter", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["record I/O q[frequency] until voiding [amt]cc/void", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor urine pH", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["specific gravity q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor U/A C/S", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["determine balance I/O q 24 hours", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage fluid intake (pt preference) to [ ]cc q [ ]hr", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Sexual Functioning/Reproductive System", "
FRAME
\n", "
NURSC
\n", "
NURSING SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["discuss long-term plan for managing situation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["cath care q[frequency]hr", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["level of energy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["female patients:cleanse perineum/urethra from front to back", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["replace external cath. q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["change collection [specify] bag q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["run water while attempting to void", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["acidify urine by offering cranberry juice", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["initiate teaching protocol on S/S of urinary infection:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["chills", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["fever", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Activity Intolerance", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state in which an individual has insufficient physiological or\npsychological energy to endure or complete required or desired\ndaily activities.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["frequent urination", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
31
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
29
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
26
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
23
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["weak pelvic muscles and structural support", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["heart rate/rhythm q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["degenerative changes associated with increased age", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["high intra-abdominal pressure (e.g. obesity/gravid uterus)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["incompetent bladder outlet", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Airway Clearance, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state in which an individual is unable to clear secretions or\nobstructions from the respiratory tract to maintain airway patency.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["overdistention between voiding", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess for presence of pulse deficit q[frequency] hrs.", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor for warning dysrhythmia", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "
assess and
\n", "
and document the following:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["acknowledges need for muscle/sphincter exercises", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["PVCs", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["describes causes", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["two in a row (couplets or pairs)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["bigeminy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["demonstrates pelvic floor muscle exercises", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["multifocal", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Breathing Pattern, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state in which an individual's inhalation and/or exhalation pattern\ndoes not enable adequate inflation or emptying.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["six or more a minute", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["R on T pattern", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["discuss emotional aspects", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["ventricular tachycardia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["bradycardia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["guidelines on most probable time incontinent/fluids", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["progressive heart block", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["activities that increase risk", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["feelings of embarrassment, regression", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["active isometric pelvic exercises [ ]times per [ ]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Gas Exchange, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe individual experiences decreased passage of gases (oxygen,\ncarbon dioxide) between the alveoli of the lungs and the vascular\nsystem.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["teach anterior and posterior pelvic floor muscle exercises", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach to start/stop stream several times during voiding", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor for Lidocaine toxicity", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "
assess and
\n", "
and document the following:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["petit or grand mal seizures", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["drowsiness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lethargy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["behavioral changes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
32
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
30
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
27
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Hypoventilation (see Breathing Pattern, Ineffective)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "
\nA state of reduced respiratory effort; reduced alveolar ventilation.\n
\n
\n", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["laboratory data", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "
assess, monitor and document
\n", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
24
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["serum electrolytes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["BUN", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["creatinine", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["mechanical trauma", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sensory motor impairment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["drug levels", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["warning ventricular dysrhythmia interventions", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["give Lidocaine bolus and/or IV Lidocaine [dose]mg per order", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Hypoxia (see Gas Exchange, Impaired)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "
\nA state wherein a physiologically inadequate amount of oxygen is\navailable to, or utilized by, tissue without respect to cause or\ndegree.\n
\n
\n", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["establishes or re-establishes control over micturition", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies urgency to void", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["titrate drug according to patient's response", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["achieves residual urine <[amt] cc", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["explain purpose of drugs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["B/P q[frequency]", "
TERM
\n", "
NURSC
\n", "", "
3
\n", "", "", "", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", ""], ["sensorium q[frequency]hrs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["give oxygen as indicated", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["demonstrates use of management program", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["regulates own fluid intake", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Infection Potential (Specific to Respiratory System)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state in which an individual is at increased risk for being invaded\nby pathogenic organisms.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["notify MD of patient's rhythm and response to therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["catheterization as indicated/ordered", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["alter therapy as indicated and document", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess voiding/urgency patterns", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["record time between voidings", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["remove environmental barriers to voiding:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["clear path to bathroom", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["commode at bedside", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["urinal within reach", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["call light within reach", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
5
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["use toilet facilities with hand rails", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lighted access to bathroom", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["use toilet height extender", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["patient fluid preference [ADDITIONAL TEXT]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["respond within [ ]min to request for toileting assistance", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["coffee", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["tea", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["symptomatic bradycardia interventions", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["stimulate voiding reflex by pouring warm water over perineum", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide motivation to increase bladder control:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
5
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["give Atropine [dose]mg IV per protocol", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["encourage street clothes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["change wet clothes/bedding", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide with product resources to prevent wetting of clothes", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["review patient's drugs for vagolytic effects", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach intermittent catheterization per protocol", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["increase surveillance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["complete heart block interventions", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
31
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
28
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Psycho-Social Area", "
FRAME
\n", "
NURSC
\n", "
NURSING SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
5
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
25
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
33
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
32
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
29
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["verbalizes an appropriate knowledge base to be safe", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
34
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
33
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
30
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["effects of disturbed perceptual abilities", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["unable to integrate self with environment (rt. brain damage)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
3
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["functions safely within limitations", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["understands limitations", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assess physical limits prior to instituting restrictions", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["determine spatial deficit", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["cue patient to attend to left/right side of body", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach family to coach/remind patient to attend to left side", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
35
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
34
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
31
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["altered sensory reception, transmission, and/or integration", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["bed rest or immobility", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["altered communication", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["neurologic disease, trauma, or deficit", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sleep deprivation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["age related: visual, auditory, gustatory", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["disease of sensory end organs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["peripheral neuropathy: age related", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["diabetes (disease related)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["alcohol (disease related)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["vascular (disease related)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["supports autonomy", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["generalized weakness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["adapts home environment to reduce risk of injury", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
specific to:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["uses optimal pain control measures", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assess level of functioning q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["determine if intervention necessary and implement", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["determine and provide knowledge of health interventions", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["skin care", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["shoes (appropriate)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lights for night", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["safety precautions (stable furniture, rugs, etc.)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["pain management adequate/available", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["imbalance between oxygen supply and demand", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["visiual inspections appropriate", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["consulting for help", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["tissue injury", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
due to
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["inflammation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["infection", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["surgical", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["chemotherapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["alcohol", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["altered tissue perfusion, too much (e.g. migraine, shunting)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["altered tissue perfusion, too little (ischemia, etc.)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sedentary life-style", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["abnormal pain perception", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["phantom limb pain", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["central pain syndrome", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["defferentation pain", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["peripheral pain syndrome", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["prepare Isuprel drip for IV infusion", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["prepare for temporary cardiac pacemaker", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lethal dysrhythmia (no pulse/respirations) interventions", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["give precordial thump (see protocol)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["defibrillate according to ACLS protocol", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Comfort, Altered: Chest Pain", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["call a 'code'", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["follow CPR procedure", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Cardiac Output, Decreased (Mechanical Factors)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
36
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
35
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
32
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
26
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["blockage", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["high urethral pressure caused by weak detrusor", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
37
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
4
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["inhibition of reflex arc", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["strong sphincter", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["alteration in afterload", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["alteration in inotropic changes in the heart", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["demonstrates an established voiding/cath pattern", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
such as:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["alteration in preload", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["independently", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["with assistance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["by direction to another", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["related to alteration in myocardial contractility", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["bathing/hygiene", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
27
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["states frequency for performance of management program", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["states S/S of complications (infect./incontinence)", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Activity Intolerance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["maintains adequate bladder emptying", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["output volume of [amt]cc or less q [frequency] hr", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["no incontinence between caths", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["foley cath to straight drainage without bladder distention", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
36
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Health Maintenance, Alteration in", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["coping, ineffective, individual", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["record I/O until voiding <[amt]cc void/residual <[amt]cc", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
33
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["notify MD if not voided by [time]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["establish daily management schedule [type] q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Activity Intolerance (Circulatory System)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["maintains adequate cardiac output", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["Fluid Volume Deficit (Actual/Potential)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Fluid Volume Excess (Actual/Potential)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nutrition, Alteration In: Less Than Body Requirements", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nutrition, Alteration In: More Than Body Requirements", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Spiritual Needs", "
FRAME
\n", "
NURSC
\n", "
NURSING SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["alteration in comfort related to pain", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Incontinence, Bowel", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Skin Integrity, Impairment Of (Actual)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Skin Integrity, Impairment Of (Potential)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Anxiety", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Diarrhea", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Depressive Behavior", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Cognitive Impairment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Sensory-Perceptual, Alteration In", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Stress Incontinence", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Infection Potential (Specific to Elimination)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["external locus of control", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Urinary Elimination, Alteration In Pattern", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Self Concept, Disturbance In", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Urinary Retention", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Incontinence, Urine", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Constipation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Coping, Ineffective Individual", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Coping, Ineffective Family", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Mobility, Impaired Physical", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Comfort, Alteration In: Acute Pain", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Comfort, Alteration In: Chronic Pain", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["health beliefs (lack of perceived health threat)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Fear", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["use toilet facilities", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["skin dry and warm to touch", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["clamp catheter if >[amt]cc urine obtained on catheterization", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["normal skin color", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["release [amt]cc at 15 minute intervals till bladder drained", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["initiate prescribed management program:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["intermittent cath q [time]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["foley cath x [frequency]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["crede method", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inaccessibility to adequate health care services", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sphincter relaxation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["observe return demo x[ ] by pt/S/O of management program", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["lab data (e.g. CBC, differential) is WNL", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["maintains full, equal and non-labored respirations", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["reduces anxiety", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["breathes easier, maintains adequate ABGs", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains clear lungs", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["edema decreased", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes sense of hope for future", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains nontender abdomen", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["religious beliefs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["is free of an S3 and S4", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["JVD not present or returned to baseline", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["expresses acceptable level of comfort", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["accepts therapeutic regimen", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assess for reliable response/successful communication mode:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["to 'yes' and 'no'", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["to choice", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["to pantomime", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["to writing", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["to English", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
5
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["if unreliable response/attempt communication mode:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["use pantomime", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["anticipate needs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assist patient to meet basic needs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["preload reduced; myocardial contractility increased", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "
and cardiac output is improved
\n", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["reassess communication ability q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["accepts and explains diagnostic procedures", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["left ventricular end diastolic pressure is decreased", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["myocardial oxygen demand is minimized", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["is hemodynamically stable", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["specific diseases", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["B/P WNL (baseline)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["PAW WNL (baseline)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["I&O q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess for S/S of pulmonary edema q [frequency]", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "
; monitor, document, and notify MD
\n", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["interstitial edema on x-ray", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["dyspnea", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["PND/cough (dry, hacking)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["increased JVD", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["tachypnea", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess for ankle edema/anasarca/ascitis", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
; monitor and document
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["susceptibility, e.g., presence of risk factors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess for abdominal tenderness q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess for EKG changes q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
; monitor and document
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess for extra heart sounds q [frequency] and record", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["murmur", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lab data", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
; assess, monitor, and document
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["increased specific gravity", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["significant proteinuria", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["granular casts", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["elevated BUN", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["serum levels of K+, Na+, and CO2", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["value of early detection", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["elevated MCV", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["low hemoglobin", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["low hematocrit", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["maintains bed rest with commode privileges", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["place in semi-Fowler's position", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist with meals as indicated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide rest periods q [ ] min/24 hrs.", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["give antiarrhythmic agents as indicated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["give diuretic therapy as indicated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["prepare for insertion of pulmonary artery catheterization", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
as indicated (see protocol)
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["promote wellness through past patterns of health care", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["if PAW increases to 18-25 mmHg, anticipate", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["fluid restriction", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["increased diuretic therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["vasodilator therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["if increased SVR, anticipate order for", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["arterial dilators [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
38
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
37
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
34
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
28
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Health Maintenance, Alteration in", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nInability to identify, manage, and/or seek help to maintain health.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["discuss role of nutrition", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["arterial/venous dilators [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["titrate drugs to therapeutic response and document", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
; notify MD
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["reassure patient/SO; explain procedure/therapy", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
and its purpose
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintains temperature within normal limits [degrees]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["absence of inflammation", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["absence of purulent drainage", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["absence of tenderness", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["return of skin integrity", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
39
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["compromised regulatory mechanism", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["discuss role of exercise", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["excess fluid intake", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["excess sodium intake", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
29
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Cardiac Output, Decreased (Electical Factors)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Cardiac Output, Decreased (Mechanical Factors)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Tissue Perfusion, Alteration In", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Tissue Integrity, Impaired", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
38
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["maintains optimum fluid/electrolyte balance", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["balanced I/O, urine ouput WNL", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["discuss role of safety measures", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["decreased edema", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["decreased thirst", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["body weight is approximately [lbs/kgs]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["stable B/P greater than [ ]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["stable B/P less than [ ]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["stable CVP greater than [ ]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["stable CVP less than [ ]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["PCW/PAD greater than [ ]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["PCW/PAD less than [ ]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["breath sounds free of crackles", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["discuss role of stress management", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["expresses knowledge of fluid and dietary restrictions", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["relates at least 2 factors/methods of preventing edema", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains intact skin", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["conserves energy", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains adequate circulation", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["healthy skin color and turgor", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["free from pain in extremities", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["normal response to stimuli", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
35
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess for presence/amt. of edema q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
; monitor and record
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["discuss role of social support systems", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Dixogin levels", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess changes in body image", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
; monitor and record
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess self esteem", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
; monitor and document
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["limit fluids to [amount]cc q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["B/P in [ ] extremity q[ ]hrs.", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["passive/active ROM q[frequency]hrs.", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["abdominal girth q[ ]hrs. and document", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["elevate feet while sitting", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["oral hygiene following meals, using soft brush", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["nails cleaned and cut", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["expectations", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide support to edematous areas", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
as evidenced by
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["pillow under arms", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["scrotal support", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide K+ rich fluids and increased protein/calories", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["restrict sodium intake to [specify]mg daily", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["reassure weight/fluid will decrease with therapy", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["be accepting of patient's behavior", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach patient", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
the following
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["S/S of fluid overload", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["taking and recording blood pressure as indicated", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["interaction with health care system", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sodium/protein restrictions; salt substitutes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["shift of body weight q 15-30 minutes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["apply antiemboli hose q [frequency] hrs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["elevate extremities [ ] (i.e., RL, LL, RA, LA)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["prevent leg or ankle crossing", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["use of antihypertensives", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["family", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Fluid Volume Deficit (Actual/Potential)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
41
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["deviation affecting access, intake, absorption of fluids", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["influences of family, cultural/peer groups, mass media", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["excessive loss through normal routes (e.g., diarrhea)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["extremes of ages", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["extremes of weight", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["factors influencing fluid needs (e.g., hypermetabolic state)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["knowledge deficiency related to fluid volume", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["medications", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
30
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Hyperthermia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Oral Mucous Membrane, Alteration In", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Swallowing, Impaired", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
6
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
39
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["maintains fluid/electrolyte balance", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["skin turgor normal", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["weight is greater than [lbs/kgs]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["weight is less than [lbs/kgs]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["moist mucous membranes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["urine and specific gravity WNL", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["expresses understanding of fluid intake requirements", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
due to
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["stress, heat, fever, and decreased thirst", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["loss from diarrhea, vomiting, diuresis and/or diaphoesis", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["cognitive limitation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
36
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess skin turgor and oral mucous membrane", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
; monitor and document
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["report urinary output if less than [ ]cc/hr", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["gastric pH q [ ] hrs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess for presence/amt. of edema q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
; monitor and document
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["B/P lying and standing q[frequency]hrs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["laboratory data q [frequency]", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "
assess, monitor, and document
\n", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["CBC", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["electrolytes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["total serum protein", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Knowledge Deficit [specify]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nLack of specific information\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["information misinterpretation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["urine specific gravity", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["encourage fluid intake of [amt]cc/24hrs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["limit foods acting as diuretics (sugar, alcohol,caffeine)", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintain activity level commensurate with health state", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["give verbal/written directions for desired fluid amts.", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["include patient and S/O in recording I/O", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["normal saline irrigation to gastric tube q[ ]hrs.", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["offer mouth swabs if NPO or on gastric tube q [ ] hrs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["weigh dressings to record wound loss", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["replace fluids [ ]cc for [ ]cc drainage q[ ]hrs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["lack of exposure", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["initiate febrile protocol", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["cooling blanket if temperature exceeds [ ] degrees F", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["ice packs to pulse points if temp. exceeds [ ] degrees F", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["topical sponge bath if temp. exceeds [ ] degrees F", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["give small, frequent amts. of clear liquids if nauseated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach patient", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["observe for S/S of dehydration", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["increased needs for fluids", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "
as related to heat, stress, fever, amd activity
\n", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
42
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["dehydration", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lack of recall", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["exposure to hot environment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["illness or trauma", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["increased metabolic rate", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inability or decreased ability to perspire", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inappropriate clothing", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["vigorous activity", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["drug therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
41
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["maintains pulse rate and rhythm at baseline [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["skin warm to touch", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["lack of interest in learning", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["maintains neurological functioning at baseline", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains electrolytes WNL [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["attains/maintains laboratory data WNL", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
38
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["ABGs/pulse oximetry q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["hematocrit q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["hemoglobin q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["notify MD of lab results if indicated", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["electrolytes q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["dress patient in light-weight, single layer clothing", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["patient's request for no information", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["encourage bedrest", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintain cool room temperature", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["give cool liquids PO q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["bathe patient in cool water [with/without] [alcohol/ice]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
as indicated
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["apply cooling mattress as prescribed", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["administer antipyretics as ordered", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["report use of prescibed/recreational drugs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
that interfer with thermoregulation
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["aging", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["consumption of alcohol", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["decreased metabolic rate", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["unfamiliarity with information resources", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["evaporation from skin in environment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["exposure to cool or cold environment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inability or decreased ability to shiver", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inactivity", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inadequate clothing", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["medications causing vasodilation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
43
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
42
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["attains/maintains ABGs/pulse oximetry within normal range", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
5
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
39
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
6
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["cardiac rhythm q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["move gently and protect from physical exhaustion", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["cover with warm blankets and/or layered clothing", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintain warm room temperature and avoid drafts", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["give warm liquids PO q [frequency] hrs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["administer warmed IV fluids >115 degrees F at [rate]gtts/min", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
(45 degrees Centigrade)
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["administer heated, humidified oxygen via aerosol mask [time]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
as ordered (37-42 degrees Centigrade; 100% relative humidity)
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Apply warming blanket as indicated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
(circulating fluid at 100.4-107 degrees F/38-42 degrees C)
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
44
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["lack of recall", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes ability to make decisions on health care", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["misinterpretation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["perceptual limitation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["disinterest in learning", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
32
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Noncompliance/Nonadherence [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
43
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["inspect skin/mucous membranes q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["recognizes knowledge deficit", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["describes cardiovascular status", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["provide skin care q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
89
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["verbalizes anxiety is resolved", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains medication regimen", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["provide patient teaching", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
by:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["adheres to dietary modification", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
45
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
44
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["acceptable weight [#lbs,kg]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["blood sugar WNL", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
40
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
33
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["assess knowledge base", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["cholesterol level optimal [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["electrolytes WNL", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["uses methods to improve circulation", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["exercises as prescibed", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["keeps legs uncrossed", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["avoid constrictive clothing", "
TERM
\n", "
NURSC
\n", "", "
4
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["does not smoke", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["chemical/noxious agents [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["elevates legs when feasible", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lists cardiac risk factors", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["decide what patient needs to know", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["ineffective oral hygiene", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["keeps clinic appointments", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["lack of or decreased salivation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["mechanical (e.g.ill fitting dentures,braces,tubes-NG/ET)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["NPO for more that 24 hours", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
41
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess pt's knowledge base concerning his illness", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
; monitor and document
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["identify cause of lack of knowledge", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["pathophysical:diabetes,periodontal disease,infection,oral CA", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["determine readiness/ability to learn", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["determine ability to learn and implement plan", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach cardiac instructions based on pt's learning level", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["basic anatomy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["physiology of the heart", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["coronary artery disease", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["myocardial infarction", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["relate pathology to patient's symptoms", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach diagnostic and therapeutic procedures/tests", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["central venous pressure line", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Swan-Ganz line", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["arterial line", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["implement teaching plan based on readiness/ability to learn", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["urinary catheter", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["exercise tolerance test", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["cardiac catheterization", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["EKG", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["purpose of test", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["clean", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["mechanics of the procedure/test itself", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["potential complications", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["moist", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["without lesions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["involve S/O in teaching plan", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["precautions prior to and post/test procedure", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["without hardened crusts", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["achieves relief from pain", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes importance of routine oral care", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates adequate oral care", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["teach expected side effects of drug therapy", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["identifies and avoids common causes of mucosal irritation", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["teach dietary needs", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["calories", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sodium", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["evaluate effectiveness of teaching plan", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["potassium", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["cholesterol", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["low-density lipoprotein (LDL)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inspect mouth daily for changes in lesions,sores,bleeding", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["high-density lipoprotein (HDL)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["discuss rationale for food restrictions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["administer pain relieving agent [specify] a.c.", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["oral hygiene q[frequency]hrs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["stress avoidance of crossing legs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["apply emollients to lips q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Noncompliance/Nonadherence [specify]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nNoncompliance is a person's informed decision not to adhere to a \ntherapeutic recommendation.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["stress avoidance of standing for long periods", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["stress avoidance of restrictive clothing", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["if endotracheal tube - move daily", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["elevate legs when feasible", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["initiate dental consult", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["include S/O when instructing as indicated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage self-oral care q [frequency] times a day", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["demonstrate use of assistive devices [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["explain the common causes of mucosal irritation", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
46
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
7
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
47
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["altered circulation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
45
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
42
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
34
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["nutritional deficit/excess", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["fluid deficit/excess", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["chemical substance or radiation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "
(external factor)
\n", "
TABULAR
\n", "", "", "", ""], ["hyperthermia or hypothermia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "
(external factor)
\n", "
TABULAR
\n", "", "", "", ""], ["impaired physical mobility", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["client and provider relationships", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["irritants (e.g, chemical, thermal, mechanical)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["pressure", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "
(external factor)
\n", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
35
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["restraint", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "
(external factor)
\n", "
TABULAR
\n", "", "", "", ""], ["shearing factors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "
(external factor)
\n", "
TABULAR
\n", "", "", "", ""], ["Knowledge Deficit (Specify)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["alteration in skin turgor (change in elasticity)", "
TERM
\n", "
NURSC
\n", "", "
3
\n", "", "", "", "", "", "", "", "
(internal factor)
\n", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
46
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["altered nutritional state (e.g. obesity,emaciation)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "
(internal factor)
\n", "
TABULAR
\n", "", "", "", ""], ["circulation improves", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["cultural influences", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["altered metabolic state", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "
(internal factor)
\n", "
TABULAR
\n", "", "", "", ""], ["edema", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "
(internal factor)
\n", "
TABULAR
\n", "", "", "", ""], ["progressive healing of impaired tissue", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["excretions/secretions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "
(internal factor)
\n", "
TABULAR
\n", "", "", "", ""], ["lab data WNL (e.g., CBC, differential)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["immunologic deficit", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "
(internal factor)
\n", "
TABULAR
\n", "", "", "", ""], ["prominence", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "
(internal factor)
\n", "
TABULAR
\n", "", "", "", ""], ["fluid intake is greater/equal to resting maintenace level", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "
(500cc intake over output)
\n", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["psychogenic", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "
(internal factor)
\n", "
TABULAR
\n", "", "", "", ""], ["skeletal", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "
(internal factor)
\n", "
TABULAR
\n", "", "", "", ""], ["health benefits", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["avoid irritants/noxious stimuli/oral irritants", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["moves all extremities freely", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates dressing change(s)", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains intact tissue surrounding lesion", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["describes healing process and health care precautions", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["does not use drugs", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
43
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["achieves intact skin", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["develops granulation tissue at wound edges", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["pulse q[frequency]hrs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["patient value system", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["skin turgor q [frequency] hrs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess status of healing wound q [frequency] hrs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
; monitor and document
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["perform skin assessment & document findings related to:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["passive ROM as tolerated q [frequency] hrs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["active exercises encouraged (if indicated) [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["area(s) in question [location] q [frequency]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["color q[frequency]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide hi-protein diet", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["size q[frequency]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["presence of pain/discomfort q[frequency]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["spiritual values", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["presence/absence of drainage q[frequency]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide adequate fluids [ ]cc/day", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["institute skin care protocol", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["use aseptic technique when changing dressing", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach patient", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
the following:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["dressing changes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["avoid temperature extremes", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
related to
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["environment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["avoid noxious agents such as smoking and chemical abuse", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["diet restrictions [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
6
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["S/S of infection", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
48
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["interruption of arterial flow", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["interruption of venous flow", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["exchange problems - hypervolemia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["exchange problems - hypovolemia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
36
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
47
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["tissue perfusion is visually improved", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["ulcer is healed", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
7
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["verbalizes knowledge of S/S of neurovascular changes", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates improved circulation by [specify]:", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["Manic Behavior", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["demonstrates measures to improve circulation", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates progressive tolerance to increased activity", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["remains free from leg pain related to claudication", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["SMA-6/SMA-12, CBC, and differential WNL", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
49
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
48
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
44
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["participates in development/implementation of treatment plan", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
37
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
168
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["inadequate coping method", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inadequate relaxation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inadequate support systems", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["little or no exercise", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["peripheral pulses q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maturational crises", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["multiple life changes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["personal vulnerability", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes experiences causing alteration in prescribed plan", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["poor nutrition", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["situational crises", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["too many deadlines", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["unmet expectations", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["unrealistic perceptions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["identify status of capillary filling (and document)", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["work overload", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["identify presence of pain (and document)", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess motor sensory function q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["communicates [# of] feelings about present situation", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes accurate knowledge of disease", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["elevate affected leg(s) to promote venous return", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["identifies two factors contributing to ineffective coping", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies three alternative methods of managing stressors", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies and develops plan to meet role expectations", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["establishes written routine to meet basic needs", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["expresses feeling of greater control over stressors", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates problem solving skills such as:", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["do not elevate bed; arterial & venous flow compromised", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["avoid prolonged sitting/standing", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["good basic health habits", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes accurate understanding of treatment regime", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["body awareness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["stress reduction/relaxation techniques", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide skin/foot care (bathe with warm water)", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["oral hygiene q[frequency]hrs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage verbalization of feelings", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage discussion of blocks to coping", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist in listing factors contributing to inadequate coping", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["aseptic dressing change q [frequency]hrs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide comfort measures", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["assist in listing alternative methods of managing stressors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["demonstrates realistic alternatives to treatment regime", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["sheep skin", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["foot cradle", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assist in evaluating current situation", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintain comfortable room temperatures", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["help identify ways of fulfilling role expectations", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide and document results of ordered analgesics", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide positive feedback for effective coping", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["involve patient in planning own care", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach the following:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["assertiveness skills", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["identifies sources of dissatisfaction", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["problem solving skills", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["avoid pillow under knee and elevating knee gatch", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["avoid dangling extremities", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["stress reduction/relaxation techniques", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["avoid constrictive clothing", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
50
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["provide patient instruction", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
in the following:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
49
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
45
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
38
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["participates in selection of more desirable treatment plan", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["the use, effects, and side effects of medication", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["daily exercise", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["dietary restriction such as excess cholesterol/lipids", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["avoidance of injury", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["avoid emotional stress", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["avoid crossing legs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["avoid wearing tight clothes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["avoid getting chilled", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["need to report changes promptly to MD, etc.", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
51
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["verbalizes intent to adhere to realistic alternative plan", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
39
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
50
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["environmental lack of diversional activity", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["frequent lengthy treatments", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["long term hospitalization", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Grieving, Anticipatory", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Powerlessness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Self-Care Deficit [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Social Isolation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Spiritual Distress", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
133
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["expresses interest in using leisure time meaningfully", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["makes decisions abouts time and frequency of activities", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["participates is chosen activity", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
46
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["schedule time each day to pursue leisure activities", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage S/O to bring familiar objects/personal items", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["ask someone to read to client on a regular basis", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Physical Therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Occupational Therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Corrective Therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assist exploring factors influencing non-compliance", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
52
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["health care environment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["illness-related regimen", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["interpersonal interaction", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["life-style of helplessness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
59
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Sexual Dysfunction", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Sexual Pattern, Altered", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
51
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["expresses written plan to improve control of life", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
situations by listing
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["develop therapeutic nurse/patient relationship", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["environmental stimuli", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["3 occurrences resulting in feeling of powerlessness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["aspects of behavior decreasing feeling of powerlessness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["alternative situations resulting in increased control", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "
or feelings of increased control
\n", "
TABULAR
\n", "", "", "", ""], ["Grieving, Dysfunctional", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Family Process, Alteration In", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Violence, Potential For, Self Directed", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assumes total responsibility for self-care activites", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Violence, Potential For, Directed At Others", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["increased feelings of adequacy in role performance", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "
verbalizes
\n", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["determine value systems and cultural factors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["learned response, such as:", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
47
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["conditioning", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["modeling from others", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["identification with others", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide choices to encourage decision making", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
when possible
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["natural or innate origins, such as:", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["sudden noise", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["loss of physical support", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assist in identifying behaviors and situations", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["determine developmental level", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["heights", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assist in identifying alternatives to current behaviors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide assistance in self-care activities as needed", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide positive encouragement to attain self-care", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
activities
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage ventilation of inadequacies in role performance", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["reports reduction/elimination of fear", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["encourage ventilation of frustration in role performance", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["absence of signs/symptoms of autonomic arousal", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["encourage written plan and implementation of plan", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["learns and demonstrates coping strategies", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["determine prohibitive factors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor and record physiological S/S of autonomic arousal", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist in identifying source of fear", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist in identifying/modifying usual coping response", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach relaxation techniques", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach problem solving skills", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach assertiveness skills", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
53
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["body image, disturbance in", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["biophysical", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach indicated coping strategies:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["assess level of anxiety", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["cognitive perceptual", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["cultural or spiritual", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["identify source", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["psychosocial", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["avoidance or elimination of danger", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
40
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["development of alternative goals", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Depression", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Non-compliance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
54
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["assess support system", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Social Interaction, Impaired", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
52
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
48
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
53
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
41
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["make one positive self-statement daily", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbally states loss/change has occurred", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["interpersonal transmission and contagion", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["acknowledges alteration in body image and self concept", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
by verbalizing how changes will affect
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["threat to or change in:", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Health Management", "
FRAME
\n", "
NURSC
\n", "
NURSING SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["altered communication", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide for patient care conferences for mutual goal setting", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["health status", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["socioeconomic status", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["role functioning", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["job", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["interaction patterns", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["view of life", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["leisure", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["leisure activities", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["threat to self-concept", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["threat of death", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["discuss patient's/SO's understanding of treatment regime", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["unconscious conflict about essential values and goals", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["participates in activities promoting adaption to loss", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["unmet needs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["participates in activities promoting adaption to change", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
49
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["explore source and purpose of negative statements", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["contract pt not to reply negatively to compliments", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
for one whole day
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["focus on strengths/identify weaknesses", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
in the following areas
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Sleep Pattern Disturbance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["hobbies", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["review instructions related to therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["school", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["skills", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["identifies 3 signs and symptoms of anxiety", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["work", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["identifies 3 precipitating events to anxiety", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["reports decrease in signs/symptoms of anxiety", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["character traits", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["interpersonal skills", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["personal qualities", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes 3 activities that promote feelings of comfort", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["provide information and encourage patient to seek it on own", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["appearance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["identifies 3 sources of support", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["monitor anxiety level/occurrence", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["help identify symptoms of anxiety", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["point out observed behaviors indicative of anxiety", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage expression of feelings and be accepting of them", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["spend [ ]min [freq]q shift to identify associated factors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["use active listening techniques", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["awareness of body language regarding loss of body part", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["identify and encourage anxiety-reducing activities", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["emphasize positive effects of plan", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["administer anti-anxiety medication as prescribed", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach/review medication use", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["awareness of body language regarding disfigurement", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
55
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
54
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["unchallenged exploration of what loss means to him", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
50
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assistance with basic needs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
42
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["reinforcement that present feeling are normal", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["avoid a judgemental attitude/approach", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["arrange for community support group visit if needed", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage patient to become involved in helping others", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
who have experienced similar losses/changes
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["genetic factors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sociocultural drinking patterns", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["peer pressure", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["positively reinforce for effort at adaption", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["do not support denial", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["psychological needs such as:", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["goal setting techniques", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["be receptive to patient/SO's expressions of doubt/concern", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["alternative self-help strategies", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["dependency", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["low self-esteem", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inadequate self identity", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["increased stress", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
56
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["pattern of pathological alcohol use such as:", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["disasters", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["wars", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inability to stop drinking", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["depression, severe anxiety", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["epidemics", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["rape", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assault", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["binges or alcohol use necessary for daily functioning", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["torture", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
43
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["physical problems related to alcohol use,e.g. cirrhosis", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Post Trauma Response", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Hopelessness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Substance Abuse, Drugs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["intolerance to activity; decreased strength and endurance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["free from all S/S of withdrawal within [ ]days of admission", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
55
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["verbalizes experience of overwhelming events by [date]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["expresses feelings regarding events within [ ] hrs", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["guilt", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["remorse/self reproach", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["grief", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["survivor guilt", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["administer medication as ordered for S/S of withdrawal", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["develops 3 alternative coping methods prior to D/C", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["musculoskeletal impairment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes existence of flashbacks", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes intrusive thoughts", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes nightmares", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes repetitive dreams", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes emotional numbness", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes social isolation", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes other stress related symptoms: [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["encourage balanced nutritional intake each meal", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["check sensorium q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["reassure patient at onset that symptoms are temporary", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["cognition impaired", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["neuromuscular impairment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide quiet environment to decrease stimuli", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide education/instruction within [ ]days of admission", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide physical sequelae within [ ] days of admission", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["be available for patient's questions", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage pt to list areas adversely affected within [ ]days", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["give patient positive reinforcement", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage patient to ventilate feelings", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["establish an after care follow-up plan before discharge", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["ask patient to list all support resources by [date]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["reinforce need for follow-up care or support", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["pain, discomfort", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes cause of withdrawl symptoms", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes impact alcohol had on life style", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes support systems to be used after discharge", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
57
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["subculture lifestyle", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["low frustration tolerance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["emotional immaturity", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["need to escape", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reinforced 'highs'", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
44
\n", "", "", "", "
1
\n", "", "", "", "
,see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["general self-care deficit outcomes", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
56
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["free of S/S of substance withdrawl within [# of days] days", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes no anxiety towards being drug free by [date]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes 3 changes in lifestyle", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies 3 past behaviors which lead to drug abuse", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["discusses feelings of loss re: giving up drugs by [date]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["writes lifestyle goals prior to discharge", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
concerning:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["develops written plan to overcome inadequacies by D/C", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
51
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["monitor fluid and food intake", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["feeding deficit outcomes", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
demonstrates or describes
\n", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["administer medication as ordered for S/S of withdrawal", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assign 1:1 relationship with nursing staff", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "", "", "
D EN2^NURCCPU2
\n"], ["remind patient that withdrawl is a temporary condition", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["build trust and rapport", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["allow patient to ventilate fears", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist pt. to identify need for lifestyle change", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach simple stress reduction techniques", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist in identifying consequences of negative behavior", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["reinforce positive interaction", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage pt. to have written goals by discharge", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
in six major areas of life
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["bathing/hygiene deficit outcomes", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["mental", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["social", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["spiritual", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["financial", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["states presenting S/S to coorect stress response", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["reports absence/significant decrease in stress symptoms", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["develops written plan for achieving major life goals", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
52
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess for S/S of additional patient problems", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["potential for violence [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["dressing/grooming deficit outcomes", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
demonstrates
\n", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["sleep pattern disturbance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["strees response", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["fear", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["build trust and rapport", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
by
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["making frequent intermittent contacts to offer support", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["being non-judgmental", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["encouraging discussion of events/stress symptoms", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["support realistic assessment of life situation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["encourage participation in self help groups [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
the following
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["identifies factors limiting self-care", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["anger control", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["response to loss", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["stages of grief", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["stress reduction/relaxation assertiveness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["holistic health practices", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["leisure skills", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["medication information", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["refer to appropriate community resource", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
58
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["impaired judgement", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["accepts home health care", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["memory loss", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["physiologic changes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
45
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Potential For Violence (Self/Others)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Impaired Social Interaction", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
57
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["controls impulsive behavior dictated by hallucinations", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["dismisses internal voices", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies delusional thoughts as unreal", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["initiates conversation with staff or other patients", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["accepts interventions to modify self-care deficits", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["makes thoughts understandable to others", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains good personal hygiene and grooming each morning", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
53
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["observe for S/S of auditory hallucinations", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
59
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["antisocial", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["battered women", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["catatonic excitement", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["child abuse", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["manic excitement", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["physical therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["organic brain syndrome", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["panic states", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["rage reactions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["suicidal behavior", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["temporal lobe epilepsy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["toxic reactions to medications", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
46
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
, see:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Thought Processes, Alteration In", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
58
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["will not destroy property during hospitalization", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["development tasks impaired", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["occupational therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["will not harm himself or others during hospitalization", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["signs a 'no-harm' contract", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["communicates feelings of loss of control", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies feelings contributing to destructive behaviors", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["writes plan identifying coping/behavior control strategies", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
54
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["encourage pt. to identify anger and verbalize feelings", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["offer PRN medication when indicated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["promote activities to increase self-esteem", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["include family or S/O in group therapy", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["increased interest and desire to eat", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["praise patient for use of assertive actions", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["praise patient for use of physical exercise", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["relaxation/stress reduction methods", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assertiveness training", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["physical exercise as a means to cope with feelings", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
60
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["alteration in mental status", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
61
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
59
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["causative factors for feeding deficit", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
55
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
47
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["absence of available S/O or peers", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["communication barriers", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["environmental barriers", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["knowledge/skill deficit about ways to enhance mutuality", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["limited physical mobility", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["self concept disturbance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["socio-cultural dissonance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["therapeutic isolation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["use of adaptive devices", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["altered body structure or function", "
TERM
\n", "
NURSC
\n", "", "
3
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Diversional Activity, Deficit", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["altered state of wellness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["delay in accomplishing developmental tasks", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["immature interests", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inadequate personal resources", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inability to engage in satisfying personal relationships", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["unaccepted social behavior", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["unnaccepted social values", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["interacts with assigned staff and one pt of choice q[freq]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["increased ability to feed self", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
48
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
, see:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["attends and participates in group", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["uses assertive communication techniques", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["reports positive interactions with others", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["focus on interaction patterns and feelings of the present", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
60
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["reinforce participation in assigned groups", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["demonstrates an increase in social interaction", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["reinforce positive statements about self/others", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach assertiveness skills,methods to enhance self esteem", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["participation in adaptive process", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
62
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
61
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
56
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
49
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["development transition and/or crisis", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["situational transition and/or crisis", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["interacts with an assigned staff member [ ] min/shift", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Home Maintenance Management, Impaired", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["interacts with an assigned staff member [ ] min/day", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["reports effective communications among family members", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["describes causative factors of bathing deficit [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["interacts with another patient [ ] times per shift", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["interacts with another patient [ ] times per day", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["family demonstrates effective problem solving", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["reports resolution of family conflicts", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["attends and participates in assigned groups", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["family members demonstrate healthy family interactions", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["observe family for healthy/pathological family dynamics", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["mediate interpersonal communications without taking sides", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["listen to expressions of fear of change", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["tasks with S/O for [ ] minutes each week", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["performs bathing activity at optimal level", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["reinforce new behaviors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach problem solving skills", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
169
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["teach assertive communication skills", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["refer to social work or community agency for family therapy", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
63
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["sit quietly with patient if (s)he is not verbalizing", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
62
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["assess factors which contribute to withdrawl", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
57
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["verbalizes comfort and satisfaction with body cleanliness", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
50
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["perceived potential loss of personal possessions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["encourage discussion of 'here and now'", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["perceived potential loss of physiopsychosocial well-being", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["perceived potential loss of S/O", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["encourage verbalization of feelings", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["give positive reinforcement", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["discusses three feelings about potential loss", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies three successful coping methods", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["attends to own ADL", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["increased ability to dress self", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assess for dysfunctional grieving", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["involve the patient in activities/interactions", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist with grief process", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage interactions/activities with family", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
64
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
63
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
58
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
51
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["absence of anticipatory grieving", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["actual or perceived object loss (broadest sense) such as:", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["ineffective family/individual coping", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["ability to request/accept assistance in dressing", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["people", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["possessions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["job status", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["home", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["ask what is going on with him at this time", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["ideals", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["parts and processes of the body", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["chronic fatal illness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["interrupt hallucinations; involve reality based activities", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["lack of resolutions of previous grieving response", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["increased interest in appearance and dress", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["loss of personal possessions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assist pt. in identifying anxiety/its relation to behavior", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["loss of psycho-physiological well-being", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["loss of significant others", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["determine amount of control pt. has over hallucinations", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["develop plan with pt. to report impulsive behaviors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assign 1:1 as indicated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["offer PRN medication when indicated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["expresses two feelings related to loss", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["discusses two angry feelings related to loss", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["general self-care deficit interventions", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["discusses two guilty feelings related to loss", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["works through stages of grief process", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["develop a trusting relationship with the patient", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage patient to recall experiences", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["positively reinforce expression of feelings related to loss", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist to identify sources of anger", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor behaviors indicative of unresolved anger", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["help identify strengths", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["recognize: pt. may be anxious about dismissing 'voices'", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage reality testing", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["feeding deficit interventions", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["provide chance to speak to others who cope with similar loss", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach: that delusional thoughts are hard to believe", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["relate delusional thought content to level of anxiety", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["allow brief description of delusions; do not reinforce", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach manifestations of unresolved anger", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach healthy grieving process", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["explain the reality of the present situation", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
65
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["be clear and concrete in your statements", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
64
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["bathing/hygiene deficit interventions", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["interject doubt regarding delusions (if able to accept)", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
59
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
52
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["encourage verbalization of feelings", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["belief that stress, event or illness is uncontrollable", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["cognitive errors; negative ideas of self, world, & future", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["crises, situational & maturational (separation,death,loss)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["look for reality stimuli causing stress/explore factors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["hormonal imbalances and/or changes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["neurotransmitted dysfunction", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["dressing/grooming deficit interventions", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["interact with patient [specify] minutes/day", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
and include the following:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["discuss goals and alternatives", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide positive reinforcement when initiates conversation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reports feeling less depressed", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["listen/chart patterns & symbols used in conversing", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sets small goals for accomplishing tasks", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["discuss concrete realities", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reports experiencing success in meeting goals", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["define statements that are confusing", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reports a return to own normal sleep pattern", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assess degree of disability", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["makes one positive statement about self q [frequency]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["monitor/assist with grooming & hygiene as necessary", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["demonstrates problem solving skills", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["developes plan to deal with contributing factors", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies three alternative methods to deal with stressors", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
66
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["alienation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["crisis, maturational or situational", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["monitor for suicide potential", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["neurotransmitter dysfunction", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess memory/intellectual functioning", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor ADL", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["toxic substance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["very strong dependency needs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
53
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
, see:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["monitor physiological S/S of depression", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor sleep pattern", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Injury, Potential For", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reinforce task completion", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach relaxation techniques", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
65
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["determine individual strengths and skills", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["neurotransmitter dysfunction", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
60
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["collect data on sleep pattern", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["will have adequate sleep and rest", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["reduce stimulation/protect from overstimulation", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["reports improved ability to concentrate", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["define and reinforce limits and controls with patient", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["expresses realistic plans and ideas", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["formulate schedule of daily activities", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage purposeful activities", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["identify if deficit is temporary or permanent", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["demonstrates increased ability to control motor behaviors", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates increased ability to control verbal behaviors", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["provide protection from disruptive behavior", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["have staff sit with patient to provide support/control", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["medicate as prescribed by MD", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Airway Clearance, Ineffective", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Gas Exchange, Impaired", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Breathing Pattern, Ineffective", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
67
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["lack of ability to make judgement", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess causative factors (of deficit)", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["alteration in mental status", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["altered body image", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["altered taste or olfactory sensation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["depression", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["disturbance in self-concept", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["factors influencing nutritional needs", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
such as:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["psychological stress", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sore,inflamed buccal cavity", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
66
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["express satisfaction with amount/taste/type of food", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assess post discharge needs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["express freedom of oral discomfort during food/fluid intake", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["afebrile, specify temperature less than [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["indicate inappropriate behavior to develop honesty/awareness", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["through 1:1 relationship, assist in identifying problems", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["through pt. education, assist in identifying problem", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist to plan way to compensate for loss", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach holistic health (activity, recreation, and rest)", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist listing of supportive persons/agencies before D/C", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist/secure contact with support ind./group before D/C", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["writes plan identifying impulses to harm self", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["encourage patient to control timing of self-care activity", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["observe as indicated", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["1:1 observation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["constant observation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["scheduled observation q [ ] minutes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["routine observation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reinforce that patient can maintain control", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["staff will give examples of controlled behavior", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["restrain as necessary", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["bypassing normal body defenses by suctioning, intubation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inability to breathe deeply", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
due to:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["visual deficits", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["weakness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["chest pain", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["isolation", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
specifically:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["AFB", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["secretion/excretion", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["respiratory", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach prevention of infection techniques [specify]", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["expresses appropriate knowledge base for self care", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates positive health behaviors", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["expresses less anxiety", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
related to:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["impaired functional mobility", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["fear of unknown", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["loss of control", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
54
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
67
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
61
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["verbalizes acceptance of self-limitations in sex matters", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes confidence/ability to resume satisfactory sex", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes knowledge of methods of contraception", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes methods to prevent sexually transmitted diseases", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies stressors related to altered sexual pattern", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["contributory medical problems", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["identifies practices that conserve energy when having sex", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assess S/S of sleep-pattern disturbance", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
; monitor and document:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["early morning headache", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["increasing irritability", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["restlessness, changes in position", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["disorientation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["listlessness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["mild fleeting nystagmus", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["slight hand tremors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["ptosis of eyelids", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["identify food likes/dislikes", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["dark circles under the eyes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["frequent yawning", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["loud snoring", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["difficulty sleeping", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["interrupted sleep", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sleep pattern reversal", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["schedule rest periods early in the day", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["has decreased S/S of sleep-pattern disturbance", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes improved ability to perform activities", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes less trouble falling asleep", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["encourage person to wear dentures/eyeglasses if applicable", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["has less complaints of early awakening", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["has less complaints of sleep pattern reversal", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["has less complaints of interrupted sleep", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["discomfort", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["apnea", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["personal stress", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["family stress", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assist with the use and care of respiratory equipment", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["CPAP set-up", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["oxygen therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["determine person's usual eating pattern", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["trach care", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach patient and S/O", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
the following:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["S/S of sleep-pattern disturbance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["compliance with prescribed treatment program", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assembling, using, and cleaning of respiratory equipment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["individuals to contact if equipment problems occur", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes knowledge of treatments", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes knowledge of disease process & treatment", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes knowledge of risks", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["follows treatment regime", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["position person in upright, comfortable eating position", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintains or regains ability for self-care in ADL", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["effective decision making skills", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["environment clean", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes acquisition of necessary supplies or equipment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes community/family resource if required", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["demonstrates adaptive techniques/devices for self-care", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["achieves independence in self-care", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["achieves independence in feeding", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["adaptive techniques/devices for independent dressing", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["independence in dressing/grooming", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["lack of growth of fine motor skills", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide assistance or adaptive devices", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["achieves independence in toileting", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes prevention practice for [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["hypermetabolic status", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["experiences increased calories/day of [ ]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["experiences decreased calories/day of [ ]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["experiences increased CHO of [ ]gms", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["experiences decreased CHO of [ ]gms", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["experiences an increase of [ ]gms of fat", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["experiences a decrease of [ ]gms of fat", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["experiences an increase of [ ]gms of protein", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["explain/demonstrate adaptive devices", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["experiences a decrease of [ ]gms of protein", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["achieves weight loss of [number of lbs/kgs]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["achieves weight gain of [number of lbs/kgs]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains optimal weight [specify lbs/kgs]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates energy to obtain/prepare/consume food", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
such as:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["obtain [#] meals per day", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["prepare [#] meals per day", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["consume [#] meals per day", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["displays increased social interaction at meals with S/O", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["describes rationale for (nutritional) treatment plan", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identify deterring factors when using devices", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["selects menu within dietary restrictions", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
62
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess factors contributing to change in appetite", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess oral cavity q [frequency] hrs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess dietary habits", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["minimize noxious stimuli in environment", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["avoid painful experiences immediately before meals", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["provide rest periods [ ] min. [number of times] per day", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["select menu within dietary restrictions", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide food likes [describe]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide bathing time and routine to encourage independence", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["oral hygiene q[frequency]hrs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["offer food non-irritating to oral mucous membrane", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["cold foods [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["non-spicy [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["non-acidic [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["increase social support systems during mealtime", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["staff member present during mealtime", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["family or S/O present during mealtime", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["patients/volunteers present during mealtime", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide pt. education resources on nutrition as needed", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide adaptive equipment", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["explain rationale for type and schedule of food service", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Dietetic Consult", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
55
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
68
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["inability to digest/absorb nutrients due to biologic factors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inability to digest/absorb nutrients due to psych. factors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inability to digest/absorb nutrients due to economic factors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
56
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Appetite, Altered", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Impaired Swallowing", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach safe use of adaptive equipment [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
68
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["expresses factors that contribute to decreased nutrition", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains nutritional intake to meet metabolic requirements", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["stable weight greater than [specify] lbs/kgs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["stable weight less than [specify] lbs/kgs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["daily intake of [number of] calories", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["balance between activity and caloric intake", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["weight is + or - 20% of IBW; [lbs/kgs]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["absence of negative nitrogen balance indicators", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["identifies/procures food source", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
through:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["encourage patient to wear street clothing", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["public meal programs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["family support", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["social welfare programs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["self-care ability", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
63
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess food source and abilities to prepare meals", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess eating patterns, satiety levels", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess need for calorie count q[specify frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintain activity level commensurate with caloric intake:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["maintain activity level; increase calories to [#] cal/day", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["ensure easy access to all clothing", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["decrease activity level; maintain calories at [#] cal/day", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["minimize noxious stimuli in environment", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["restrict liquid intake to [ ]cc before meals", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide nourishment at [ ] am and [ ] pm", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["frequent cool clear liquids [ ]cc every [ ] hours", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["elevate head to [ ] degrees for [ ] min. after meals", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide rest periods after meals for [ ] hours", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide financial resource contact for food purchase", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["initiate consult(s)", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
to:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Social Work Service", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lay clothing out in order for dressing", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["VNA", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach suppression of vomiting reflex", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
69
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["excessive intake in relation to metabolic needs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["dysfunctional psychologic conditioning related to food", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["hereditary disposition", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["frequent closely spaced pregnancies", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["socioeconomic factors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
57
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
69
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["allow sufficient time for dressing and undressing", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintains metabolic needs that meet metabolic requirments", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["weight loss of [number of] lbs/kgs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["triceps skin fold measurements is <15 mm (men)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["decreases food intake while increasing/maintaining activity", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["expresses eating patterns that contribute to weight gain", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["describes activity level in relation to weight", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["selects menu within dietary restrictions", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["expresses satiety level within dietary restrictions", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
64
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess factors contributing to increased food intake", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintains a state of wellness", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["select appropriate clothing", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["record caloric intake q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintain activity level commensurate with caloric intake", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
, e.g.,
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["increase caloric expenditure by [ ] calories/day", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["decrease food intake to [ ] calories per day", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["refer to support groups", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach METS activities and progression of same", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach behavior modification techniques related to intake", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
70
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["alteration in dentition", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["alteration in oral mucous membrane", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["allow person to demonstrate activity in steps", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["altered levels of consciousness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["mechanical obstruction, i.e., tumors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["neuromuscular impairment, i.e, decreased/absent gag", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
58
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
70
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["ingests p.o., [specify # of] calories q[frequency]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains adequate nutritional status", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["ingests [#] cc of fluid q [frequency]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates oral hygiene techniques", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
65
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["keep instructions simple and repeat often", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess ability to swallow", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["adequately alert and responsive", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["able to control mouth", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["cough/gag reflex present", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["can swallow own saliva", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess factors contributing to swallowing difficulties", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["position patient upright 60-90 degrees [ ] min before eating", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["flex patient's head about 45 degrees [ ] min before eating", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintain in upright position [ ] min after feedings", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["oral hygiene before and after feedings", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide dressing aids as necessary", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["stimulate salivation by providing [ ]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["feed slowly, assure previous bites swallowed", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach progression of food types/textures", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["liquids", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["mechanical soft", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["small amounts", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["various textures foods", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide wet foods to make up for saliva deficit", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["minimize distractions during feeding", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
for concentration on swallowing
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach how to handle food", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
, i.e.,
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["loose fitting", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["move food to middle of tongue", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["raise tongue to roof of mouth", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["think about swallowing", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["swallow", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["actual loss", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["failure of regulatory mechanisms", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["loss of fluids though abnormal routes (indwelling tubes)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["ear oximetry indicates oxygen saturation of 90% or greater", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes/demonstrates physical conditioning techniques", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Respiratory Therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["wide sleeves", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["coordinating breathing with activity", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["using pursed-lip breathing", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["use of Home Oxygen Therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["using oral/inhaled bronchodialators (e.g., MDIs)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["skin color/texture during activities", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["respiratory rate during activities", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["utilizes management program", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
such as:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["suppository", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["diet", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["fluid intake [amount]", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["front fasteners", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["utilizes management program", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
such as:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["scheduled toileting", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["intermittent catherization", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["indwelling catheter", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["remains free of urinary tract infection", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["pain", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["burning", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["frequency on voiding", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["proper catheter care", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["describes control measures", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["long handled shoe horn", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["achieves intact mucosa", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["identifies preventive measures", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates ability to manage wound care", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates abilty to direct care", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates ability to use assistive/adaptive devices [spe]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["develops a mechanism (system) for communication", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates compensatory techniques (i.e., scanning)", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["reduce isolation with assistive/adaptive devices [example]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["lighting", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["rugs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["velcro", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["waxed floors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["grab bars", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["decrease noise", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["demonstrates ability to direct care", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["triceps skin fold measurements is <25 mm (women)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["urine C&S is negative for infection", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["afebrile", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["maintains intact skin", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
4
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates ability to do self assessment", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["writes list of support persons/agencies before discharge", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["toileting deficit outcomes", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["makes contact with support person/agency prior to D/C", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["has improved breath sounds", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["has no signs of paradoxical breathing", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["has no signs of respiratory alternans", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["hemodynamically stable", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["baseline B/P for pt [specify range]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["ventilation, altered", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["respiratory altenans", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["paradoxical breathing", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["ear oximetry q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["relationships with others", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["demonstrates increased ability to toilet self", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["document use of accessory muscles q [ ]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["peak flows [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["bronchial hygiene q[frequency]hrs", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["administer bronchodilators as ordered", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["administer aerosol via large volume nebulizer", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["postural drainage q[specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["effective position/pattern for coughing", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["cascade (staged)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["end expiration", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["upright position", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["demonstrates increased ability to cope with assistance", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["splint incision while coughing/suctioning", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["incentive spirometry q[frequency] hrs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["tracheostomy care q[frequency]", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["no signs of respiratory alternans or paradoxical breathing", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["no signs of paradoxical breathing", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["remains free of hypercapnea", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assess bladder history", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintains records to determine bladder patterns", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Speech Therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["effective airway clearance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes positive feelings related to continency", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["related problems [specify] will be treated", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assess causative, contributing factors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist with identifying current stressors in life", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide information regarding an altered body function", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["adapt plan to patient's lifestyle", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["discuss relationship problems", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["altered body structure or function", "
TERM
\n", "
NURSC
\n", "", "
4
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["conflicts with sexual orientation or varient preferences", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["fear of pregnancy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["fear of acquiring a sexually transmitted disease", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["identifies causative factors related to toileting deficit", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["illness or medical treatment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["impaired relationship with S/O", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["ineffective or absent role models", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["knowledge deficit about responses to health transitions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["skill deficit relating to health related transitions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lack of S/O", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assist with methods for dispersing sexual energy", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach patient and/or S/O", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["methods of contraception", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["methods used to avoid sexually transmitted diseases", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["demonstrates use of adaptive devices to facilitate toileting", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["techniques/methods of sexual expression", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach S/S of infection", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["annual flu shot", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["pneumococcus vaccine", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["reassure patient", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sensorium q[frequency]hrs", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["normal sinus rhythm", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach patient", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
5
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["free from edema/swelling", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["actions to take to prevent cross-infection", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes/demonstrates decreased fatigue with activity", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["personal hygiene measures as indicated [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess usual sleep pattern", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
; monitor and document
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Infection Potential (Specific to Integumentary System)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["how to contact someone for help", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["self care during manic episode", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["identification of behaviors leading to manic episode", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["treatments", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Diabetes Mellitus", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Pain, Acute", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nA state of discomfort that can last from one second to as long as \nsix months.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Craniotomy", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
3
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["demonstrates increased control of dyspnea with activity", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Seizure/Headache", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
4
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Organic Mental Disorder", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
5
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Dissociative Disorders", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
6
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
40
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
40
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
170
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Borderline Personality Disorder", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Sexual Disorders", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Eating Disorders", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Malabsorption Syndrome", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["demonstrates increased independence for self-care", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Pulmonary Edema", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Respiratory Failure/Acute Resp Distress Syndrome", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Interstitial Lung Disease", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Sleep Apnea", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Tuberculosis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Esophagitis/Esophageal Reflux/Esophageal Stricture", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Gastroenteritis/Gastritis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["immobility", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inflammation injury", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["ischemia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["hemodynamically stable during activity", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["muscle spasms", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["muscle tension", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["contraction", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["physical activity", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["procedures", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["surgical incision", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["tissue damage", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["hostility/anger", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["altered thought process", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes when in pain", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["appropriate pulse rate for pt [specify range]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["free of objective signs of pain", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies factors that influence pain experience", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies appropriate pain relief measures", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates use of pain relief measures", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["patient/S.O. administers medications appropriately", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes effect of pain relief interventions", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes comfort", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assess pain episode using 0 (no) to 10 (worst) scale", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess pain (location, duration) q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor stimulus responses to pain", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["coping behavior", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["B/P", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Diabetes Insipidus", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["instruct to report pain as soon as possible", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Burns", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["support verbalization of pain", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["administer pharmacological agents as ordered/per protocol", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
9
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach splinting of the incision to minimize pain", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Degenerative Nervous System Disease", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Traumatic Brain Injury", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Aspiration Potential", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
71
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["skin color and temperature WNL for pt", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
71
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
171
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
31
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["reduced level of consciousness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["depressed cough and gag reflex", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["presence of endotracheal/tracheal tube", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["incomplete esophageal sphincter", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["gastrointestinal tubes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["medication administration", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["increased intragastric pressure", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess for signs of fatigue and weakness", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
; monitor and document:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["increased gastric residual", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["decreased gastrointestinal motility", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["delayed gastric emptying", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["wired jaws", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["impaired swallowing", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["facial/oral/neck surgery/trauma", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["situations hindering elevation of upper body", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach the purpose and use of analgesics", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["evidence of clear airway", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["evidence of clear lung fields", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["administer oxygen/cannula at [specify]L/min or mask at [ ]%", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess respiratory rate and pattern/breath sounds", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor secretions:amount, color, consistency", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor secretions: presence/absence of methyllin blue", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor secretions: presence/absence glucose in secretions", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["observe for coughing when eating/receiving tube feedings", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["document frequency of suctioning", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor level of consciousness q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["review chest xray report for evidence of infiltration", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["measure trach/ET tube cuff pressure q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintain cuff pressure between [amt]mm Hg", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["administer bronchodilators as ordered", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["place pt in semi-fowlers prior to eating/tube feeding", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintain upright position [# of] minutes after eating/TF", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["schedule/do bronchial hygiene at least [amt] min pc", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["check gastric residual q[freuqency] hours", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["if gastric residual > [amt] cc, D/C feeding", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["evaluate size of feeding tube/use smallest tube", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach pt,S/O,caregiver to elev HOB prior to feeding", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach pt,S/O,caregiver to do bronchial hygiene q[] min PC", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach pt,S/O,caregiver to position pt upright q[] min PC", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach pt,S/O,caregiver to keep trach cuff infl when eatg/fdg", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["plan activities to maximize medication/treatment benefits", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["infection potential", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["nutrition, alteration in (less than body requirements)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["coping, ineffective (family)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["powerlessness", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["administer pharmacological agents as ordered/per protocol", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
; monitor and document
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach techniques of massage to decrease pain", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach positioning techniques to decrease pain", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach breathing exercises to decrease pain", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach distraction techniques to minimize pain", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach the use of imagery to decrease pain", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide [number of] minutes of rest between activities", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["skin warm to touch", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["perineal hygiene", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
33
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
35
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
36
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
37
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
41
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
42
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
43
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
44
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["passive/active ROM q[frequency]hrs.", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
45
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
46
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
47
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
50
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
51
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
52
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
53
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
54
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
55
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
56
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["initiate muscle strengthening/conditioning as indiciated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
57
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
58
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
59
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
60
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
61
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
62
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
63
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
64
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
65
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
66
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["refer for appropriate consults", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
specifically
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
67
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
68
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
69
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
72
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
73
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
74
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
75
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
76
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
77
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
78
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["attention to physical appearance/grooming", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach patient", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
in
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
79
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
80
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
81
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
82
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
84
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
85
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
86
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
87
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
88
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
89
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["exertional dyspnea", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
90
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
91
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
92
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
94
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
95
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
96
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
97
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
98
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
99
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
100
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["inability to be independent for self-care", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
101
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
102
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
103
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
104
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
105
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
106
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
107
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
108
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
109
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
110
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["weight loss or gain", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
111
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
112
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
113
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
114
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
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TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
101
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
102
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
103
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
104
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
105
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["shower hose", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
106
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
107
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
108
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
109
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
110
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
111
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
112
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
113
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Constipation, Perceived", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
72
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
7
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["cultural/family health beliefs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["faulty appraisal", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["impaired thought processes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
60
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Adjustment Impaired", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
37
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess bowel elimination pattern/routine", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess factors contributing to perception of constipation", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor for therapeutic effects of laxatives/enemas", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["institute bowel program [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
8
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["teach bowel physiology and when to seek medical attention", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess history of laxative/enema use", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["ensure fluid intake of [value] cc/day", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide privacy during toileting", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess perception of constipation", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["perform rectal examination", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["institute bowel program [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage physical activity within limits", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["instruct against habitual use of laxatives/enemas", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["instruct to attempt defecation [value]hours pc", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["infection, tracheobronchial", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
72
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["establishment of a bowel elimination pattern", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["reduction of laxative/enema/suppository use", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["patient verbalizes factors influencing elimination [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Decisional Conflict [specify]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
73
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["unclear personal values/beliefs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["perceived threat to value system", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lack of experience or interface with decision making", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lack of relevant information", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["obstruction, tracheobronchial", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["support system deficit", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["multiple/divergent sources of information", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
61
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Coping, Defensive", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
73
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["actions consistent with values [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["ability to identify alternatives", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["utilizes skills required to implement decision [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalization of satifaction about decisions", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["restoration of self care", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["secretions, tracheobronchial", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
66
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess existing problem-solving ability", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess patient perception of problem", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist to identify desired goal", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist to clarify goals, alternatives, potential outcomes", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist to identify pros and cons of alternatives", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide information to assist in decision-making", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach problem solving skills", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach value clarification", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["evaluate effectiveness of problem-solving ability", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["perceptual/cognitive impairment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Coping, Defensive", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
74
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["support systems", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["previous experiences", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["cognitive appraisal of event", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["level of self-esteem", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["self-concept", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["concurrent events", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["nature, characteristics and demands of event", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
62
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["trauma", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Denial, Ineffective", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Self-esteem Disturbance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
67
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["attainment of desired goal [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["competency in management of situation [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintenance of self-esteem", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["realistic appraisal of event, demands, coping resources", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalization of a sense of personal integrity", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
74
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["assess patient perception of stressful event", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintains or regains optimal level of mobility", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
6
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["acknowledge goal related achievements", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist to identify strategies for achieving goals", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist to identify desired goal", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["clarify misconceptions", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["confront ineffective behaviors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach coping skills [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach ways to develop social networks", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Fatigue", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
75
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["decreased/increased metabolic energy production", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
8
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["overwhelming psychological/emotional demands", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["increased energy requirements to perform ADLs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["excessive social/role demands", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["states of discomfort", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["altered body chemistry", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
63
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Disuse Syndrome Potential (to be developed)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
75
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["utilization of energy conservation techniques", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["willingness to ask for help and/or delegate tasks", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["has decreased abnormal breath sounds", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["incorporation of a rest period into daily activity", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["resumption of daily routine", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["increased interest in surroundings", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
68
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess current level of energy", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess physical and mental demands", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess family/SO understanding of patient fatigue", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess patient perception of fatigue", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist in identifying low-demand sodial activities", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist in identifying activity priorities", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["has normal respiratory rate/breathing pattern", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identify factors contributing to fatigue (Dx/Rx/Tx)", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["evaluate rest/activity schedule", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach energy conservation techniques", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor effectiveness of energy conservation techniques", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Ineffective Denial", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
76
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["nature of action precluded", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["context of situation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
64
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Adjustment Impairment (to be developed)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["has decreased use of accessory muscles", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Pain, Acute", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Pain, Chronic", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
76
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["restoration of patient well-being", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["reduction in anxiety to low or moderate levels", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalization of reduction in problems or concerns", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
69
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess effect of denial as a coping strategy", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["avoid confrontation", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess for S/S of increased anxiety", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["is afebrile", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["provide factual information about object of concern", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide supportive environment for verbalization", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["support verbalization anxieties or fears", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach alternative coping skills [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
65
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
66
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["increases self care ability [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["evaluates environment for safety risks", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["administer pharmacological agents as ordered/per protocol", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
4
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["recognizes signs/symptoms of [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["attains/maintains ABGs/pulse oximetry within normal range", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["states interventions for complications of [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates health management strategies for [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies support system/resources", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["conveys attitude of own worth/positive body image", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assess knowledge of health state", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["medical diagnosis", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["illness prevention behaviors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["health promotion behaviors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["use of orthotic devices", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide protective environment", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["verbalizes patient education information", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["teach safety precautions", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["environmental assessment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["environmental management", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess understanding of prescribed medication q [frequency]", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["knowledge of reason for taking", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["tactile/visual identification", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["knowledge of side effects", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["knowledge of schedule", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["knowledge of adminstration techniques", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach medication self-administration", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["S/O assists with quad cough", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["administration techniques", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["support use of devices to facilitate mobility", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["limit activities as identified by medical evaluation", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintain/increase mobility by [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["support patient/family in process of viewing limitations", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach patient safe transfers from bed to W/C to commode", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage participation in Blind Rehabilitation Program", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach healthy food choices/preparation", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach diabetic management", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["teach techniques for obtaining blood/urine samples", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["etiological factor", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach testing of glucose/ketone levels", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach foot care", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach management of diabetes during illness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach signs/symptoms of complications [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Disuse Syndrome, Potential For", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
77
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["mechanical immobilization", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["prescribed immobilization", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["severe pain", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["good basic health habits", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["remains/regains orientation to time, place and space", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assess respiratory rate and pattern/breath sounds", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
9
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
77
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["performs at highest level of functioning [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains muscle tone and strength", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains bowel function", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintain clear bilateral non-labored respirations", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
5
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains adequate bladder function", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["uses assistive devices [specify] correctly/consistently", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["participates in social and occupational activities", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes accurate knowledge of decisions/treatment", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["remains free of injury", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["TPR q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
70
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess nutritional status q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor for S/S of urinary tract infection", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor urine pH q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
67
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Activity Intolerance, Actual", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Pain, Chest", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Hypothermia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Neglect, Unilateral", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["maintains usual sleep-rest/activity cycle as appropriate", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["B/P q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["verbalizes having adequate energy to perform tasks", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["does not sustain physical injury", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["teach methods for achieving relaxation/sleep", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess need for & response from medication", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Hopelessness", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
78
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
78
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
71
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
68
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["prolonged activity restriction creating isolation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["respiratory pattern q [frequency]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "
assess, monitor, document
\n", "", "
TABULAR
\n", "", "", "", ""], ["deteriorating physiological condition", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["long-term stress", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["abandonment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lost belief in values", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Self Esteem Disturbance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["describes adjustments to environment that give control", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["participates in self-care activities", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes feelings of regained hope", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["utilizes available support systems", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates use of coping behaviors", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["monitor use of accessory muscles", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide time and atmosphere for verbalizing feelings", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["allow decision making regarding own care", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["explain treatments/procedures", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage participation in self care", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist in identifying available support systems", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach coping behaviors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["consult with clergy", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["consult with psychologist", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["consult with social worker", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["ABGs/pulse oximetry q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["verbal report of fatigue or weakness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["abnormal heart rate or BP response to activity", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["ECG changes reflecting arrhythmias or ischemia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
3
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["cough effective with or without sputum", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["breath sounds abnormal ie., wheezing", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["cough ineffective with or without wheezing", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["cyanosis", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["self-destructive behavior,active aggression,suicidal acts", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["cardiac rhythm q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["body language-fists,facial expression,rigid posture,tautness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "
\nbody language-clenched fists, facial expression, rigid posture, tautness\nindicating intense effort to control\n
\n
\n", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
4
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["lack of information, misinformation, misconception", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["hostile threatening verbalizations, boasting or prior abuse", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["perceived alteration in appetite", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reported altered food intake", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["report or evidence of lack of interest in food", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["changes in usual body weight", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["pica", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
5
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["monitor peak flows q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["shortness of breath, orthopnea", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["abnormal breath sounds; crackles (rales), wheezes (rhonchi)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
6
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["BP, CVP, PAP changes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["apprehension", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["increased tension/helplessness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["changes in mental status; restlessness, anxiety", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["uncertainty", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["overt,agressive acts-destruction of objects in environment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["extraneous movement ie., foot shuffling, hand/arm movements", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["observe sputum for color, consistency, amount", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["weight gain, edema, anasarca", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["suspicion of others,paranoid ideation,delusions,hallucinates", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
7
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["sympathetic stimulation-cardiovascular excitation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
8
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["urinary urgency, incontinence", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
9
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["excessive verbalization of the traumatic event", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["intake altered", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["thirst", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["administer bronchodilators as ordered", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
6
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
; monitor and document
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["abnormal arterial blood gases", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["flashbacks,intrusive thoughts", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["respiratory depth changes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["guilt or guilt about behaviour required for survival", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
10
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["verbalization of survival", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["repetitive dreams or nightmares", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["frequency", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["hesitancy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["incontinence", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["communicates within capacity", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["elevate head of bed", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["nocturia (more than 2 instances per night)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["retention", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
11
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["urgency", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
12
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["dependence resulting in irritability,resentment,anger,guilt", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["dribbling with increased abdominal pressure", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["expressed dissatisfaction,frustration w/decreased perform", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["urinary frequency", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["passivity", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["position to mobilize secretions q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
13
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["confusion", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["irritability", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
14
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["somnolence", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["hypercapnia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["hypoxia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
15
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["changes in eating habits", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sleep patterns alterations", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["out of bed q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["expression of distress at potential loss", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inability to wash body,obtain water & regulate water temp", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["potential loss of significant object", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inability to dress & groom self", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inability to feed self", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inability to toilet self", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["choked feelings", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
73
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
16
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
17
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["chest percussion q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["changed ability to estimate relationship of body/environmt", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["abnormal heart sounds", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["concentration and/or pursuits of tasks, alteration in", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["variations in hemodynamic readings", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["cold clammy skin", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["eating habits, sleep patterns, activity level, alteration in", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["missing body part", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["interference with life functioning", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reliving of past experiences", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbal expressions of distress at loss", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["pulmonary toilet q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
18
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["inability to accept positive reinforcement", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["chronic worry, anxiety, depression", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
19
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["inability to meet role expectations and for basic needs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
20
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["verbalization of inability to cope or ask for assistance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["impairment of memory, construction, information proscessing", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["expresses interest in improving health behaviors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
21
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["mouth care q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["lack of equipment, financial and/or other resources", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["discomfort, pain, soreness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["impairment of personal support system", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["redness and/or drainage", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["hypoprotenemia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inability to problem solve", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inappropriate use of defense mechanisms", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
22
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["decrease in social activities", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lack of energy for normal activity", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide adequate hydration and nutrition", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["sleep disturbance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
23
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["unable to process info consistent with growth & development", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalization of feeling worthless, hopeless, helpless", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["poor problem solving skills", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["judgement impaired beyond expected growth & development", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
24
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["behavior pattern or usual response to stimuli is changed", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["abdominal pain, cramping", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["increased frequency of stools", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["I&O q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["urgency of loose, liquid stools", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sensory acuity is reported or measured as changed", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["increased frequency of bowel sounds", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
25
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["problem-solving abilities are changed", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["boredom", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["disoriented in time, place or with persons", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["usual hobbies cannot be undertaken in hospital", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["desire for something to occupy time, ie crafts, read, etc.", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
26
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Activity Intolerance (Circulatory System)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state in which an individual has insufficient physiological or\npsychological energy to endure or complete required or desired \ndaily activities.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["unable to take responsibility to meet basic health practices", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["body image alteration", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inability of family to meet psychosocial needs of members", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["ineffective family decision-making process", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lack of adaptive behaviors to environmental changes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["family does not demonstrate respect for autonomy of members", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
27
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["inability of members to constructively adapt to change", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["S/O describe outstanding debts or financial crises", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
28
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Cardiac Output, Decreased (Electrical Factors)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state in which the blood pumped by an individual's heart is\nsufficiently reduced so that it is inadequate to meet the needs of\nthe body's tissues.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["members unable to interact with each other for mutual growth", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["S/O express difficulty maintaining a comfortable home", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
29
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["S/O request assistance with home maintenance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbal report of pain experienced for more than 6 months", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["presence of vermin or rodents", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["apprehension, fright", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["concentration on source of fear", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inappropriate household temperature", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["aggressive behavior", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess causative factors on admission", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Pain, Chest", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nA state in which an individual experiences and reports the presence\nof severe discomfort or an uncomfortable sensation.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["alteration in muscle tone (may span from listless to rigid)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["offensive odors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["withdrawal behavior", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sympathetic stimulation of the autonomic nervous system", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["accumulation of dirt, food or hygienic wastes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["distractive behavior(moaning,crying,pacing,restlessness,etc)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["skin turgor decreased", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["facial mask of pain(grimace,eyes lackluster,beaten look,etc)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["urine output altered (diluted, increased or decreased)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["narrowed focus(altered time perception,withdrawn etc)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Fluid Volume Excess (Actual/Potential)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state in which an individual experiences increased fluid retention\nand edema.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["disorderly surroundings i.e.,unwashed clothes, cooking equip", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
30
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
31
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["communication (verbal or coded) of pain descriptors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["actual or perceived limitation imposed by disease/therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["alteration in achieving perceived sex roles", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
32
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["alteration in relationship with self or significant other", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["alteration or inability to achieve desired self satisfaction", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["decreased appetite", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Hyperthermia", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state in which the individual is at risk because the body temperture\nis elevated above the individual's normal range.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["decreased affect", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["decreased response to stimuli", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
33
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["decreased verbalization", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["identification of sexual difficulties", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["passive behavior", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["limitations or changes in sexual patterns", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
34
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["increased body temperature above normal range", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
35
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Hypothermia", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state in which the individual is at risk because the body\ntemperature is reduced below the individual's normal range.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
36
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
37
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["destruction of skin layers", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["disruption of skin surface", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reduction in body temperature below normal range", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["frequency less than usual pattern", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["hard-formed stool", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
38
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["reported feeling of rectal fullness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["straining at stool", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Knowledge Deficit", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nLack of specific information.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["decreased bowel sounds", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["invasion of body structures", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["palpable mass", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
39
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["alteration in nutritional state (obesity, emaciation, etc.)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["minor evidence of aspiration", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
40
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
41
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["increased irritability, restlessness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["stasis of food in oral cavity, coughing/choking", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Tissue Integrity, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nState of tissue damage.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["verbal complaints of difficulty in falling asleep", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["not feeling well rested", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
42
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["verbalized/observed discomfort in social situations", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inability to receive/communicate a sense of belonging", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
43
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["dysfunctional interaction with peers, family and/or others", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["family reported a change of style or pattern of interaction", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["observed use of unsuccessful socialization behaviors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
44
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Tissue Perfusion, Alteration In", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state in which an individual experiences a decrease of\nnutrition and oxygenation at the cellular level due to deficit\nin capillary blood supply.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["absence of supportive/significant other(s)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["preoccupation with thoughts, repetitive meaningless actions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["seeks to be alone or exists in subculture", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["shows behavior unaccepted by dominant cultural group", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["expresses feeling of aloneness imposed by others", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["cognitive, effective, and psychomotor factors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["expresses feelings of rejection", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["integrative dysfunction", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
45
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["anger toward God (as defined by the person)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Appetite, Altered", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nAn individual perceives or experiences a change in appetite which is\nviewed as having a negative effect on their nutritional status.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
46
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["expresses concern with meaning of life,death,belief systems", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["request for information", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["questions meaning of suffering", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["statement of misconception", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes inner conflict about beliefs/relationship w/God", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["unable to choose/chooses not to participate in religion", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalization of the problem", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
47
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["dependency needs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nutrition, Alteration in:(Less Than Required)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state in which an individual experiences an intake of nutrients\ninsufficient to meet metabolic needs.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["poor self insight", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
48
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["impaired occupational functions(impulsive,manipulative,etc.)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["impaired social functioning (traffic accidents,arrests,etc.)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["physical problems (infections, malnutrition, etc.)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
49
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["client concerned about S/O's response to health problems", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["S/O preoccupied with personal reaction to client's illness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["interpersonal difficulties", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reported difficulty in swallowing", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nutrition, Alteration in:(More Than Required)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nExcessive intake in relationship to metabolic needs.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["weakness of muscles required for swallowing or mastication", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["absent gag reflex", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
50
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["decreased ability to make decisions, problem solve, reason", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["memory deficit or problems", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["S/O's lack of understanding illness affects assistance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["decreased ability to abstract or conceptualize, calculate", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["delusions, ideas of reference, hallucinations, confabulation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inappropriate affect", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["disorientation to time, place, person, circumstances, events", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assist to maintain and manage health care", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Swallowing, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state in which an individual has decreased ability to voluntarily\npass fluids and/or solids from the mouth to the stomach.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["inaccurate interpretation of environment", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
51
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["damaged or destroyed tissue", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
52
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["S/O doting behavior affects client's autonomy/abilities", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["claudication", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["diminished arterial pulsation, BP changes in extremities", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["S/O is withdrawn from patient at time of need", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["S/O attempts assistance with less than satisfactory results", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["skin of extremity blue or purple when dependent", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Constipation", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state in which an individual expeiences a change in normal bowel\nhabits characterized by a decrease in frequency and/or passage\nof hard stools.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["leg becomes pale on elevation and remains pale when lowered", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["skin quality shining and without hair", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["skin temperature cold extremities", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["abandonment, desertion, intolerance or rejection", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
55
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["distortion of reality to client's illness ie., denial", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["S/O assumes clients signs of illness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["flow of urine occurs at unpredictable times w/o distention", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["unsuccessful incontinence refractory treatments", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["urinary urgency; frequency (voiding more often than q2h)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Diarrhea", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state in which an individual experiences a change in normal bowel\nhabits characterized by involuntary frequent passage of loose, fluid,\nunformed stools.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["inadequate performance of test or inadequate verbalization", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inappropriate/exagerated behaviors ie.,hysterical,agitated", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["voiding in small amounts (less than 100cc)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["voiding in large amounts (greater than 550cc)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["unable to reach toilet in time to void", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["bladder contractures/spasms", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["dysuria, hesitance, incontinence, retention", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
54
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
53
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["absence of urine output", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Incontinence, Bowel", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state in which an individual is unable to control excretory function\ncharacterized by involuntary passage of stool.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["diminished sleep, distractability, grandiositsy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["hyperactivity, speech pressure", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["bladder distention", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
56
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
57
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["decreased muscle strength,control and/or mass", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["consistent inattention to stimuli on an affected side", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["impaired coordination", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["imposed restriction of movement including mechanical", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["limited range of motion", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Incontinence, Urine", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state in which an individual experiences an involuntary, unpre-\ndictable passage of urine.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
58
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["involuntary passage of stool", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
59
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["unable to speak dominant language", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["incessant verbalization", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inability to speak in sentences", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inability to modulate speech, find words, name words etc.", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Optional Care Plans", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Pulmonary Embolus", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["anxiety/threat of death", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Infection Potential (Specific to Elimination)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state in which an individual is at increased risk for being invaded\nby pathogenic organisms.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Acute Myocardial Infarction", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Congestive Heart Failure", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Cardiac Output, Decreased (Electrical/Mechanical)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Cirrhosis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
202
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["verbalizes pain level, [specify #] on a scale of 1-10 q[]hrs", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Decreased Cardiac Output, Electrical/Mechanical", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["disturbance in impulse formation/conduction", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["alteration in preload/afterload", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["fluid volume deficit/excess", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Stress Incontinence", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state in which an individual experiences an involuntary passage of\nurine.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["activity intolerance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
199
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
49
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintain stable hemodynamics", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["Pain, Chest", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Pain, Chest", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Nutrition, Alteration in:(Less Than Required)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Cardiac Index (CI) [specify range]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
203
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Cardiac Output (CO) [specify range]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Urinary Elimination, Alteration In Pattern", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state in which the individual experiences a disturbance in\nurine elimination.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["SVR (systemic vascular resistance) [specify range]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["PAWP pulmonary artery wedge pressure [specify range]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["BP [specify systolic/diastolic HIGH] to [specify LOW]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["pulse [specify range]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["respirations [specify range]", "
TERM
\n", "
NURSC
\n", "", "
4
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Fluid Volume, Altered: Excess", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
204
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["maintain fluid/electrolytes WNL for patient", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["electrolytes [specify range]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["BUN [specify range]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Urinary Retention", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state in which the individual experiences incomplete emptying\nof the bladder.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["creatinine [specify range]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["enzymes [specify range]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["maintain ABG's/pulse oximeter WNL for pt;oxygen sat [spec]%", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Breathing Pattern, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
11
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
118
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
200
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
201
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
201
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["electrophysiological disturbance/impulse formation/conduct", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Infection Potential (Specific to Integumentary System)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state in which an individual is at increased risk for being invaded\nby pathogenic organisms.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
202
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
205
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["assess,monitor,document hemodynamics", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["systemic vascular resistance [specify range]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess,monitor & document by location,duration,frequency q[]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["instruct patient to report pain as soon as possible", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach splinting to decrease pain", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
202
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", ""], ["assess,monitor,document V/S", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["assess heart sounds q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
monitor, document &
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["promote wellness through patient/family knowledge [specify]", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
of
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Oral Mucous Membrane, Alteration In", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state in which an individual experiences disruptions in the tissue\nlayers of the oral cavity.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["pulse q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess assistance needed with ADL q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
monitor, document &
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["respirations q[frequency]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["temperature per[route] q[ frequency ]", "
TERM
\n", "
NURSC
\n", "", "
4
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["monitor lab values", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["assess weight q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
monitor, document &
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
203
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["initiate febrile protocol", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
203
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
204
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Skin Integrity, Impairment Of (Actual)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state in which the individual's skin is adversely altered.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
204
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Breathing Pattern, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
12
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
206
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
205
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
206
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
205
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
206
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["cough and deep breath q[]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintain fluid/electrolyte balance WNL for pt", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "
\n \n
\n
\n", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains nutritional intake to meet metabolic requirements", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["Skin Integrity, Impairment Of (Potential)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state in which the individual's skin is at risk of being adversely\naltered.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["position for comfort,mobilize secretions,ventilation q[freq]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["stable weight", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
209
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
208
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Gas Exchange, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
9
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
207
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Blood flow altered", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
207
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
207
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess level of consciousness q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Skin Ulcer (See Skin Integrity, Impairment (Actual))", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["administer anticoagulants per protocol", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
48
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
42
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
21
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
11
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
25
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
26
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
266
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
267
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
121
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Injury Potential", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state in which the individual is at risk for injury as a result of\nenvironmental conditions interacting with the individual's adaptive\nand defensive resources.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
268
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
273
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
274
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
275
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
208
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["maintain baseline heart rhythm/NSR", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
122
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
208
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
123
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["maintains fluid/electrolyte balance", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["Mobility, Impaired Physical", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state in which the individual experiences a limitation of ability\nfor independent physical movement.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
208
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
269
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
270
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
271
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
209
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
209
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
209
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
276
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
277
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
210
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Pain, Chronic", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state of discomfort that continues for more than 6 months in duration.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["assess, monitor & record:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
209
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
6
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
7
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
278
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
210
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Hypertension", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["I&O, site & character q[frequency]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["skin turgor & oral mucous membranes q[frequency]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Cognitive Impairment", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state of altered awareness of objects of thought or perscription\nincluding all aspects of perceiving, thinking, remembering.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
210
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
210
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
211
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["VS & BP lying and standing q[frequency]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
46
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
47
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
48
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
272
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
273
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
274
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Communication Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state in which an individual experiences a decreased or absent\nability to use or understand language in human interaction.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
279
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
280
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
281
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["stable B/P", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Cardiac Surgery", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess,monitor lab values: lytes, BUN, creatinine", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["absence of S/S of fluid overload", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["initiate lethal dysrhythmia protocol", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
11
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Pain, Acute", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
9
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Knowledge Deficit for Cognitive-Sensory Problems", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nLack of specific information.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Fluid Volume (Deficit/Excess)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Pancreatitis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Breathing Pattern, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
13
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Fluid Volume, Excess", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Pain, Acute", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
13
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
211
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Cardiac Output, Decreased (Electrical/Mechanical)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
211
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", ""], ["level of dependence/independence (mobility, self-care, etc.)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Neglect, Unilateral", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state in which an individual is inattentive to a perceptually\naffected side.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Gas Exchange, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
10
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
212
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
212
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
213
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
210
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Pain, Acute", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
14
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
212
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["increased intracranial pressure", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
211
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
213
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Sensory-Perceptual, Alteration In", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state in which an individual experiences a change in the amount of\npatterning of incoming stimuli accompanied by a diminished, exaggerated,\ndistorted or impaired response to such stimuli.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["teach pain control interventions", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
214
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["breathing exercises", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["distraction techniques", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
214
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["positioning techniques", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["purpose/use of analgesics", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
13
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["use of imagery", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
211
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Sleep Pattern Disturbance", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nDisruption of sleep time which causes patient discomfort or interferes \nwith the patient's desired life-style.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
11
\n", "", "", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
215
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
213
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["blood/fluid loss in the operating room", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["hypovolemia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Fluid Volume Deficit", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["hypervolemia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["minimize enviromental activity and noise", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["decreased cardiac output", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
215
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["toileting deficit interventions", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
212
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
216
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
216
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["urine output less than [specify] cc/hr", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["gradual decrease in post-op weight [specify amt] over 3-4d", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains fluid/electrolyte balance:", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["Gas Exchange, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
11
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Nutrition, Altered", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
29
\n", "", "", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assess bowel history", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
214
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
215
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
217
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
217
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
212
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["excessive Na intake related to metabolic needs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["fluid volume excess", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["free of paradoxical breathing/respiratory alternans", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
218
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["determine a method for communicating the need for toileting", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["fluid restriction [specify amt]cc q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
218
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["maintains caloric intake of [calories] day", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
12
\n", "", "", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["activity: chair q[frequency] or ambulate q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
10
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Nutrition, Alteration in:(Less Than Required)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
9
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
219
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Skin Integrity, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["maintain records to determine bowel patterns", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
275
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
276
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
277
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
216
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
220
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
219
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
282
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
221
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
283
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["incision free of redness, edema, drainage", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["promote elimination by encouraging appropriate activity", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
284
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
213
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["wound edges approximated with no drainage", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
220
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
221
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess,monitor,document incision q[frequency] for:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["drainage", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["promote patient participation in dietary planning", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["intact incision line", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["resume/advance diet as indicated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["allow sufficient time to toilet", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
213
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
214
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
217
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["anesthesia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["midline incision", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
222
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
15
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates skills & verbalizes knowledge in:", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
222
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["avoid using indwelling and condom catheters", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Cancer of the Larynx", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Gas Exchange, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
12
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["treatment regime", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
215
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
218
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
16
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
223
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
219
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
223
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
224
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["long term/new problem for patient", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide for safe, clear pathway to toilet area", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["restrict Na intake to [ ]mg per day", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintains baseline sinus rhythm", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["initiates consults to [specify] service", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
119
\n", "", "", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["monitor electrolytes as available", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["implement health teaching protocol", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
224
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
9
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess,monitor,document assistance with ADL q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
216
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide for privacy as well as safety", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
220
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["attains,maintains resp rate,pattern & breath sounds WNL/pt", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
225
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["normal respiratory rate for pt [specify range]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["free from paradoxical breathing/respiratory alternans", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Health Knowledge Deficit Related to Hypertension", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
214
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
221
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
225
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["unfamiliar with information resources", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide for continual practice at specified intervals", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["attains,maintains patency of airway", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
29
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
4
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
226
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
9
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
222
\n", "", "
\n
\n\n
\n", "", "
1
\n", "
1
\n", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
226
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
9
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
215
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
10
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide for adaptive equipment as indicated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
227
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
11
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
227
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
278
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["explain diagnostic procedures", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
279
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["teach self-BP if indicated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["avoid excessive temperatures", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
280
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["caution regarding potential drug interactions", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["weight q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
228
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
285
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
286
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
287
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["seek care for S/S ie.,dizziness,headache,blurred vision", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach complications of anti-hypertensive drugs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
13
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["vibrations q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["cough/turn/deep breathe q[specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["turn,cough,deep breath q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["observe for anxiety; use calm, confident manner", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
44
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Aortobifemoral Bypass", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Cardiac Output, Decreased (Mechanical)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
223
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Tissue Perfusion, Alteration in", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
79
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Skin Integrity, Impairment of", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
80
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Pain, Acute", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
15
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
81
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["incentive spirometer q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
5
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
228
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
224
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
281
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
229
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
282
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
229
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
283
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
230
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
225
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["suction q[frequency] and/or PRN", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
230
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
288
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
231
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
289
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
290
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
226
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Pneumonia/Pleurisy", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
231
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
227
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
232
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["sputum culture as indicated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
228
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Airway Clearance, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
8
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
232
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
233
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
229
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
233
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
234
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
234
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
216
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
217
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["oxygen [numeric value]% per [flow rate]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "
\n40%\nVENTURI MASK\n
\n
\n", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
235
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["initiate consult to dietary service", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
217
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["peripheral pulses present", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["obtain sputum specimens as ordered", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
218
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
19
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess,monitor,document sputum color/consistancy/amount q[]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
218
\n", "", "", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["reinforce dietary & fluid restrictions", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["recent changes in lifestyle", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["humidity as indicated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
219
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
15
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Pain, Chronic", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
5
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
219
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
230
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Breathing Pattern, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
14
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
220
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
231
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
220
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["physical disability, chronic", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["explain procedures; be reassuring", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess degree of peripheral dependent edema q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
235
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
236
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
17
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
236
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["elevate legs when sitting", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
20
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
237
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
221
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor B/P q[frequency], TPR q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["administer pain medication as needed", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
;monitor & document effects
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
16
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
48
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Psychoses/Schizophrenia", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
222
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Swallowing, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
232
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Thought Processes, Alteration in", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["use of incentive spirometer q[freq]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess,monitor,document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Violence Potential, Directed at Others", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
237
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["splint incision while providing pulmonary toilet", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
6
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
14
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
21
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
15
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
16
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
238
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
284
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
285
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
286
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
291
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach methods to reduce pain, such as splinting", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess,monitor,document ability to swallow q [frequency ]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
292
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
293
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
233
\n", "", "", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
238
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
239
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["monitor,document caloric intake q[freq]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
49
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Anxiety", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
4
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
234
\n", "", "", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["provide patient teaching (Airway Clearance, Ineffective)", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
239
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
240
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
235
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
240
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
20
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
241
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["controls impulsive behavior dictated by psychosis", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Gas Exchange, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
13
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["identifies psychotic thoughts", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
236
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["teach patient and SO procedures for quad cough", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
237
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
94
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
241
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", ""], ["communicates to staff feelings of loss of control", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
95
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
96
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
221
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
238
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
242
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["hemodynamically stable", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["anatomy, physiology, and corrective factors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess presenting behaviors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
243
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
287
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["B/P q[frequency]", "
TERM
\n", "
NURSC
\n", "", "
5
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["anxiety signs and symptoms decrease", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
288
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["temperature=[specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
222
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
10
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
289
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["educate in S/S of respiratory infection, bronchospasm, etc", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
242
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
243
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
244
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["interrupt psychotic process;involve reality based activities", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
294
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
295
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
296
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
223
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["observe for S/S of psychotic thought processes", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Gastroenteritis/Gastritis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach patient actions to take when S/S reoccur", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Pain, Acute", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
16
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["relate psychotic thought content to level of anxiety", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
239
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
25
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["weakness/fatigue", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inflammatory injury process", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
17
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["identifies situations that contribute to loss of control", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
46
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
244
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Respiratory System", "
FRAME
\n", "
NURSC
\n", "
NURSING SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["ability to meet health maintenance needs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["consider/discuss preventive measures", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
240
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
14
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
3
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach methods/skills to control/redirect angry feelings", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
245
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
224
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
290
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
291
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["postural drainage", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
223
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
118
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
292
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
245
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
119
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
246
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
120
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
293
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
297
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
294
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["humidification therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["administer medications as ordered", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
298
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
295
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
299
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
300
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
301
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
302
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
241
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
225
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
27
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["use of expectorants", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
28
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
29
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach patient pain management techniques", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["positioning to decrease pain", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["splinting", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
226
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
7
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
242
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
109
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Pain, Acute", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
17
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["aerosol therapy q [frequency]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
110
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
111
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
246
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Angina/Chest Pain", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
296
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
297
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
298
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
247
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
247
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
303
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["fluid intake", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
304
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
305
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
34
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
248
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Manic Behavior", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
249
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["reports/demonstrates return to usual sleep pattern", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["decrease in motor behavior", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains/attains usual body weight", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates ability to complete a structured activity", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["antibiotic therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["develops plan to manage mood changes", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["review factors that aggravate or alleviate pain", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Cancer of the Lung", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["implement measures to promote sleep [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
33
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["promote/maintain a safe environment [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
8
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
243
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["decrease in verbal behavior", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["redirect motor and verbal behavior [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["avoidance of respiratory irritants", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
49
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["protect from overstimulation", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
227
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
50
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["monitor nutritional intake and weigh q[specify] days", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
51
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess ability to participate in and complete activities", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess for S/S of weakness or fatigue q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
monitor, document &
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
248
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
299
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["contact health professional for assistance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Gas Exchange, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
14
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
300
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assist to develop a plan to recognize & manage mood changes", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
301
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
244
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
249
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Pain, Chest", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
4
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
245
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
250
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
250
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["annual flu shot", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
34
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
38
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
8
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Pain, Chronic", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
6
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
251
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
246
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
251
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", ""], ["demonstrate maximal functional ability", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
39
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
252
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["communication skills", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["pneumococcus vaccine", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
228
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
47
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
35
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
247
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
5
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
6
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
4
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
254
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nutrition,Alteration in (less than required)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
248
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["avoid others who have infections", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
255
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", ""], ["maintain nutritional intake to meet metabolic requirements", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintain adequate intake and output", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
40
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Transurethral Resection/Benign Prostatic Hypertrophy", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Renal Failure", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
255
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Asthma/Chronic Obstructive Pulmonary Disease", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Pleural Effusion/Pneumothorax/Hemothorax/Empyema", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Cancer of the Lung (Surgical)", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["eliminate inhaled irritants", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Chemotherapy/Radiation Therapy", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Acute Respiratory Failure/Adult Resp Distress Syndrome", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Hemodialysis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Renal/Urinary Calculi", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Ocular Disorder/Surgery (Cataracts)", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Acquired Immune Deficiency Syndrome (AIDS)", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Diabetes Mellitus", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Gastrointestinal Hemorrhage (G.I. Bleed)", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Hernia Repair", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
230
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["compliance with prescribed treatment program", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Cholecystectomy", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Hepatitis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Cerebrovascular Accident (Left Hemiplegia/Paresis)", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Abdominal Aortic Aneurysm Repair", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
9
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Tuberculosis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Depressive Neurosis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Substance Abuse Withdrawal/Detoxification", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Post Traumatic Stress Disorder", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Alcohol/Drug Dependency Rehabilitation", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["avoidance of allergens specific to [ ]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Organic Disturbances", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
302
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
249
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
303
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
304
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
32
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
256
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
33
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
306
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
34
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
9
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
256
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
307
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
308
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
305
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
306
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
307
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
258
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
309
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Sleep Apnea", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
310
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
8
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
311
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Parkinsons Disease", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Seizure Disorder", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Cerebrovascular Accident (Right Hemiplegia/Paresis)", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Gas Exchange, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
15
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
60
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
250
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Pressure Ulcer", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Urinary Tract Infection", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Transient Ischemic Attacks", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
9
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Cellulitis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
258
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Spinal Cord Injury (New Quadraplegia/Paraplegia)", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Pulmonary Edema", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Amputation (Rehabilitation)", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Traumatic Brain Injury", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
263
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
259
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["reposition at night", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Expectation of daily bowel movement", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
167
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["overuse of laxatives, enemas, suppositories", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["expected passage of stool at same time daily", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess,monitor,document snoring", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess,monitor,document level of alertness q [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
41
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
62
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Sleep Pattern, Disturbance", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
251
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
259
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["sleep disturbance signs/symptoms decrease", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["anxiety", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["oral pain/discomfort", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sleeps [specify length of time] before awakens", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["stomatitis", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["leukoplakia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
264
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["oral lesions/ulcers", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["hyperemia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["gingivitis", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
260
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
63
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["knowledge level regarding health maintenance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["decreased energy and fatigue", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["behavior indicative of failure to adhere", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["evidence of development of complications", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["evidence of exacerbation of symptoms", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["failure to keep appointments", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assist with use and care of respiratory equipment", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["failure to progress", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
271
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
48
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
252
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
130
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["decreased lung expansion", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
131
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
132
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
260
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Urinary Elimination, Alteration In Pattern", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
308
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
309
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
310
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
64
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
261
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
312
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["tracheobronchial obstruction", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
313
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
314
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
261
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["inaccurate follow-through", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["re-establishes control over urination", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["inaccurate performance of skill(s)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inappropriate/exaggerated behavior", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["demonstrates reduced retention by voiding [ ]cc per void", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
65
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["verbalizes decrease in frequency, pain, urgency, nocturia", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["establishes breathing pattern within normal rate", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates proper catheter care", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbal report or observed evidence of pain", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["guarding behavior", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["vital sign changes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes relief of suprapubic discomfort", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalize reportable signs and symptoms", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
66
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["demonstrate adaptation to change in body function", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
12
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
262
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["remains free from S/S of hypoxia and hypercapnia", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["body weight 20% or more under ideal", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
263
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
315
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["reported food intake under RDA", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
316
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["reported/observed lack of food", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
317
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["sore/inflammed bucal cavity", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lack of interest in food", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Manic Behavior", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["identifies causative factors and preventive measures", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
67
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["teach catheterization technique/care q [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
253
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["weight 20% over ideal for height/frame", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
262
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["triceps skinfold greater than 15mm in male", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sedentary activity level", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["monitor post void residuals", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["eating in response to cues other than hunger", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach measures to promote bladder emptying", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["level of consciousness q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["implement measures to maintain continence", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
225
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assess for S/S of self concept disturbance", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
69
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["implement measures to improve patient self esteem", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
24
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["inability to maintain usual routines", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Infection Potential", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
12
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["verbalization of overwhelming lack of energy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
263
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["respiratory pattern q [frequency]", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
70
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["infection free", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
12
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["verbalizes S/S of urinary tract infection", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
254
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["denial of obvious problems/weaknesses", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["projection of blame/responsibility", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["rationalizes failure", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes understanding of treatment regimen", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["hypersensitive to slight criticism", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["peak flows [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["demonstrates absence of foul smelling urine", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["grandiosity", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
71
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["verbalizes factors that increase risk of infection", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
79
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["verbalization of undesired consequences of actions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalized uncertainty about choices", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["demonstrates adequate personal hygiene", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
27
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["vacillation between alternate choices", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reposition/turn q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
264
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["delayed decision making", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
265
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
72
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
311
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["delays seeking or refuses health care attentioon", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
312
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["does not perceive personal relevance of symptoms", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
313
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["teach risk factors for urinary tract infection", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["motivation regarding health care", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["percussion q[frequency]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
318
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
319
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess adequacy of personal hygiene", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
320
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
44
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
82
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
13
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
83
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
84
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
264
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["ambulate with assistance q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
314
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
315
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
316
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
266
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
321
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
322
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
323
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
22
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Communication Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nThe state in which an individual experiences a decreased or absent\nability to use or understand language in human interaction.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
80
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["provide for relief of pain", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
80
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["utilizes an effective mechanism (system) for communication", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["communicates needs within capacity to staff and family", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
73
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
120
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
74
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Mobility, Impaired Physical", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nA state in which the individual experiences a limitation of ability\nfor independent physical movement.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
81
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
120
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
74
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["use relaxation techniques", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
121
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
70
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
75
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Activity Intolerance", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nA state in which an individual has insufficient physiological or\npsychological energy to endure or complete required or desired\ndaily activities.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
82
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
81
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
83
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
75
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess for signs of fatigue and weakness", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
; monitor and document:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["teach patient", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
6
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
in
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["provide calm, supportive environment", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
83
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
71
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
76
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
49
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
255
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
17
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
12
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
13
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
265
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
317
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["provide patient teaching on the mechanical ventilator", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
318
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
319
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
267
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
324
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
325
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
326
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nutrition, Alteration in:(Less Than Required)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nThe state in which an individual experiences an intake of nutrients\ninsufficient to meet metabolic needs.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
83
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
72
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
83
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["assess for complications of mechanical ventilation", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
; monitor and document:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
76
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["initiate consult(s):", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
to:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
125
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
77
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["body weight 20% or more under ideal", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reported food intake under RDA", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reported/observed lack of food", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sore/inflammed bucal cavity", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lack of interest in food", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Fluid Volume Deficit (Potential)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["provide communication (see Communication, Impaired Verbal)", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
266
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
70
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
268
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess, monitor & record:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
66
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
84
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
78
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
14
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
256
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
73
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Hypotension", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
74
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
75
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
267
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
320
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
321
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
322
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
269
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
327
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
328
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
329
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["tube displacement", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Breathing Pattern, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nA state in which an individual's inhalation and/or exhalation pattern\ndoes not enable adequate inflation or emptying.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
85
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
73
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
84
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
122
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
172
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
126
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
79
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Skin Integrity, Impairment Of (Actual)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nA state in which the individual's skin is adversely altered.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
86
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["use of professional resources", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["GI bleed", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
85
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
123
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
77
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["perform skin assessment & document findings related to:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
127
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
74
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
80
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Knowledge Deficit [specify]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nLack of specific information\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
87
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
86
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["pneumothorax", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
124
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
173
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
129
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
81
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Pain, Acute", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state of discomfort that can last from one second to as long as \nsix months.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
88
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
87
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
125
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
174
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
130
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["subcutaneous emphysema", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
75
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
82
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
15
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
257
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
18
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
19
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
20
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
268
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
323
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
324
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
10
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
325
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
270
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
330
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
331
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
332
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Skin Integrity, Impairment Of (Actual)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "
\nA state in which the individual's skin is adversely altered.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
89
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
88
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["achieves wound healing", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
126
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
9
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
175
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["perform skin assessment & document findings related to:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["vital signs q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide wound care/dressing change q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
131
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
76
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
83
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Knowledge Deficit [specify]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "
\nLack of specific information\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
90
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["unfamiliarity with surgical procedure/recovery", "
TERM
\n", "
NURSC
\n", "", "
3
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
10
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
89
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
176
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
132
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
84
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Pain, Acute", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "
\nA state of discomfort that can last from one second to as long as \nsix months.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
91
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
90
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
127
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
177
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
133
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
7
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
77
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
85
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
50
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
258
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
77
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
76
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
78
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
269
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
326
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
327
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["alveoli-capillary membrane changes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
328
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
271
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
333
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
334
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
335
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Fluid Volume Deficit (Actual)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
92
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["loss of fluids though abnormal routes (G.I. bleed)", "
TERM
\n", "
NURSC
\n", "", "
3
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
78
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
91
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["blood flow, altered", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["maintains fluid/electrolyte balance:", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["balanced I/O", "
TERM
\n", "
NURSC
\n", "", "
3
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
128
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
79
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["monitor laboratory data q[frequency]:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "
assess, document &
\n", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
134
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
86
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Tissue Perfusion, Alteration in", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
259
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
270
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["oxygen carrying capacity of blood altered", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
226
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
272
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
231
\n", "", "", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Anxiety", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
93
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["threat to or change in:", "
FRAME
\n", "
NURSC
\n", "", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
92
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
129
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
80
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
135
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["involve family/friends in care management", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["remains free of S/S of hypoxia", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
79
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
87
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["performs bathing with [min/mod/max] assistance [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
16
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
260
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
70
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
71
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
72
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
271
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
329
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies etiology", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
330
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
331
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
273
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
336
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["performs bathing independently", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
337
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
338
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["performs dressing/grooming independently", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
227
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["teach prevention of infection techniques [specify]", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["complies with treatment", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Knowledge Deficit [specify]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
4
\n", "
\nLack of specific information\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
97
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
96
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["verbalizes knowledge of diseases", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
4
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
133
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
178
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["refer for appropriate consults", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
14
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
specifically
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
136
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
88
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["performs dressing/grooming with [min/mod/max] assistance", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["CBC with differential q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Tissue Integrity, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nState of tissue damage.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
98
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
82
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
97
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
134
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
84
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
137
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
89
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
17
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
261
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["encourage rest", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
36
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
30
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
35
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
272
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
332
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
333
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
334
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
274
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
339
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
340
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["tracheostomy care q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
as ordered or per protocol
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
341
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["verbalizes activities allowed after discharge", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["tolerates food ingestion without aspiration", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["performs feeding with [min/mod/max] assistance [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["instruct patient & significant other on:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
18
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
262
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
87
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
85
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
86
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide patient teaching (Gas Exchange, Impaired)", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
273
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
335
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
336
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
337
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
275
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
342
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
343
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
344
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["activity restrictions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["dietary recommendations", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["discuss risk factors [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["symptoms requiring medical evaluations", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Pain, Acute", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
5
\n", "
\nA state of discomfort that can last from one second to as long as \nsix months.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
102
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
101
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["reports decrease in pain after interventions used", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
5
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["accepts pain medication as prescribed", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
5
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["exhibits decrease physical & behaviorial signs of pain", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
5
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
135
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
180
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess patient's behavioral response to pain", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
5
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["disease process", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["identify/encourage ways of avoiding/minimizing pain", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
5
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
138
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
86
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
92
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["wound care", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
19
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
263
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
129
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
127
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
128
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["medications", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
274
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
338
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
339
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
340
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
276
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
345
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
346
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
347
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["performs toilet transfer with [min/mod/max] assistance", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["performs independent toilet transfer", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["develop care plan with patient/family", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["pulmonary hygiene", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["performs toileting hygiene with [min/mod/max] assistance", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["wound care/drsg change(s) of [specify area] q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["performs toileting hygiene independently", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates use of adaptive devices [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["instruct patient & S/O", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["on activity restrictions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
277
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["S/S requiring medical evaluation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
67
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
232
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["signs of infection (for reporting to health care provider)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Sensory/Perception Alteration due to Toxic Substance", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
275
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Fluid Volume Excess (Actual/Potential)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nThe state in which an individual experiences increased fluid retention\nand edema.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
104
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
88
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
82
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["maintains optimum fluid/electrolyte balance", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["maintains adequate circulation", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
136
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
88
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["inhalation equipment and oxygen therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lab data", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
; assess, monitor, and document
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["teach patient", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
9
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
the following
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["sodium/protein restrictions", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["refer for appropriate consults", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
19
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
specifically
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
139
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
93
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["verbalizes knowledge use/abuse causes withdrawal syndrome", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Infection Potential", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "
\nThe state in which an individual is at increased risk for being invaded\nby pathogenic organisms.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
105
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
103
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["fire and safety", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["patient demonstrates knowledge", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
of:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
137
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
181
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["verbalizes knowledge continued use/abuse has adverse outcome", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["teach prevention of infection techniques:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
140
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["develop plan to maintain substance free life style", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Activity Intolerance", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "
\nA state in which an individual has insufficient physiological or\npsychological energy to endure or complete required or desired\ndaily activities.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
106
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
104
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["ventilator use, cleaning, assembly, and back-up equipment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["hemodynamically stable during activity", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["skin color and texture WNL for pt", "
TERM
\n", "
NURSC
\n", "", "
3
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
138
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
90
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
278
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["refer for appropriate consults", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
20
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
specifically
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Pain, Acute", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
6
\n", "
\nA state of discomfort that can last from one second to as long as \nsix months.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
107
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
141
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
89
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["suctioning", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
105
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
94
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["assess for stage of withdrawal", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
139
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
182
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
90
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
95
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Knowledge Deficit", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
5
\n", "
\nLack of specific information.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
108
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
91
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["emergency care", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["initiate unit specific withdrawal procedures [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
140
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
143
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Fluid Volume (Deficit/Excess)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
264
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
276
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Coping, Ineffective Family", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nA usually supportive primary person (family member or close friend)\nis providing insufficient, ineffective, or compromised support,\ncomfort, assistance, or encouragement that may be needed by the \nclient to manage or master adaptive tasks related to the client's\nhealth challenge.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["maintain fluid/electrolytes WNL for patient", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
109
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
121
\n", "", "", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
11
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
279
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
107
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
family demonstrates
\n", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["realistic responses to stress", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["effective family coping skills", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
30
\n", "", "", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
92
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["teach effective coping skills", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["refer for appropriate consults", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
22
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
specifically
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
92
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["provide Ed material/discussion re addiction/med complication", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
11
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
96
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Tissue Integrity, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "
\nState of tissue damage.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
110
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
93
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
108
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
142
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
93
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
145
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
97
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Breathing Pattern, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "
\nA state in which an individual's inhalation and/or exhalation pattern\ndoes not enable adequate inflation or emptying.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
8
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
111
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
94
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
109
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
143
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
183
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["involve in 1:1 and groups discussing consequences use/abuse", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
98
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Coping, Ineffective Individual", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nIneffective coping is the impairment of adaptive behaviors and problem\nsolving abilities of a person in meeting life's demands and roles.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
112
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
110
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["provide time to listen to patient/family concerns", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["has normal sputum production", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates problem solving skills such as:", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
144
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
94
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["teach the following:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
147
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
95
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
99
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Cardiac Output, Decreased (Electrical/Mechanical)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
265
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
277
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["has reduced risk of pulmonary infection", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintain stable hemodynamics", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["Injury Potential", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "
\nA state in which the individual is at risk for injury as a result of\nenvironmental conditions interacting with the individual's adaptive\nand defensive resources.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
113
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
228
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assist to identify resources to maintain substance free life", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
111
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["monitor lab values", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
145
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
95
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
281
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["maintains intact mucous membranes", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
96
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
100
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
18
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
20
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
266
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
40
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
41
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
42
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
278
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
341
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains optimal weight [specify lbs/kgs]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
342
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
343
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
282
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
348
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
349
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
350
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
114
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
71
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Infection Potential", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
4
\n", "
\nThe state in which an individual is at increased risk for being invaded\nby pathogenic organisms.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
114
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["maintains optimal fluid balance", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Airway Clearance, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nA state in which an individual is unable to clear secretions or\nobstructions from the respiratory tract to maintain airway patency.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
97
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
115
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
112
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
113
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["normal breath sounds", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "
attains/maintains
\n", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
146
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
96
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
147
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
97
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["states actions taken to prevent cross infection", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["teach prevention of infection techniques [specify]", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
149
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess,monitor,document peak flow q[specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["bronchial hygiene:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
26
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
specifically
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["vibration q [specify] hrs", "
TERM
\n", "
NURSC
\n", "", "
27
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["postural drainage q [specify] hrs", "
TERM
\n", "
NURSC
\n", "", "
26
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["deep breathe q [specify]", "
TERM
\n", "
NURSC
\n", "", "
26
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
150
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
102
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Breathing Pattern, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
4
\n", "
\nA state in which an individual's inhalation and/or exhalation pattern\ndoes not enable adequate inflation or emptying.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["states S/S of infection", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
116
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
98
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
114
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["return of normal respiratory rate and pattern", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
4
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["decreased use of accessory muscles", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
4
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
148
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
184
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
151
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
103
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Gas Exchange, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nThe individual experiences decreased passage of gases (oxygen,\ncarbon dioxide) between the alveoli of the lungs and the vascular\nsystem.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["chronic disease", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
118
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
100
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
116
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["attain/maintain vital signs at patient's baseline values", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["skin color and texture WNL for pt", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
149
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
99
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
152
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
104
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Activity Intolerance", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
4
\n", "
\nA state in which an individual has insufficient physiological or\npsychological energy to endure or complete required or desired\ndaily activities.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
119
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["immunosuppression", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
117
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["hemodynamically stable during activity", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
4
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["pulse oximetry indicates oxygen saturation of 90% or greater", "
TERM
\n", "
NURSC
\n", "", "
4
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
150
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
100
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
153
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
101
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
105
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Knowledge Deficit", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
7
\n", "
\nLack of specific information.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
120
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["inadequate acquired immunity", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
102
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
118
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["verbalizes knowledge of respiratory equipment used at home", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
7
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes facts about diet", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
7
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes primary side effects of medications [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
7
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes S/S indicating need to contact health provider", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
7
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["change in sputum", "
TERM
\n", "
NURSC
\n", "", "
7
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["increasing shortness of breath", "
TERM
\n", "
NURSC
\n", "", "
7
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["increased pedal edema", "
TERM
\n", "
NURSC
\n", "", "
7
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["demonstrates correct use of metered dose inhaler", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
7
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["make necessary referrals within Medical Center", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inadequate primary defenses", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
151
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
101
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
154
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
21
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
267
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
22
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
23
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
24
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
279
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
344
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["inadequate secondary defenses", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
345
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
346
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
283
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
351
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
352
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
353
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Gas Exchange, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "
\nThe individual experiences decreased passage of gases (oxygen,\ncarbon dioxide) between the alveoli of the lungs and the vascular\nsystem.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
122
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
104
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
120
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["malnutrition", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["hemodynamically stable", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
152
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
103
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
155
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
107
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Breathing Pattern, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
5
\n", "
\nA state in which an individual's inhalation and/or exhalation pattern\ndoes not enable adequate inflation or emptying.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
123
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
105
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
121
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
153
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["medical procedures", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
185
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
156
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
108
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Infection Potential", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
5
\n", "
\nThe state in which an individual is at increased risk for being invaded\nby pathogenic organisms.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
124
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
122
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["free of S/S chest tube site infection", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
5
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["free of S/S of pulmonary infection", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
5
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
154
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
104
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["pharmaceutical agents", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
157
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Coping, Ineffective Individual", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "
\nIneffective coping is the impairment of adaptive behaviors and problem\nsolving abilities of a person in meeting life's demands and roles.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
125
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Cardiac Output, Decreased (Mechanical Factors)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
126
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
106
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
123
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
124
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["vital signs WNL or returns to baseline", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
155
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["tissue destruction and increased environmental exposure", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
105
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess client's coping response", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist in identifying how ESRD Tx impacts on family/job", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach the following:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
156
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
106
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
158
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
107
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
109
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
159
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["oxygen flow, altered", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
110
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Pain, Acute", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
7
\n", "
\nA state of discomfort that can last from one second to as long as \nsix months.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
127
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["chest tube placement", "
TERM
\n", "
NURSC
\n", "", "
7
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
125
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
157
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
186
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
160
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
108
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
111
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["mucous membrane trauma (suctioning/bronchoscopy)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
22
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
268
\n", "", "
\n
\n\n
\n", "", "
1
\n", "
1
\n", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
108
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
106
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
107
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
280
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
347
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
348
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
349
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
284
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["impaired cough mechanism", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
354
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
355
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
356
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Fluid Volume Deficit (Actual/Potential)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
128
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
109
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
126
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["maintains fluid/electrolyte balance:", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["weight is maintained WNL for pt, [specify weight range]", "
TERM
\n", "
NURSC
\n", "", "
4
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["weight loss no greater than 0.5 kgs/day", "
TERM
\n", "
NURSC
\n", "", "
4
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["use of antibiotics", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["maintains fluid intake requirements", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
due to
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
158
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
107
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
161
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
112
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nutrition, Alteration in:(Less Than Required)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "
\nThe state in which an individual experiences an intake of nutrients\ninsufficient to meet metabolic needs.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
129
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
110
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
127
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["maintains intake to meet metabolic/nutritional requirements:", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["Coping, Ineffective Family", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA usually supportive primary person (family member or close friend)\nis providing insufficient, ineffective, or compromised support,\ncomfort, assistance, or encouragement that may be needed by the \nclient to manage or master adaptive tasks related to the client's\nhealth challenge.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["inability to breathe deeply due to weakness, chest pain etc", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["stable weight [specify weight range]lbs/kgs, w/i 20% ideal", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["stable weight: [specify weight range] lbs/kgs", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["daily intake of [number of] calories, and [number of]cc/day", "
TERM
\n", "
NURSC
\n", "", "
3
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
159
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
108
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["initiate consult(s):", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
to:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
162
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
113
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["body weight 20% or more under ideal", "
TERM
\n", "
NURSC
\n", "", "
3
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reported food intake under RDA", "
TERM
\n", "
NURSC
\n", "", "
3
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["monitor sputum", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["reported/observed lack of food", "
TERM
\n", "
NURSC
\n", "", "
3
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sore/inflammed bucal cavity", "
TERM
\n", "
NURSC
\n", "", "
3
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lack of interest in food", "
TERM
\n", "
NURSC
\n", "", "
3
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Knowledge Deficit", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
8
\n", "
\nLack of specific information.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
130
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["loss of blood from gastrointestinal tract", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
111
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
128
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["verbalizes need for con't follow-up: disease progression", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
8
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
160
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["increase in production", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
109
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["teach importance: diet & meds to minimize disease progress", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
8
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
163
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nutrition, Alteration in:(Less Than Required)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
4
\n", "
\nThe state in which an individual experiences an intake of nutrients\ninsufficient to meet metabolic needs.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
131
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
112
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
129
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["maintains nutritional intake to meet metabolic requirements", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
4
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["decreased complaints of nausea or discomfort", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
4
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Coping, Ineffective Family", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "
\nA usually supportive primary person (family member or close friend)\nis providing insufficient, ineffective, or compromised support,\ncomfort, assistance, or encouragement that may be needed by the \nclient to manage or master adaptive tasks related to the client's\nhealth challenge.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["change in color", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
161
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
110
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
132
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["initiate oral hygiene protocol", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["status of oral mucous membranes", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess,monitor,document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["administer antiemetics [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
130
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
family demonstrates
\n", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["provide dietary intake q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
monitor, document &
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["effective problem solving and decision making", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["encourage family to provide favored foods at home", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["change in consistency", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
162
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["monitor effects of antiemetics [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, document &
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
111
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["encourage snacks of favored foods", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach effective coping skills", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["daily intake of [specify amount] calories", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["refer for appropriate consults", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
37
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
specifically
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
164
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
114
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["body weight 20% or more under ideal", "
TERM
\n", "
NURSC
\n", "", "
4
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["culture sputum [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["reported food intake under RDA", "
TERM
\n", "
NURSC
\n", "", "
4
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reported/observed lack of food", "
TERM
\n", "
NURSC
\n", "", "
4
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sore/inflammed bucal cavity", "
TERM
\n", "
NURSC
\n", "", "
4
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lack of interest in food", "
TERM
\n", "
NURSC
\n", "", "
4
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
165
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
113
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
115
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Infection Potential", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
6
\n", "
\nThe state in which an individual is at increased risk for being invaded\nby pathogenic organisms.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
133
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["inadequate primary defenses:", "
FRAME
\n", "
NURSC
\n", "", "
6
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["ambulate q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
131
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["patient demonstrates knowledge", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
6
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
of:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
163
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
112
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assist with personal hygiene including oral care q[specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
9
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
monitor, document &
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Injury Potential Related to Visual Impairment", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
4
\n", "
\nA state in which the individual is at risk for injury as a result of\nenvironmental conditions interacting with the individual's adaptive\nand defensive resources.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
134
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["promote proper handwashing", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
7
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["initiate and administer blood tranfusions as ordered", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
6
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor for signs and symptoms of sepsis", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
13
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, document &
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide humidity q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["institute neutropenic precautions if WBC warrants", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
6
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["initiate intravenous therapy protocol", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
7
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["observe for evidence of bleeding", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
24
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
132
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
164
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
113
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
166
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide physically safe environment:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
5
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["safety restraints, check restraints q[frequency]", "
TERM
\n", "
NURSC
\n", "", "
5
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
167
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["pacing activities, exercise, rest", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
114
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Injury Potential", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
5
\n", "
\nA state in which the individual is at risk for injury as a result of\nenvironmental conditions interacting with the individual's adaptive\nand defensive resources.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
135
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
116
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["stable vital signs WNL for patient", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["high glucose level", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
133
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
165
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
114
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["provide physically safe environment", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
6
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
12
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
168
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
115
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
117
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Pain, Acute", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
8
\n", "
\nA state of discomfort that can last from one second to as long as \nsix months.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
136
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
134
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
166
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
187
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
169
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
116
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Circulatory System", "
FRAME
\n", "
NURSC
\n", "
NURSING SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Home Maintenance Management, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe client is unable to independently maintain a safe, growth-promoting\nimmediate environment.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
12
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
118
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Pain (Acute) Related to Surgical Procedure", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
9
\n", "
\nA state of discomfort that can last from one second to as long as \nsix months.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
137
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
135
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["verbalizes comfort or pain as appropriate", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
9
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
167
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
188
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
170
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
117
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
119
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
9
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Pain, Chronic", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nA state of discomfort that continues for more than 6 months in duration.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
138
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["tissue injury", "
FRAME
\n", "
NURSC
\n", "", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
due to
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
136
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
168
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
115
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
171
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
118
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["identifies S/S of infection", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
121
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
10
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Knowledge Deficit", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
9
\n", "
\nLack of specific information.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
140
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
120
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
169
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
172
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Knowledge Deficit of Home Care, S/S, and Risk Factors", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
10
\n", "
\nLack of specific information.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
141
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
121
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
118
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["identifies interventions to prevent/reduce risk of infection", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["alteration in conduction", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
23
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
269
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
66
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
64
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
65
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
281
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
350
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
351
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
352
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
285
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["alteration in rate", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
357
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
358
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
359
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
173
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Self-Care Deficit [Specify]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "
\nA state in which the individual experiences an impaired ability to\nperform or complete feeding, bathing, toileting, dressing, and \ngrooming activities for oneself.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
143
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
141
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
119
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Knowledge Deficit", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
11
\n", "
\nLack of specific information.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
144
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["alteration in rhythm", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
123
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
142
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["identifies ways to prevent recurrance of renal calculi", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
11
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
120
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
124
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
123
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Mobility, Impaired Physical", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "
\nA state in which the individual experiences a limitation of ability\nfor independent physical movement.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
145
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["decreased strength and endurance", "
TERM
\n", "
NURSC
\n", "", "
3
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
143
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["electrophysiological disturbances in impulse formation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["avoids complications of immobility", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["achieves maximum physical mobility within limitations", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes acceptance of limitations", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
176
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
121
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["instruct in use of assistive devices", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["instruct regarding correct body alignment", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
179
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
125
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
124
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["electrophysiological disturbances in cardiac conduction", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
24
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
270
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
135
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
133
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
134
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
282
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
353
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
354
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
355
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
286
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["returns to and maintains NSR or pacing rhythm", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
360
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
361
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
362
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Grieving, Dysfunctional", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nDelayed or exaggerated response to a preceived actual or potential\nloss.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
146
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["actual or perceived object loss (broadest sense) such as:", "
FRAME
\n", "
NURSC
\n", "", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
144
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["demonstrates progression through the grieving process:", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
177
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
122
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["maintains cardiac output", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["facilitate grieving by:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["observe for signs of grieving", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess family interactions", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage family participation in care", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage questions", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
180
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
126
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
125
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Breathing Pattern, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
6
\n", "
\nA state in which an individual's inhalation and/or exhalation pattern\ndoes not enable adequate inflation or emptying.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
147
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Self-Care Deficit [Specify]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state in which the individual experiences an impaired ability to\nperform or complete feeding, bathing, toileting, dressing, and \ngrooming activities for oneself.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["maintains therapeutic levels of antiarrhythmic agents", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
127
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
145
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["free of respiratory infections", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
8
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes reportable signs/symptoms", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
6
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["able to perform/direct cough/deep breathing exercises", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
6
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["requests breathing assistance when needed", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
6
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes causative factors for respiratory difficulty", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
8
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
178
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
190
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["promote pulmonary hygiene", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
13
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["avoids toxicity/allergic reactions to drugs", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["promote effective airway clearance", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
16
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach quad cough", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
14
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
126
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["neurological changes during hypo/hyperglycemic episodes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
25
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
271
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
105
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
103
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
104
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
283
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["limits myocardial infarction area", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as determined by
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
356
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
357
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
358
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
287
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
363
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
364
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
365
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Airway Clearance, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "
\nA state in which an individual is unable to clear secretions or\nobstructions from the respiratory tract to maintain airway patency.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
128
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
148
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["avoids metabolic death", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
146
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
179
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
123
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
182
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
128
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Breathing Pattern, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
7
\n", "
\nA state in which an individual's inhalation and/or exhalation pattern\ndoes not enable adequate inflation or emptying.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
149
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
129
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
147
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
180
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["vital signs WNL or returns to baseline", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
191
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
183
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
129
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Gas Exchange, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
4
\n", "
\nThe individual experiences decreased passage of gases (oxygen,\ncarbon dioxide) between the alveoli of the lungs and the vascular\nsystem.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
150
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
130
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
148
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
181
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
124
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
184
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["skin is warm to touch and is normal color", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
130
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Infection Potential", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
7
\n", "
\nThe state in which an individual is at increased risk for being invaded\nby pathogenic organisms.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
151
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["monitor glucose levels q[specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
149
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
182
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
125
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
185
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Pain, Acute", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
11
\n", "
\nA state of discomfort that can last from one second to as long as \nsix months.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
152
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["capillary filling WNL", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
150
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
183
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
192
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
186
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess for S/S of hypo/hyperglycemia & neuro changes", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
131
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
131
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
26
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
272
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
31
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lab data (e.g. BUN, creatinine) is normal or baseline", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
7
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
8
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
284
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
359
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
360
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
361
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
288
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
366
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
367
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["discusses own role in preventing recurrence", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Medical Diagnoses", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
368
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Tissue Perfusion, Alteration In", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nThe state in which an individual experiences a decrease of\nnutrition and oxygenation at the cellular level due to deficit\nin capillary blood supply.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
153
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
132
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
151
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["verbalizes plan to maintain circulatory improvement", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies reportable signs/symptoms", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["decreased peripheral edema", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["reports decreased numbness & tingling in extremity", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
184
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Problems", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
193
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["monitor size, color, temperature of affected extremity", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
5
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["apply lotion/ointment to skin as indicated/ordered", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["emphasize avoidance of:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["stress", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["tobacco use", "
TERM
\n", "
NURSC
\n", "", "
4
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["use mild cleansing agent for bathing", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach pt & S/O S/S of hypo/hyperglycemia", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["inspect at risk areas of skin for breakdown q[specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
187
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Cardiovascular", "
FRAME
\n", "
NURSC
\n", "
MEDICAL SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
132
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Pain, Chronic", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "
\nA state of discomfort that continues for more than 6 months in duration.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
154
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["tissue injury", "
FRAME
\n", "
NURSC
\n", "", "
3
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
due to
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["abnormal pain perception", "
FRAME
\n", "
NURSC
\n", "", "
3
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
152
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["demonstrates correct dressing change technique", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes knowledge of pain relief measures", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes decreased pain", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
185
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Endocrine", "
FRAME
\n", "
NURSC
\n", "
MEDICAL SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
126
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["teach patient to avoid prolonged sitting/standing", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach techniques to reduce pain during dressing changes", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach causative factors for pain", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
188
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
133
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["teach pt & S/O prevention/tx of hypo/hyperglycemia", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
134
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Skin Integrity, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
273
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Gastrointestinal", "
FRAME
\n", "
NURSC
\n", "
MEDICAL SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
285
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["verbalizes causative factors for ulcer development", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates progressive healing of ulcer", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
229
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
289
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess size, stage of ulcer q[specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
234
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Mobility, Impaired Physical", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
4
\n", "
\nA state in which the individual experiences a limitation of ability\nfor independent physical movement.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
156
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
154
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["GU/Renal", "
FRAME
\n", "
NURSC
\n", "
MEDICAL SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["demonstrates correct use of assistive devices [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
4
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates measures to maintain/improve circulation", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
4
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
186
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
128
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess tissue tolerance", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach measures to maintain/improve circulation", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
5
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["instruct/assist with ROM [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
56
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
189
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
135
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
135
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["HEENT", "
FRAME
\n", "
NURSC
\n", "
MEDICAL SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
27
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
274
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
60
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
58
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
59
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
286
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
362
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
363
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
364
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
290
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Immune (Cancer,AIDS,Transplant,Arthritis)", "
FRAME
\n", "
NURSC
\n", "
MEDICAL SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
369
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
370
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
371
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Skin Integrity, Impairment Of (Actual)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
4
\n", "
\nA state in which the individual's skin is adversely altered.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
157
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
155
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["develops granulation tissue at wound edges,& healing", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
4
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates/or directs ulcer prevention techniques", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
4
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
187
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
129
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Integument", "
FRAME
\n", "
NURSC
\n", "
MEDICAL SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess skin& document findings , related to:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["implement skin care protocol [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide comfort/preventive measures:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[additional measure]", "
TERM
\n", "
NURSC
\n", "", "
4
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach how to attain/maintain skin integrity", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
190
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
136
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
136
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Pain, Chronic", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
4
\n", "
\nA state of discomfort that continues for more than 6 months in duration.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
158
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Musculo-Skeletal/Orthopedic", "
FRAME
\n", "
NURSC
\n", "
MEDICAL SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
156
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
188
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
130
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
191
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
137
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Mobility, Impaired Physical", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
5
\n", "
\nA state in which the individual experiences a limitation of ability\nfor independent physical movement.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
160
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
158
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["maintains ROM in all joints, and strength in muscles", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
5
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["activity: optimal level WNL/pt [specify activity], q[freq]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
5
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Neurologic", "
FRAME
\n", "
NURSC
\n", "
MEDICAL SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
189
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["capillary blood glucose monitoring [specify type]", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
132
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
138
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["teach/provide range of motion exercise q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
5
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach assistive devices [specify] to facilitate mobility", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
5
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
192
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
139
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["foot care", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
139
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nutrition/Metabolic", "
FRAME
\n", "
NURSC
\n", "
MEDICAL SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Gas Exchange, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
5
\n", "
\nThe individual experiences decreased passage of gases (oxygen,\ncarbon dioxide) between the alveoli of the lungs and the vascular\nsystem.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
161
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
140
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
159
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["demonstrates decreased S/S of repiratory distress ie.,SOB", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
13
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nutrition, Alteration in:(Less Than Required)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
5
\n", "
\nThe state in which an individual experiences an intake of nutrients\ninsufficient to meet metabolic needs.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
162
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
141
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
190
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
194
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Other", "
FRAME
\n", "
NURSC
\n", "
MEDICAL SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
160
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["maintains nutritional intake to meet metabolic requirements:", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
5
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
191
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
134
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess ability to eat,masticate, & presence nausea/vomiting", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
5
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide supplemental feedings at [specify]am and [specify]pm", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
5
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach techniques to enhance nutritional content of foods", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
5
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
193
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
140
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["body weight 20% or more under ideal", "
TERM
\n", "
NURSC
\n", "", "
5
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Pulmonary", "
FRAME
\n", "
NURSC
\n", "
MEDICAL SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reported food intake under RDA", "
TERM
\n", "
NURSC
\n", "", "
5
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reported/observed lack of food", "
TERM
\n", "
NURSC
\n", "", "
5
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sore/inflammed bucal cavity", "
TERM
\n", "
NURSC
\n", "", "
5
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lack of interest in food", "
TERM
\n", "
NURSC
\n", "", "
5
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["refer for appropriate consults", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
59
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
specifically
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Infection Potential", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
8
\n", "
\nThe state in which an individual is at increased risk for being invaded\nby pathogenic organisms.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
194
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
163
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
141
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["inadequate primary defenses:", "
FRAME
\n", "
NURSC
\n", "", "
8
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Plastic Surgery", "
FRAME
\n", "
NURSC
\n", "
MEDICAL SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inadequate secondary defenses:", "
FRAME
\n", "
NURSC
\n", "", "
8
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["inability to breathe deeply", "
FRAME
\n", "
NURSC
\n", "", "
8
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
due to:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
161
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
192
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
135
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["wound drainage:assess for color,consistency,amt,odor q[frq]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
10
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Infection Potential", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
9
\n", "
\nThe state in which an individual is at increased risk for being invaded\nby pathogenic organisms.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
164
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["inadequate primary defenses:", "
FRAME
\n", "
NURSC
\n", "", "
9
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
195
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Psychosocial", "
FRAME
\n", "
NURSC
\n", "
MEDICAL SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inadequate secondary defenses:", "
FRAME
\n", "
NURSC
\n", "", "
9
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["inability to breathe deeply", "
FRAME
\n", "
NURSC
\n", "", "
9
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
due to:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
162
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["verbalizes knowledge of transmission/spread of infection", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
9
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
193
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
136
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
28
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
275
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
117
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
115
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
13
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
116
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["implement appropriate isolation/infection precautions", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
9
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
287
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["demonstrates skills and verbalizes knowledge regarding:", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
365
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
366
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
367
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
291
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
372
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
373
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
13
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
374
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
196
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Self-Care Deficit [Specify]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
4
\n", "
\nA state in which the individual experiences an impaired ability to\nperform or complete feeding, bathing, toileting, dressing, and \ngrooming activities for oneself.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
165
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
163
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["general self-care deficit outcomes", "
FRAME
\n", "
NURSC
\n", "", "
4
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
194
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["feeding deficit outcomes", "
FRAME
\n", "
NURSC
\n", "", "
4
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
demonstrates or describes
\n", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
195
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["bathing/hygiene deficit outcomes", "
FRAME
\n", "
NURSC
\n", "", "
4
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
10
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
196
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["dressing/grooming deficit outcomes", "
FRAME
\n", "
NURSC
\n", "", "
4
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
demonstrates
\n", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
197
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["toileting deficit outcomes", "
FRAME
\n", "
NURSC
\n", "", "
4
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
198
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
137
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["able to administer insulin injections/oral hypoglycemics", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
142
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nutrition, Alteration in:(Less Than Required)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
6
\n", "
\nThe state in which an individual experiences an intake of nutrients\ninsufficient to meet metabolic needs.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
166
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["inadequate primary defenses:", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
142
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
143
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
164
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["participates in nutritional planning", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
6
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
199
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
138
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Mobility, Impaired Physical", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
6
\n", "
\nA state in which the individual experiences a limitation of ability\nfor independent physical movement.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
167
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["provide pleasant enviroment during meal times", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
6
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["initiate consult(s)", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
5
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
to:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["broken skin", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
202
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
143
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
165
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["body weight 20% or more under ideal", "
TERM
\n", "
NURSC
\n", "", "
6
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reported food intake under RDA", "
TERM
\n", "
NURSC
\n", "", "
6
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reported/observed lack of food", "
TERM
\n", "
NURSC
\n", "", "
6
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sore/inflammed bucal cavity", "
TERM
\n", "
NURSC
\n", "", "
6
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lack of interest in food", "
TERM
\n", "
NURSC
\n", "", "
6
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
200
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
203
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["traumatized tissue", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
144
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
144
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Sensory-Perceptual, Alteration In", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nA state in which an individual experiences a change in the amount of\npatterning of incoming stimuli accompanied by a diminished, exaggerated,\ndistorted or impaired response to such stimuli.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
168
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
201
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
204
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
93
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Fluid Volume Deficit (Actual/Potential)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
169
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
145
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["decrease of ciliary action", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
145
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
167
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["maintains fluid/electrolyte balance", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
4
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["expresses understanding of fluid intake requirements", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
4
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
due to
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
202
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
141
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
29
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["measure diarrhea/vomitus and include on I&O record", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
276
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
37
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["stasis of body fluids", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
38
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
39
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
288
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
368
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
369
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
370
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["eliminate diarrheal stimulating food ie.,chocolate,coffee", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
35
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
292
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
375
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
376
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["change in pH secretions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
377
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
205
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
146
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Airway Clearance, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
4
\n", "
\nA state in which an individual is unable to clear secretions or\nobstructions from the respiratory tract to maintain airway patency.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
146
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
170
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
168
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["maintains effective respiratory pattern/patent airway", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
4
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
142
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["place in lying position/flat/head to side during seizures", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
19
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["altered peristalsis", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Anxiety", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["foot care", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
171
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["discuss post-operative expectations", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["threat to or change in:", "
FRAME
\n", "
NURSC
\n", "", "
3
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["encourage to remove dentures/foreign objects if aura occurs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
36
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
169
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["have a network of support developed prior to discharge", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes feelings and healthy ways to deal with them", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
204
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["inadequate secondary defenses:", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
143
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["allow patient to ventilate feelings of anxiety concerns", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["evaluate eye: during dressing change & eye drop instillation", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["recognize/support stage of grieving patient & S/O in", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
13
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess support available to patient and S/O", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
206
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
147
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
147
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
207
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
149
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["decreased hemoglobin", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Injury Potential", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
4
\n", "
\nA state in which the individual is at risk for injury as a result of\nenvironmental conditions interacting with the individual's adaptive\nand defensive resources.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
172
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["cognitive/altered consciousness", "
TERM
\n", "
NURSC
\n", "", "
7
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
30
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
170
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
277
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
43
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
44
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
144
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
45
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["leukopenia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
289
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
371
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
372
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
373
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["explore w/pt various stimuli that may precipitate seizures", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
5
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
293
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
378
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
379
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
380
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["keep side rails up & padded with bed in lowest position", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
12
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["suppressed inflammatory response", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["perform neuro/VS checks after seizure (LOC,orientation,etc)", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
7
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["document type of seizure activity", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
7
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["stay with patient during/after seizure activity", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
68
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
148
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
150
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Self Concept, Disturbance In", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nA disruption in the way one perceives one's body image, self-esteem,\nrole performance, and/or personal identity.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
173
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["perception of loss of control", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
149
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
171
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["normal sputum production", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes increased sense of self esteem", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies feelings/methods of coping with perceptions", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
206
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
145
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["avoid over protection of patient", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage activities providing supervision as indicated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage patient/SO to express feelings/concerns", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["stress importance of staff/SO remaining calm during seizure", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["promote acceptance of disease", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
5
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
90
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["reduced risk of pulmonary infection", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Knowledge Deficit", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
12
\n", "
\nLack of specific information.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
174
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["disease management", "
TERM
\n", "
NURSC
\n", "", "
3
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
150
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
172
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
207
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
146
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["instruct patient in post-operative eye care:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["review disease process,medications,risk factors w/pt & SO", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
14
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
233
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
3
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["intact mucous membrane", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Airway Clearance, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
5
\n", "
\nA state in which an individual is unable to clear secretions or\nobstructions from the respiratory tract to maintain airway patency.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
151
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
32
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
175
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
279
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
102
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
100
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
101
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
291
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
173
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["optimal weight", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
374
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
375
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
376
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["clear, equal, bilateral breath sounds", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
5
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
295
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
381
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
382
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
383
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
224
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
147
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["optimal fluid balance", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
235
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
152
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Tissue Perfusion, Alteration In", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "
\nThe state in which an individual experiences a decrease of\nnutrition and oxygenation at the cellular level due to deficit\nin capillary blood supply.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
176
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
152
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
174
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["maintains physical mobility", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["communicates awareness of reportable S/S", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["communicates awareness of ways to decrease recurrent TIA", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["exhibits improved tissue perfusion as evidenced by:", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["patient demonstrates knowledge", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
of:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["avoids problems of impaired mobility", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
230
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["avoid stooping,bending over,or lying on operative side", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Gas Exchange, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
6
\n", "
\nThe individual experiences decreased passage of gases (oxygen,\ncarbon dioxide) between the alveoli of the lungs and the vascular\nsystem.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
195
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
177
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["implement measures to reduce fear & anxiety [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
153
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["assess for S/S of decreased tissue perfussion q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
6
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess for factors that improve mobility", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["actions to take to prevent cross-infection", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
175
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["implement measures to improve cerebral blood flow [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
231
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
148
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["respiratory pattern q[frequency]", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
25
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["teach techniques to prevent complications", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, monitor, and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
236
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
153
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["provide patient teaching (Gas Exchange, Impaired)", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
6
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Communication Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "
\nThe state in which an individual experiences a decreased or absent\nability to use or understand language in human interaction.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["s/s of infection", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
178
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
176
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["experience reduction in anxiety level", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
232
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
149
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess for reliable response/successful communication mode:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["refer for appropriate consults", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
72
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
specifically
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["if unreliable response/attempt communication mode:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
237
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
238
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["temperature per[route] q[ frequency ]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
154
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
155
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
33
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
280
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
138
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
136
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
137
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
292
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
377
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
378
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["turn/reposition q[frequency]hrs.", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
379
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
296
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
384
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
385
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
386
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["avoid touching,squeezing or rubbing eye", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
233
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
239
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Breathing Pattern, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
8
\n", "
\nA state in which an individual's inhalation and/or exhalation pattern\ndoes not enable adequate inflation or emptying.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
180
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Spiritual Distress", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA disruption in the life principle that pervades a person's entire being\nand that integrates and transcends one's biologic and psychosocial nature.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
155
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
178
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["avoid straining on bowel movements", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
234
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
197
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
240
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
157
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["report severe eye pain or irritation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Mobility, Impaired Physical", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
7
\n", "
\nA state in which the individual experiences a limitation of ability\nfor independent physical movement.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
181
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
14
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
179
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
235
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
150
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["teach/reinforce exercise program & gait training", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
7
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["prevent complications of immobility", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
7
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach adaptive techniques for ADLs [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
7
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach enviromental adjustments to maintain safety", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
7
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
241
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
156
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
158
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
3
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
family demonstrates
\n", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
14
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Communication Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
4
\n", "
\nThe state in which an individual experiences a decreased or absent\nability to use or understand language in human interaction.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
182
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
180
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
151
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
242
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
159
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[additional instructions]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
34
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
281
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
99
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
11
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
97
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
98
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
293
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
380
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
381
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
382
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
297
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
387
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
388
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
389
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
11
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
237
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Urinary Elimination, Alteration In Pattern", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nThe state in which the individual experiences a disturbance in\nurine elimination.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
184
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
182
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["infection free:", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["temperature=[specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates practice to prevent reoccurrence", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["correct catheterization technique", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["daily fluid intake of [specify]cc", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
243
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["challenged belief value system", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
238
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
153
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess for bladder emptying", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess urine character [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach S/S of urinary tract infection", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["temperature elevation/chills", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["concentrated urine", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["decreased urinary output", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["monitor for S/S of sepsis", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["tachycardia and tachypnea", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["beliefs opposed by family, peers, health care providers", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
158
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
161
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Pain, Acute", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
12
\n", "
\nA state of discomfort that can last from one second to as long as \nsix months.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
186
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
183
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["verbalizes measures to relieve pain", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
12
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
239
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
198
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["position patient to minimize pain during voiding", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
12
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["explain etiology of pain", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
12
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["conflicts to belief system", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["administer antibiotic therapy [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
12
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach strategies to relieve pain/discomfort", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
14
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
245
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
159
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
162
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
35
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
283
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
55
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
56
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
57
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["no emergency resuscitation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
295
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
383
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
384
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
385
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
36
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
284
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
299
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
147
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
145
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
146
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["divorce", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
390
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
296
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
391
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
386
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
392
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
387
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
388
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
300
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
393
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
394
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["blood transfusions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
395
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Depressive Behavior", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nA universal mode of interacting manifested by sadness, poor self-concept,\nand inability to act for self; ranges from mild grief to a psychosis.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
187
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
184
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["reports a return to own normal sleep,eating,energy patterns", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["develops plan to deal with contributing factors", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
154
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assist to identify causative, contributing factors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist to develop a plan to deal with contributing factors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess for potential for self harm q[specify] hrs", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["death or illness of significant other", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["help in defining,setting,meeting realistic goals [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["implement measures to deal with alterations in health", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess for physiological effects of a depressed state", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
246
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
160
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
163
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Violence Potential, Directed At Others", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nA state in which an individual experiences behaviors that can be\nphysically harmful to others.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
188
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Post Trauma Response", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nThe state of an individual experiencing a sustained painful response\nto (an) overwhelming traumatic event(s).\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
189
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
3
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["hospital barriers to practicing spiritual rituals", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
161
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
, see:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
185
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
162
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["seeks assistance to prevent self destructive behavior", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies self destructive thoughts and/or behaviors", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["seeks assistance in coping with self destructive thoughts", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
241
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
155
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
186
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["teach alternative methods to deal with anger [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
6
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["isolation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes relationship of past trauma and present situation", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates alternative coping methods for stress", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies triggers to impulsive behavior", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["develops strategies to improve interpersonal relationships", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies feelings,behaviors,events associated with trauma", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
242
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assist to identify measures preventing destructive conduct", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
156
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assist in identifying self destructive thoughts/behaviors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
247
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["ICU restrictions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
164
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["encourage verbalization of feelings about trauma [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
165
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
37
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
285
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
61
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
62
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
63
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
297
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
389
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["surgery", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
390
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
391
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
301
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
396
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
397
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
398
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
38
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
286
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
114
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
112
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["as a response", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
to
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
113
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
298
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
392
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
393
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
394
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
302
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
399
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
400
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
401
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Airway Clearance, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
6
\n", "
\nA state in which an individual is unable to clear secretions or\nobstructions from the respiratory tract to maintain airway patency.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["terminal illness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
163
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
190
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
187
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["verbalizes patient education information", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
6
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
243
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
157
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Alcohol/Drug Dependency Rehabilitation", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "
\nA state which involves drinking of alcohol which occurs as follows:\n  1) regular daily intervals, or regular weekend intervals or during\n     binges, with difficulty stopping or reducing the amount of\n     alcohol used,\n  2) a pattern of pathological alcohol use extending for at least 1 \n     month,\n  3) impaired social or occupational role functioning.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
191
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["psychological needs such as:", "
FRAME
\n", "
NURSC
\n", "", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["pattern of pathological alcohol use such as:", "
FRAME
\n", "
NURSC
\n", "", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["debilitating disease", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide patient teaching (Airway Clearance, Ineffective)", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
6
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
188
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["teach patient actions to take when S/S reoccur", "
FRAME
\n", "
NURSC
\n", "", "
6
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["recognizes use/abuse interferes with achievement of goals", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies [specify number] triggers to use/abuse substance", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates alternate coping skills for substance use/abuse", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["lists goals in major areas of life", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
244
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
158
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["consider/discuss preventive measures", "
FRAME
\n", "
NURSC
\n", "", "
6
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["loss of body part or function", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess ability to identify nonproductive behaviors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist to identify resources for substance free lifestyle", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess ability to identify impact of behavior on others", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
10
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["respiratory pattern q [frequency]", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
27
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["refer for appropriate consults", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
77
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
specifically
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["assist to identify triggers to substance use/abuse [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach coping strategies", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
24
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
249
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
164
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
250
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["achieves personal/spiritual goals of [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
168
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
167
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Breathing Pattern, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
9
\n", "
\nA state in which an individual's inhalation and/or exhalation pattern\ndoes not enable adequate inflation or emptying.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
192
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
165
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
189
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
245
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
199
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["respiratory pattern q [frequency]", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
28
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
39
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["expresses satisfaction about his relationship-God/Diety", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
287
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["assess for complications of mechanical ventilation", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
14
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
; monitor and document:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
67
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
68
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
69
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
299
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
395
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
396
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
397
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["bronchial hygiene q[frequency]hrs", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
14
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["demonstrates realistic responses to stress", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["continues spiritual practices not detrimental to health", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
303
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
402
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
403
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
404
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["refer for appropriate consults", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
78
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
specifically
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
251
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
169
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Sensory-Perceptual, Alteration In", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "
\nA state in which an individual experiences a change in the amount of\npatterning of incoming stimuli accompanied by a diminished, exaggerated,\ndistorted or impaired response to such stimuli.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
193
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
190
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["expresses decreased feelings of guilt and fear", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["participates in self care/health maintenance activities", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
246
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["attains/maintains orientation time,place,person,situation", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["is maintained in/returns to a safe environment", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["attends/participates in structured activities", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
159
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess ability/perform self care health maintenance actions", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist w/performance self care health maintenance actions", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
252
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess level of orientation q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["verbalizes feeling supported in health care decisions", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["instruct S/O(s) how to assess/assist w/reality orientation", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide information (community resources,respite care,etc.)", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["instruct S/O(s) how to assess/assist with ADL activities", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide reality orientation activities [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["structured activities to promote independence [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["collaborate with S/O(s) to maintain safe environment", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
170
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Gas Exchange, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
7
\n", "
\nThe individual experiences decreased passage of gases (oxygen,\ncarbon dioxide) between the alveoli of the lungs and the vascular\nsystem.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
194
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
166
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["assess causative, contributing factors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
; monitor and document
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
40
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
288
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
191
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
93
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
91
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
92
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
300
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
398
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
399
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
400
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assess pt's beliefs, involvement, and spiritual practices", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
ASK:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
304
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
405
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["hemodynamically stable", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
7
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
406
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
407
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
247
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
160
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["respiratory pattern q [frequency]", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
29
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["provide patient teaching (Gas Exchange, Impaired)", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
7
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["assess for complications of mechanical ventilation", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
15
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
; monitor and document:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["note expression of inability to find reason for living", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["bronchial hygiene q[frequency]hrs", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
15
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["refer for appropriate consults", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
79
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
specifically
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
253
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
171
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Infection Potential", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
10
\n", "
\nThe state in which an individual is at increased risk for being invaded\nby pathogenic organisms.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
195
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["inadequate primary defenses:", "
FRAME
\n", "
NURSC
\n", "", "
10
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["inadequate secondary defenses:", "
FRAME
\n", "
NURSC
\n", "", "
10
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["inability to breathe deeply", "
FRAME
\n", "
NURSC
\n", "", "
10
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
due to:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
192
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["assist patient/family to deal with feelings:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["patient demonstrates knowledge", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
10
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
of:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
248
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
161
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["isolation", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
10
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
specifically:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["teach prevention of infection techniques [specify]", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
10
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
254
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nutrition, Alteration in:(Less Than Required)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
7
\n", "
\nThe state in which an individual experiences an intake of nutrients\ninsufficient to meet metabolic needs.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
196
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
167
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
193
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["help patient find reason for living", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintains nutritional intake to meet metabolic requirements", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
7
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["identifies/procures food source", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
7
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
through:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
249
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
162
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["maintain activity level commensurate with caloric intake", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
8
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["initiate consult(s)", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
6
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
to:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
255
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
172
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["body weight 20% or more under ideal", "
TERM
\n", "
NURSC
\n", "", "
7
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reported food intake under RDA", "
TERM
\n", "
NURSC
\n", "", "
7
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["help patient find meaning in illness/suffering", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["reported/observed lack of food", "
TERM
\n", "
NURSC
\n", "", "
7
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sore/inflammed bucal cavity", "
TERM
\n", "
NURSC
\n", "", "
7
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lack of interest in food", "
TERM
\n", "
NURSC
\n", "", "
7
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
41
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
289
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
158
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
159
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
160
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
301
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
130
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assist to develope coping skills", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
131
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
132
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
305
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
122
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
123
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
124
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["verbalizes decreased frustration with communication", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Airway Clearance, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
7
\n", "
\nA state in which an individual is unable to clear secretions or\nobstructions from the respiratory tract to maintain airway patency.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
168
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
197
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["effective client coping skills", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assist patient to identify his strengths and support systems", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["infection, pulmonary", "
TERM
\n", "
NURSC
\n", "", "
7
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["obstruction, pulmonary", "
TERM
\n", "
NURSC
\n", "", "
16
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
194
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
250
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
163
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
256
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
174
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Breathing Pattern, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
10
\n", "
\nA state in which an individual's inhalation and/or exhalation pattern\ndoes not enable adequate inflation or emptying.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
169
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
195
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["religious practices in use", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach/reinforce speech improvement exercise", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
251
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
200
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["bronchial hygiene q[frequency]hrs", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
16
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["encourage self-expression", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
257
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
175
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["discuss importance of maintaining drug schedule (eye drops)", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Gas Exchange, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
8
\n", "
\nThe individual experiences decreased passage of gases (oxygen,\ncarbon dioxide) between the alveoli of the lungs and the vascular\nsystem.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
199
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["if yes, to what religion do you belong?", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
170
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
196
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["hemodynamically stable", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
8
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
252
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
164
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
258
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
176
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Infection Potential", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
11
\n", "
\nThe state in which an individual is at increased risk for being invaded\nby pathogenic organisms.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
200
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["inability to breathe deeply", "
FRAME
\n", "
NURSC
\n", "", "
11
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
due to:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["how will your illness affect your practices/beliefs?", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
197
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["states actions to prevent cross infection", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
11
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
253
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
165
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
259
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nutrition, Alteration in:(Less Than Required)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
8
\n", "
\nThe state in which an individual experiences an intake of nutrients\ninsufficient to meet metabolic needs.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
201
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
171
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
198
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["maintains nutritional intake to meet metabolic requirements", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
8
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["how can I help you maintain your spiritual strength?", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["identifies/procures food source", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
8
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
through:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
254
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
166
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
260
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
177
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["body weight 20% or more under ideal", "
TERM
\n", "
NURSC
\n", "", "
8
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reported food intake under RDA", "
TERM
\n", "
NURSC
\n", "", "
8
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reported/observed lack of food", "
TERM
\n", "
NURSC
\n", "", "
8
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sore/inflammed bucal cavity", "
TERM
\n", "
NURSC
\n", "", "
8
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lack of interest in food", "
TERM
\n", "
NURSC
\n", "", "
8
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["contact minister/priest/rabbi", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["advise patient to report severe eye pain,inflammation,etc", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
51
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
290
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
144
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
142
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
143
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
303
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
401
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
402
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
403
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["provide privacy at special times", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
306
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
408
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
409
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
410
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["inform patient/SO: clinic visit,need for follow-up care,etc", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["demonstrates excercises to improve mobility", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["adapts gait to wide base with arm swing", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["correctly uses adaptive equipment", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["advise patient/SO to maintain safe home environment", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
304
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["request reading material", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes knowledge of risk factors and S/S", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
255
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["develops plan to maintain substance free life style", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["anger management", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["stress management", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["goal setting", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess,report signs and symptoms of metabolic acidosis", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
42
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
291
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
126
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["make time for discussions of philosophic issues", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
124
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
125
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
305
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
404
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
405
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
406
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
307
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
411
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
412
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
413
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["make time for questions about treatment regimen", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["healthy oral mucous membranes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
292
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["describes diet,fluid restrictions,& food content", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["help to correlate past trauma w/present situations [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach alternative methods for dealing with stress [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist to identify triggers for impulsive behavior [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist to learn and use pro-active behaviors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist to identify community resources for discharge", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["no information requested by patient", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
157
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nutrition-Metabolic Area", "
FRAME
\n", "
NURSC
\n", "
NURSING SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["effective problem solving", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["listen attentively and non-judgementally to patient", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess,monitor,document laboratory values", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["verbalizes adequate healthcare knowledge for H-C decisions", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes appropriate knowledge base: reduce kidney damage", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes knowledge of self-care needs & to leave hospital", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes routine to meet basic needs", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["describes measures to reduce risk factors", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["instruct on:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["fluid intake 2000 to 3000cc per 24 hours", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["cranberry or apple juice to acidify urine (if Ca+ based)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["regular voiding schedule", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
15
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["verbalizes S/S reportable to health care professional", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["strain urine, send sediment to Dr. for analysis", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["G.U. follow-up", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
429
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["per urine analysis", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["per urine culture", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["per clinical signs/symptoms [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes understanding of medication regime", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["communicates an understanding of follow-up care", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["discuss options (hemo or peritoneal dialysis,transplant)PRN", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
15
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["foul smelling urine", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["flank pain", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["spasticity increase", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["rationale for preventive practices", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["promote optimal learning opportunity for pt/SO", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["pale, cool skin", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["positive blood/urine culture", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach urinary management program [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess contributing factors for infection", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach perineal hygiene", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
12
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["teach rationale for preventive practices", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["pt/SO report decreased anxiety re: renal failure& treatment", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["decreased diarrhea", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["directs/or performs treatment protocol", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates increased tolerance to activity", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintain fluid intake of [ ]cc q[frequency]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
4
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["performs independent toilet transfers", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["bedrest until [specify date]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["utilize special use mattress/bed [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["protective aids [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
12
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["apply barrier cream to skin at risk [specify area]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide,assess,monitor,document hydration & nutrition q[]hr", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["evaluate effectiveness of bowel/bladder program", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess & monitor pulse,skin color,oxygen sat during exercise", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach self skin inspection", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor for S/S of increased intracranial pressure", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["evaluate pt/SO in performing dressing changes", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach appropriate positioning for activity", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess,teach,evaluate:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["use of metered dose inhalers", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["altered body structure or function", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["knowledge of side effects of medications [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["knowledge of diet", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["knowledge of respiratory equipment at home", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["knowledge of when to contact health care provider", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess function, routine, and amt. of assistance needed", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["facilitate patient control over activity", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["debridement technique [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess and utilize support systems [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["determine communication for expressing needs [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["handwashing", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["ineffectual or absent role models", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["disposal of contaminants", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["divide tasks into the smallest steps possible", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["remains free of complications of immobility", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes need to avoid certain positions [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["teach repositioning techniques", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["normal repiratory rate and pattern [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "
attains/maintains
\n", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["hydration and nutrition q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
provide,assess,monitor and document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["demonstrates,participates in measures to improve circulation", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["teach use/care of wheelchair cushion", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["medicate prior to planned activities/exercises and prn", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["lack of privacy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["institute care of patient on mechanical ventilator protocol", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["wound size decreases", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Tissue Perfusion, Alteration in", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
293
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
306
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
256
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
308
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
261
\n", "", "", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Fluid Volume (Deficit/Excess)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
3
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
294
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["lack of significant other", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
307
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["maintain fluid/electrolytes WNL for patient", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
5
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
141
\n", "", "", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
309
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
43
\n", "", "", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["albumin", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Cardiac Output, Decreased (Electrical/Mechanical)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
4
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
295
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["altered myocardial contractility", "
TERM
\n", "
NURSC
\n", "", "
3
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["altered inotropic changes in the heart", "
TERM
\n", "
NURSC
\n", "", "
4
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["misinformation or lack of knowledge", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
308
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["maintain stable hemodynamics", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
4
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
257
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
310
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess,monitor,document hemodynamics of:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
5
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
128
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["compromised respiratory mechanism", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["absence or reduction in syncope", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["improved mental status", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["monitor laboratory values:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["assess family's coping response", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["values conflict", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["improved motor/sensory function", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["glucose", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["carbon dioxide", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes plan of follow-up care", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["temperature=[specify]", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["initiate mechanical ventilator protocol", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["protect skin from urine/feces", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess for visual/spatial disturbances", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["orient to enviroment", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist with ADL's", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["vulnerability", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["septemia-monitor,report S/S:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["assess for alterations in thought processes", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["WBC above normal limits, and/or bacteria in urine", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["demonstrates gradual improvement in visual/spatial episodes", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["purulent drainage", "
TERM
\n", "
NURSC
\n", "", "
3
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[additional S/S]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["remains free of S/S of pulmonary infection", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["remains free of S/S of surgical wound infection", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["anemic", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["hypertension", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["physical or psychosocial abuse, e.g. harmful relationships", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["prone to CAD", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["change incisional dressings q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess integrity of chest tubes/drainage system q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
monitor, document &
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess incision site for S/S of infection q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
monitor, document &
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor pulse/BP during activities", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["involve family in decisions as indicated by client", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["chronic illness required lifelong invasive/debilitating tx", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["cardiac enzymes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["weigh qd @ home (avoid 4# wt gain between tx)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach pt to turn/ambulate while supporting chest tubes", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["verbalizes awareness of the cause/contributing factors", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["review hx for evidence of non-compliance with treatment", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
53
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
296
\n", "", "
\n
\n\n
\n", "", "", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
88
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
89
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
90
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
309
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
407
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
408
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
409
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes effects of medical tx. on sexual functioning", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
311
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
414
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
415
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
416
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["if on peritoneal dialysis:", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["demonstrates understanding of spoken words and gestures", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["no S/S of infection @ peritoneal site", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["no S/S of peritonitis (dialysis return clear, lt yellow)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess ability to speak, read, hear, write and understand", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess ability to comprehend simple commands", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["relates confidence to resume satisfying sexual activity", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assess ability to comprehend complex ideas", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["speak slowly in a normal tone", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["techniques of massage", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
262
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
297
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
258
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["optimal dry weight", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintain strict asepis during dialysis", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["medicate PRN for c/o itching", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["instruct patient to avoid scratching", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["relates ability to resume satisfying sexual activity", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["dialysis an invasive therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["decreased WBC activity with uremia", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["instruct patient in:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["use of adaptive equipment: [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["use of analgesics", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["newly diagnosed", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["change in therapy made", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
310
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["verbalizes knowledge of self care/discharge information", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
such as:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
43
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["identifies stressors in life related to sexual dysfunction", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
298
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
311
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
312
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
52
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
53
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
54
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
410
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
411
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
412
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
417
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["elicit personal information about sexual history", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
418
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
419
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["diet: [specify]", "
TERM
\n", "
NURSC
\n", "", "
3
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["purpose for dialysis", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["dialysis schedule", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["care of dialysis vessel access", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["s/s of complications", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
313
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["teach plan based on patient's readiness/ability to learn", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["consult to dietician to teach renal diet", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide privacy and assure confidentiality", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["explain purpose of dialysis and basic procedures", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["stress importance of compliance with diet, meds, dialysis", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide information in short segments with reinforcement", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["instruct on dialysis vessel access care/complications", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
8
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["temporary/permanent role change", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["bipolar disorder", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["family history", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["antidepressant medications", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["demonstrates effective coping skills", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assist family to appraise stressors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["establish a trusting relationship", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
259
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["discuss importance of maintaining optimal health", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage wearing medical I.D. bracelet for seizure activity", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["crossing legs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["restrictive clothing", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["cold extremities", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["demonstrates/directs treatment protocol", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["utilize protective aids [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["apply barrier cream to at risk skin areas", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach causative factors for ulcer development", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["discuss sexual activity limitations", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess patient's/caregiver's dressing technique", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach use & care of adpative equipment", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["verblizes understanding of functional status", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates ability to direct caregiver in ADL needs", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates safe use of adaptive equipment [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["develops effective program for bowel/bladder management", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
260
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["teach techniques of ADL care to patient/significant other(s)", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["evaluate effectiveness of bowel/bladder managment program", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
263
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["discuss the varied etiologies of impotence", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Dysreflexia, Potential For", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
299
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
312
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
314
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["spinal cord injury", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["will not experience dysreflexia as evidenced by normal VS", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes signs/symptoms of dysreflexia", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["avoids complications of dysreflexia", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
261
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["teach signs and symptoms of dysreflexia", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["discuss ways to enhance sexual expression", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["avoid bowel/bladder distention", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["implement interventions for dysreflexia:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["raise head of bed", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["monitor blood pressure", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["monitor bladder for distention & catheterize if necessary", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["monitor bowels for distention", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["utilize anesthetic ointment before impaction removal", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["release tight clothing and dressings", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["notify physician if signs/symptoms persist", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
264
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach sexual physiology as indicated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["verbalization of feelings of loss motor/sensory functions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalization of effects of injury on life", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["particpation in treatment plan and self-care activities", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["utilization of available support systems", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalization of integration of limitations into lifestyle", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["allowing time for the grief process", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["providing support", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["promoting expression of feelings", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["initiate referrals to:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["counseling", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach the likelihood of adverse effects", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
from
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["support groups", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["community resources", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["diuretic therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["respirations q[frequency]", "
TERM
\n", "
NURSC
\n", "", "
3
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess,monitor,document venous distention q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
265
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
266
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
267
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["decrease external noise and distractions", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["validate non-verbal communication", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide information regarding altered body structure", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach adaptive techniques for communicating", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["seek consultation from [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["achieves independent w/c mobility", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["achieves w/c mobility with [min/mod/max] assistance", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assess,monitor,document use of incentive spirometry q[freq]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["position for comfort,ventilation,drainage chest tube q[ ]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["ambulates [#]ft. with [min/mod/max] assistance", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates ability to pace activity with rest periods", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["B/P lying [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["B/P sitting [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach possible reconstructive surgical intervention", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["B/P standing [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["monitor CT insertion site/integrity of drainage system q[ ]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, document &
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor color, consistency, amount of CT drainage q[ ]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
assess, document &
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
300
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
139
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
140
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
141
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["appetite altered", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
315
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess function, ROM, and strength in extremeties", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach relaxation techniques", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["prevent complications of bleeding", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["instruct and assist in use of mobility aids [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor laboratory values q[frequency]", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
assess, document &
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["WBC", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["chloride", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["test all secretions for presence of blood", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["if WBC low restrict use of catheters,injections,enemas,etc.", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["implement measures to increase mobility [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage support of significant others", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide safe environment", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["refer for consultation or support resource", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
314
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["demonstrates improved orientation [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["is orientated to person, place, time, & situation", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["interacts appropriately with the environment", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates use of compensation techniques [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["develops awareness of stimuli on affected side", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies alternative methods of managing stressors", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
4
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
4
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist family to develop plan to cope with stressors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["fatigue", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
316
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["reality orientation", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["clarify sensory misconceptions", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess for presence of unilateral neglect", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist pt. to recognize horizontal and vertical planes", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["keep objects within visual field", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
268
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Airway Clearance, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
9
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Breathing Pattern, Ineffective", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
15
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
45
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["alcohol consumption", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
301
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
315
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
317
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["pulse oximetry q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
5
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
5
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
302
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
316
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["becomes/remains free of S/S of hypercapnia and/or hypoxia", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
18
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["prostatitis/urethritis", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
318
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
303
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
317
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
319
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
148
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
149
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
150
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
413
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
414
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
415
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["anger", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
420
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
421
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
422
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Generic Discharge Care Plan", "
FRAME
\n", "
NURSC
\n", "
NURSING SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Discharge Planning (Health Maintenance, Alteration in)", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
304
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
318
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
320
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["anxiety regarding health management", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["alteration in family process", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["ignorance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["homelessness/abandonement", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inadequate financial resources", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["mobility impaired", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["noncompliance with treatment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["nutrition/fluid volume altered", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["self-care deficit (hygiene, elimination)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["suspected abuse/neglect", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["accepts assistance with meeting health needs", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["communicates within capacity, demonstrates comprehension", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["demonstrates required skill/knowledge from pt ed [specify]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["therapy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["establishes/maintains supportive, nurturing relationships", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies coping methods to deal with chronic pain", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains or regains optimal level of health", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["coping behaviors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["manages stressors without resorting to violent behaviors", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["participates in D/C plans for use of community resources", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["participates in D/C plans for supervised care setting", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["recognizes anxiety & uses coping skills to reduce/manage it", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["remains/regains orientation to time, place and person", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["selects appropriate coping methods for activity intolerance", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["psychology", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes community resources needed to maintain sobriety", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes intent to follow health regime post discharge", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes minimal discomfort or absence of pain", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes post discharge instructions from patient teaching", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes sense of reality", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes understanding of adequate nutrition/fluid intake", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes understanding of potential safety hazards", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes use of preventive safety measures", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
262
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["need for structured/supervised environment", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["psychiatry", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["personal resources/support systems", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess deficits/capabilities to determine D/C needs", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["follow-up care", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["medications to be taken", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["procedures expected to be performed", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess for proper use of assistive devices for mobility", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess impact of pain on self care ability", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["make necessary referrals within community", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assist to match identified needs to community resources", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["discuss role of infection control measures", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["American Cancer Society", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["discuss role of prescribed medication", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["evaluate the environment to which patient is discharged", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["explain purpose of applicable community resources", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["promote reality orientation", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["clarify misperceptions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["do not support or ridicule delusions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["offer orientation to person, place, and time", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["use clocks and calendars", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["use memory aids and simple one-step instructions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide education regarding requirements of care", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["American Heart Association", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide health counseling about bowel/bladder alterations", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide health counseling about home safety", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide health counseling about sensory changes", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Psychology Service", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reinforce importance of adhering to treatment regime", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["reinforce use of adaptive/assistive devices for self-care", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Cognitive Impairment", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
2
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["teach alternate methods for task accomplishment", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach assertive versus aggressive behaviors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach effective methods for relieving tension/stress", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach effective coping skills", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["other [ ADDITIONAL TEXT ]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach family/SO use of assistive/adaptive devices", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
319
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["teach patient signs/symptoms of infection", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach positive coping methods for pain relief", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach positive methods for problem resolution", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
321
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
269
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
306
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
19
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
6
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Infection Potential", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state in which an individual is at increased risk for being invaded\nby pathogenic organisms.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Thought Process, Alteration In", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["improvement displayed by increased attention span", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["improvement demonstrated by decreased irritability", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["improvement demonstrated by decreased aggressiveness", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["improvement demonstrated by increased level of orientation", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
320
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
322
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["control level of sensory stimuli", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["reorient as necessary", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["use simple instructions", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Sexual Dysfunction", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state in which an individual experiences a change in sexual function\nthat is viewed as unsatisfying, unrewarding, or inadequate.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
7
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
23
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Impaired Physical Mobility", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
321
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["achieves ADL independence", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["experiences normal surgical wound healing", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes diminished pain", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
323
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["teach mobility skills", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Pain, Acute", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
18
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Sexual Pattern, Altered", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state of changed sexual health in an individual.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
322
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
24
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
324
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["teach pain relief measures:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["medication usage", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["phantom pain relief techniques", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["encourage verbalization of physical/emotional changes", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Alteration in Self-Concept", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
91
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
323
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["home maintenance management, impaired", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["demonstrates beginning adaptations to loss by:", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["verbalization of feelings of self-worth", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["active participation in ADLs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["maintenance of relationships with significant others", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["participation in social activities", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
25
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
325
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["help to identify alternative behaviors", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist patient to identify personal strengths", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist patient to acknowledge limitations", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["knowledge deficit [specify]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
10
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
52
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
308
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
151
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
152
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
153
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
324
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
416
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
417
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
418
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
16
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
326
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
423
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
424
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
425
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage use of soft toothbrush & floss only if necessary", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["free of objective S/S of pain", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["able to carry out ADLs", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["analgesics/antiemetics as ordered", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
administer, assess, monitor, & document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["titrate analgesics/antiemetics as ordered", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
; notify MD if not effective
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide activity for patients as tolerated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Abdominal Aortic Aneurysm Repair", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["encourage activity as tolerated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assist to maintain correct positioning", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
325
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN4^NURCCPU1
\n", "", ""], ["demonstrate positive health behaviors", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalize knowledge of disease, risks, and treatment", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes knowledge of preventive practices", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
26
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
327
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["teach about disease", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach how to assess need for dose adjustment", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Angina/Chest Pain", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["teach principles of pain control", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide phone numbers to contact health care provider", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess behavior/level of understanding:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
; monitor and document
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["neutropenic precautions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["pain control", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Spinal Headache", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["expresses pain is within tolerable limits", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes that pain is absent upon discharge", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
28
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Pain, Acute", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
19
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Aortobifemoral Bypass Graft", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
327
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
329
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Anxiety", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
5
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
61
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["extended hospitalization", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["treatment/procedure", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
79
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
173
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
328
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["expresses feelings and concerns", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["problem solving/decision making", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Arterial Insufficiency", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
30
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
330
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
14
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["explain procedures and expectations prior to interventions", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
21
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["General Self-Care Deficit", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Defining Characteristics", "
FRAME
\n", "
NURSC
\n", "
DEFINING CHARACTERISTICS
\n", "
68
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
309
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
329
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
31
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Atherosclerosis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
331
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assist with ADLs q shift", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
270
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Skin Integrity, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
310
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["IV catheter", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
330
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["IV site remains free from signs of infection", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["IV remains patent while in place", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
32
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Cardiac Surgery Post-Operative (CABG, Valve Replacement)", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
332
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["assess IV q [frequency] for signs of infection/infiltration", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["change IV site and tubing per protocol", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
22
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Problem]", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
31
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
94
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
154
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
155
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["[etiology]", "
TERM
\n", "
NURSC
\n", "", "
156
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
93
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Cardiac Tamponade", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
419
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
420
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
421
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
78
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
426
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
427
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
428
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
430
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
422
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
423
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Cardiogenic Shock", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
431
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
424
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
432
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
425
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
433
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["[Extra Goal]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
426
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["[Extra Order]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
434
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["fluid intake [amount]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["skin color and temperature WNL for pt", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "
asssess,maintain,document
\n", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["compliance with prescribed treatment program", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Cardiomyopathy", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["cough/turn/deep breathe q[specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["explain the reality of the present situation", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
2
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["reduced risk of pulmonary infection", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
2
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Carotid Artery Endarterectomy", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Digoxin Toxicity", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Dysrhythmias", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Endocarditis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["assertiveness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Heart Failure", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Hypertension", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Pericarditis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Peripheral Vascular Surgery Procedures", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Pulmonary Embolus", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Thrombophlebitis (DVT)", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Valvular Heart Disease", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Vein Ligation and Stripping", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Cancer of the Larynx", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["COPD, Bronchitis, Asthma", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["help-seeking", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Lung Cancer", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Cholecystectomy", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Diverticulitis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Esophageal Varices", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Fecal Diversion (Ileostomy, Colostomy)", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Gastric Resection/Gastrectomy", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Gastrointestinal Hemorrhage", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Hemorrhoidectomy", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Hemmorrhoids/Anal Fissure/Pilonidal Cyst", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Herniorrhaphy", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
4
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Intestinal Surgery", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Liver Failure/Cirrhosis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Mallory-Weiss Syndrome", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Pancreatitis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Peritonitis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Surgical Procedures of the GI Tract", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Ulcers/Peptic", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Anxiety", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Acute/Chronic Renal Failure", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Adrenalectomy", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
4
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Benign Prostatic Hypertrophy", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Hemodialysis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Urinary Diversion/Ileal Conduit", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Nephritis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Peritoneal Dialysis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Prostatectomy", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Transurethral Procedures", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Urinary Tract Infection/Kidney Infection", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Urolithiasis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Fear", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nFear is a feeling of dread related to an identified source which the\nperson validates.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Elimination", "
FRAME
\n", "
NURSC
\n", "
NURSING SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
4
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Amputation", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Carpal Tunnel Syndrome", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Casts", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Fractures", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Total Joint Replacement (knee, hip, elbow, fingers, wrist)", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Traction", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Pressure Sores", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Skin Grafts", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Addison's Disease (Adrenal Insufficiency)", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Cushing's Disease", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["client providing little support for SO", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Hyperthyroidism (Graves' Disease)", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Hypothyroidism", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Parathyroidectomy", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Thyroidectomy", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["OBS (Alzheimer's/Wernicke-Korsakoff Syndrome)", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Spinal Procedures (Laminectomy/Spinal Fusion)", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["CVA/TIA", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Hypophysectomy (Craniotomy)", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Spinal Cord Injury", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Syncope", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["inadequate/incorrect information/understanding by a SO", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Substance Abuse, Alcohol/Drug", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Bipolar Disorder", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Depressive Disorder", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Paranoid Disorder", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Post Traumatic Stress Disorder", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Schizophrenia", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Somatoform Disorders", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Cancer of the Larynx: Radical Neck/Permanent Laryngostomy", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "", "", ""], ["Reconstructive Facial Surgery", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Rhinoplasty", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["prolonged disease/disability exhausting SO", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Septorhinoplasty", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Anorexia Nervosa/Anorexia Bulemia", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Hypovolemia", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Hypokalemia", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Malnutrition", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Obesity", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Immune Deficient Conditions", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Sepsis", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Lung Cancer: Surgical Intervention", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Pneumonia and Pleurisy", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["situational/developmental crises the SO may be facing", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Pneumothorax/Hemothorax/Pleural Effusion", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Self Concept, Disturbance In", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA disruption in the way one perceives one's body image, self-esteem,\nrole performance, and/or personal identity.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Coping, Ineffective Individual", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nIneffective coping is the impairment of adaptive behaviors and problem\nsolving abilities of a person in meeting life's demands and roles.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Grieving, Anticipatory", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nGrieving before an actual loss.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Grieving, Dysfunctional", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nDelayed or exaggerated response to a preceived actual or potential\nloss.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Powerlessness", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe perception of the individual that one's own action will not \nsignificantly affect an outcome. Powerlessness is the perceived lack\nof control over a current situation or immediate happening.^\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Depressive Behavior", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA universal mode of interacting manifested by sadness, poor self-concept,\nand inability to act for self; ranges from mild grief to a psychosis.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Violence, Potential For, Self Directed", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state in which an individual experiences behaviors that can be\nphysically harmful to the self.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Violence Potential, Directed At Others", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state in which an individual experiences behaviors that can be\nphysically harmful to others.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Social Isolation", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nCondition of aloneness experienced by the individual and perceived as\nimposed by others and as a negative or threatened state.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["SO is unable to perceive/act effectively to client's needs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Social Interaction, Impaired", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state in which an individual participates in an insufficient\nquantity or quality of social exchange.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Family Processes, Alteration in", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state in which a family that normally functions effectively\nexperiences a dysfunction.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Diversional Activity Deficit", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state in which an individual experiences a decreased stimulation\nfrom or interest or engagement in recreational or leisure activites.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Thought Processes, Alteration In", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state in which an individual expereiences a disruption in\ncognitive operations and activities.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Ocular Disorders/Surgery", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
17
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
16
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
13
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["individual/environment conditions which impose a risk", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["biological", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["temporary family disorganization and role changes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["developmental", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["physiologic", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["psychologic perception", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["people provider", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["psychologic", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["loss of motor ability from disease/injury/aging/restraints", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sensory loss from disease/injury/aging/restraints", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["cognitive deficit", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["perceptual deficit", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["adverse effects of chemicals/drugs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["self-mutilation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["nonadherence/noncompliance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["infestation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["clothing", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["unfamiliar setting", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["physical restraints/barriers", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["remains free from injuries", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes how to prevent injury", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["inspect for external factors which produce injury q [freq.]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["observe for adverse effects of chemical agents/treatments", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["communication, impaired", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["identify and eliminate potential sources of injury", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide physically safe environment", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["protect with restraints [specify]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide restraint care q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach patient regarding health maintenance", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach S/O regarding potential for injury", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assure understanding of informed consent", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["bedrails", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["call light", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["prosthetic devices", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["coping, family: potential for growth", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["night light", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["safety restraints", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["isolation", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["remove constrictive clothing", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["eliminate source of infestation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["pain and discomfort", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["perceptual or cognitive", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
13
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["medical protocols", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
18
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Integumentary (Skin)", "
FRAME
\n", "
NURSC
\n", "
NURSING SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["family process, alteration in", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
17
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
14
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
14
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["intolerance to activity; decreased strength and endurance", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["musculoskeletal impairment", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["neuromuscular impairment", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["free from injury", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains ROM in all joints", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains independent ambulation", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assess mobility, limitations q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["grieving", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess risks if mobile", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["protect from injury as indicated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["prior to restraints, teach purpose", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["perimeter protection", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["adjust environment as appropriate", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["range of motion exercise as appropriate q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["reposition/turn q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
3
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["utilize devices [specify] to facilitate mobility", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["limit activities as set by medical protocols & as indicated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["skin integrity, impairment of", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["health maintenance, alteration in", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["tissue perfusion, alteration in", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["gas exchange, impaired", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["constipation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["injury, potential for", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["alteration in skin turgor (change in elasticity)", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["mechanical factors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["physical immobilization", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["radiation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
19
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Post Trauma Response", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nThe state of an individual experiencing a sustained painful response\nto (an) overwhelming traumatic event(s).\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["home management, maintenance", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
18
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
15
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
15
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["maintains intact skin", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains normal skin color and temperature", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies relevant risk factors", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes preventive measures", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["Tissue integrity, impaired", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Skin integrity, impairment, actual", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["perform skin assessment q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["parenting, alteration in", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide comfort/preventive measures", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["sheepskin", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["alternating pressure pads", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["overhead bars", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["reposition q[frequency]hrs", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["massage bony prominence [frequency]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["other", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["avoid irritants/noxious stimuli/oral irritants", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage adequate food and fluid intake", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["up in chair q[frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["sexual dysfunction", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide stoma care q [frequency]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach how to maintain skin integrity", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach radiation therapy precautions", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["Substance Abuse, Alcohol", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state which involves drinking of alcohol which occurs as follows:\n  1) regular daily intervals, or regular weekend intervals or during\n     binges, with difficulty stopping or reducing the amount of\n     alcohol used,\n  2) a pattern of pathological alcohol use extending for at least 1 \n     month,\n  3) impaired social or occupational role functioning.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Substance Abuse, Drugs", "
FRAME
\n", "
NURSC
\n", "
NURSING PROBLEM
\n", "
1
\n", "
\nA state which involves pathological use of a drug(s) that is charac-\nterized by:\n  1) frequent need and use of drugs for personal functioning,\n  2) difficulty in reducing or stopping the amount of drugs used,\n  3) periodic unsuccessful efforts to stop drugs, and\n  4) frequent use of drug(s) causing impairment in functioning for at\n     least one month.\n
\n
\n", "
\n
\n\n
\n", "
D EN3^NURCCPU1
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN3^NURCCPU0
\n", "", "
D EN2^NURCCPU3
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
20
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
16
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
19
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
16
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["environmental changes, social cues", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["sexual pattern, altered", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Acute Myocardial Infarction", "
FRAME
\n", "
NURSC
\n", "
MEDICAL DX/PROCEDURE
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
NO
\n", "", "", ""], ["illness, psychologic stress", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["identifies techniques to fall asleep", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["falls asleep within one hour of going to bed", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["sleeps for 90 minute period without awakening", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["sleeps for 4-5 hours without awakening", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["sleeps 7-9 hours without awakening", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["falls asleep within minutes if awakened", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["states feels rested after sleep", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["states feels less tense, less anxious after sleep", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["social interaction, impaired", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess length of time and time of day naps are taken", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
; monitor and document
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess length of time patient is awake at night", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "
; monitor and document
\n", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["increase daytime activity", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["discuss pros/cons of napping", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["decrease stimulants from [time] until [time]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["avoid stimulants and foods difficult to digest at bedtime", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["schedule tests to allow for uninterrupted periods of sleep", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["limit amount of fluids after [time]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["listen to pt if pt appears anxious or needs to talk", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["offer comfort measures", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
such as:
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["social isolation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["back rub", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["warm milk", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["soft music", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["analgesic for pain", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
21
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
20
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
17
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
22
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
21
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
17
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["spiritual distress", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
18
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
18
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["diagnostic procedures", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["emotional status", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["insuring agents", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["gastrointestinal obstructive lesions", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["less than adequate physical activity or immobility", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["less than adequate dietary intake and bulk", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["pain on defecation", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["personal habits", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Musculoskeletal/Neurological", "
FRAME
\n", "
NURSC
\n", "
NURSING SECTION
\n", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
2
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
see
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["pregnancy", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["use of medication and enemas", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["weak abdominal musculature", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["chemical", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["physical", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["evacuates soft, formed stool q[ ]days without pain/strain", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["describes contributing factors", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains fluid intake of <2,000cc q day", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["consumes bulk/high fiber daily", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["expresses sense of comfort with ICU/CCU routine", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["disease or injury of individual/family member", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["states anxiety and fears are alleviated", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["conserves energy", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as witnessed by
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["demonstrates increased activity/exercise within own limits", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["indicates decreased related stress/anxiety", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["presents with normal bowel sounds", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["describes methods to reduce or prevent constipation", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["overt activity is moderated within [hrs or days]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["expressed need for oxygen is decreased within [hrs or days]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess bowel elimination pattern/routine", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess for signs/symptoms such as:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["impaired cognition", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes onset & description of chest pain on 1-10 scale", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["headache", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["nausea", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["remains hemodynamically stable", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as evidenced by
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["abdominal distention/cramping", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["feeling of fullness", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["pressure in abdomen/rectum", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["identify factors contributing to constipation", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["EKG indicates no MI, ongoing ischemia, or extension of MI", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["absence of dyspnea/crackles/wheezes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inadequate support system", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["monitor effects of laxatives, stool softeners, enemas etc...", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["absence of extra heart sounds", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["place in sitting position unless contraindicated", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["B/P WNL (baseline)", "
TERM
\n", "
NURSC
\n", "", "
2
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["allow for time in the bathroom or on commode/bedpan", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["stable heart rate/rhythm", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["level of consciousness WNL, oriented x3", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["provide privacy", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["provide comfort", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["encourage fluids [ ]cc/day, roughage; discuss rationale", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["insufficient family planning", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["administer prescribed laxative, stool softener or enema", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["states free of pain", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["lab values return to normal e.g. enzymes, ABGs, CBC", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["use digital stimulation to relax sphincter", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["maintains personal integrity and self worth", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["teach patient to respond immediately to elimination urge", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach adverse effects of habitual use of enemas, laxatives", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["free from complications related to immobility/hemostasis", "
FRAME
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN2^NURCCPU1
\n", "
1
\n", "", "", "", "
as witnessed by absence of
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN5^NURCCPU0
\n"], ["teach about normal bowel pattern", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["absence of DVT", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["insufficient finances", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["absence of pulmonary emboli", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["extremities freely moveable", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["teach when to seek medical attention", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["relates risk factors of CAD", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["describes preventive measures related to CAD", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["teach side effects of many medications maybe constipation", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["attach to cardiac monitor; obtain rhythm strip", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["teach to attempt defecation [ ]hr/s after meal and @ [ ]", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["document history of pain", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["location", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["lack of role modeling", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["quality", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["intensity", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Etiology/Related and/or Risk Factors", "
FRAME
\n", "
NURSC
\n", "
RELATED FACTOR
\n", "
23
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["precipitating and alleviating factors", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Goals/Expected Outcomes", "
FRAME
\n", "
NURSC
\n", "
GOALS/EXPECTED OUTCOMES
\n", "
22
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", ""], ["assess status of chest pain", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
; monitor and document
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["Nursing Intervention/Orders", "
FRAME
\n", "
NURSC
\n", "
NURSING INTERVENTION
\n", "
19
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "", "
D EN4^NURCCPU1
\n", "", "
D EN1^NURCCPU2
\n"], ["Related Problems", "
FRAME
\n", "
NURSC
\n", "
RELATED PROBLEM
\n", "
19
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["contaminants", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["dietary intake", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["unfamiliarity with neighborhood resources", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["quality of pain on a scale of 1-10", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["inflammation, irritation or malabsorption of bowel", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["stress and anxiety", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["12 lead EKG findings", "
FRAME
\n", "
NURSC
\n", "", "
1
\n", "", "
\n
\n\n
\n", "", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", ""], ["ST segment elevation [specify location]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["T wave depression [specify location]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["Q waves [specify location]", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["evacuates soft, formed stool q[ ]days without pain/strain", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
3
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["describes S/S requiring medical attention", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["describes methods to manage chronic diarrhea", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["substance abuse", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["verbalizes medication regimen", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["verbalizes dietary management regime", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["maintains perineal area free from irritation/pain", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["reports decrease in diarrhea to [# of episodes]", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["identifies factors contributing to diarrhea", "
TERM
\n", "
NURSC
\n", "
GOAL
\n", "
1
\n", "", "", "
D EN2^NURCCPU1
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN5^NURCCPU0
\n"], ["assess for S/S of decreased cardiac out; monitor, document", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "
including
\n", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["assess for contributing factors such as:", "
FRAME
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "
\n
\n\n
\n", "
D EN1^NURCCPU3
\n", "
1
\n", "", "", "", "", "
TABULAR
\n", "
YES
\n", "
D EN4^NURCCPU1
\n", "", "
D EN2^NURCCPU2
\n"], ["B/P changes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["oliguria", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["tube feedings", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["role fatigue of care giver", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["food allergies", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["S3 or S4", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["untoward side effects", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["situational changes", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["assess for impaction", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["assess for signs of dehydration", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["shortness of breath", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["diaphoresis, pallor", "
TERM
\n", "
NURSC
\n", "", "
1
\n", "", "", "", "", "", "", "", "", "
TABULAR
\n", "", "", "", ""], ["record color, odor, amt., consistency, frequency of stool", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"], ["monitor serum electrolytes", "
TERM
\n", "
NURSC
\n", "
ORDERABLE
\n", "
1
\n", "", "", "
D EN1^NURCCPU3
\n", "", "", "", "", "", "
TABULAR
\n", "", "", "", "
D EN2^NURCCPU2
\n"]]}