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Concept Map Boxes

The patient is at risk for several problems based on having pneumonia and hemophagocytic lymphohistiocytosis. These risks include: 1) Pain management and impaired gas exchange due to respiratory issues 2) Deficient fluid intake leading to dehydration 3) Skin integrity issues from immobility and need for frequent repositioning 4) Caregiver role strain from the demands of caring for an ill patient 5) Knowledge deficits that need to be addressed about home care needs and signs of worsening condition.

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94 views

Concept Map Boxes

The patient is at risk for several problems based on having pneumonia and hemophagocytic lymphohistiocytosis. These risks include: 1) Pain management and impaired gas exchange due to respiratory issues 2) Deficient fluid intake leading to dehydration 3) Skin integrity issues from immobility and need for frequent repositioning 4) Caregiver role strain from the demands of caring for an ill patient 5) Knowledge deficits that need to be addressed about home care needs and signs of worsening condition.

Uploaded by

api-508174430
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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#1 Pain Management #2 Risk for impaired gas #3 Risk for deficient fluid
 Type of pain exchange problem
 Distraction  Deep breathe  Oral intake
 Meds  Semi-fowlers  Monitor I&O
 Relaxation  Ambulate  Oral hygiene
techniques  Oxygen is SpO2  Prevent sweating
drops  nutrition
 Incentive
spirometer
 Suction

#4 Risk for infection


#8 Risk for impaired skin Reason For Needing Health Care:  Handwashing
integrity Pneumonia & hemophagocytic  Rest
 Turn Q2h lymphohistiocytosis (HLH)  Nutrition
 Ambulation Chief complaint: dehydration, drowsiness,  Limit visitors
 Nutrition & headache  Antibiotics
hydration Key assessments:  precautions
 Proper skin care 1. Lung sounds
 Bruising 2. Pain
precautions 3. Pulse ox
4. Dehydration symptoms
5. Respiratory rate & effort
6. Lab values
7. Cap refill #5 Knowledge deficit
Risk for bleeding
#7 8. Heart rate  How much do
 Signs &
9. BP they already
symptoms of
10. Skin know?
bleeding or
11. Bleeding  Home care needs
bruising
 Prolonged  When to call
bleeding doctor
 Pain and swelling  Write info down
 H&H levels  Follow up
 Bleeding appointments
#6 Caregiver role strain  Med
precautions
 Other family administration
members?  Med compliance
 Self-care
 Reduce stress
 Support groups

P. Schuster, Concept Mapping: A Critical Thinking Approach, Davis


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P. Schuster, Concept Mapping: A Critical Thinking Approach, Davis

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