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NCP - Patient For Electrocardiogram (ECG)

This document provides an assessment, diagnosis, plan of care, and evaluation for a patient undergoing an ECG. [1] The patient was assessed to be at risk for impaired skin integrity related to the mechanical forces of electrode placement. [2] The plan was for the patient to maintain stable vital signs, identify risk factors, and know preventive measures after 2 hours of nursing intervention. [3] The evaluation found the patient maintained stable vital signs and skin integrity, understood risks, and was willing to participate in prevention.

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SelwynVillamorPatente
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812 views1 page

NCP - Patient For Electrocardiogram (ECG)

This document provides an assessment, diagnosis, plan of care, and evaluation for a patient undergoing an ECG. [1] The patient was assessed to be at risk for impaired skin integrity related to the mechanical forces of electrode placement. [2] The plan was for the patient to maintain stable vital signs, identify risk factors, and know preventive measures after 2 hours of nursing intervention. [3] The evaluation found the patient maintained stable vital signs and skin integrity, understood risks, and was willing to participate in prevention.

Uploaded by

SelwynVillamorPatente
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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INTERVENTIO

ASSESSMENT DIAGNOSIS PLANNING EVALUATION


NS

OBJECTIVE Risk for impaired After 2 hours of 1. Established 1. Patient


DATA: skin integrity nursing rapport. maintained stable
related to intervention, the vital signs;
Vital Signs: mechanical forces patient will be 2. Monitored and maintained stable
 BP: 110/90 such as pressure able to: maintained and oriented in
mmHg (repeated patient’s vital status.
 O2 Saturation: placement of - maintain a signs.
95% electrodes) stable vital 2. Noted no signs of
 RR: 12 cpm signs; 3. Assessed sites of possible impaired
 HR: 113 bpm placement of skin integrity
 Temp.: 36.4 C - identify ECG electrodes. upon assessment
individual of patient; skin,
- stable and risk factors 4. Provided intact and clean.
oriented indicative of information to
impaired patient the 3. Patient
SUBJECTIVE skin importance of verbalized
DATA: integrity; regular bathing understandings
and and personal of possible risk
- “Mahadlok ra hygiene to factors for
ako gamay kay - know and promote having impaired
first time nako participate in prevention of skin integrity.
magpa-ECG preventive risks.
pero okay raman measures to 4. Patient
sab kay dali reduce the . demonstrated
raman kuno.” risks. willingness to
participate in
preventive
measures to
prevent and
reduce the risks.

Prepared by:

SELWYN VILLAMOR PATENTE


BSN 302

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