Академический Документы
Профессиональный Документы
Культура Документы
replacement.
1. Acute Pain
2. Impaired mobility
3. Activity intolerance
0735 Patient resting quietly. Denies pain. CPM to R knee 0-55; machine on.
Dressing to knee
E#1/2 dry and intact. Hemovac to R knee compressed draining small amt red
fluid.----JMcWha
0920 Patient ambulating with PT using walker. Takes frequent rests to catch
breath. C/O
E#3 fatigue. Able to ambulate 30
feet.-----------------------------------------------------------JMcWha
1215
E#1 Patient reports pain level 2-3. Resting quietly watching
TV-----------------------------JMcWha
1345 Doctor at bedside, dressing and drain removed by physician. Incision well
approximated with staples, no redness; moderate swelling. Redressed
with sterile primapore . Pt tolerated well—JmcWha (note this entry
does not correlate to any of the 3 NANDAs above, so there does not
need to be a PIE entry here..)
1650 Patient C/O pain to R knee –level 10. Repositioned leg and medicated-see
MAR-
P / I #1 JMcWha
1755
E#1 Patient sleeping. CPM 0-60; machine on. Wife at bedside--------------------
JMcWha