Psychiatric Nursing Terminologies - Psychiatric and Mental Health Nursing - Mental Disorder PDF

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Psychiatric Nursing
Terminologies
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PSYCHIATRIC NURSING
terminologies

General Knowledge
Peter Glen L. Reyes
Peter Glen L. Reyes

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Scribd, Inc MENTAL HEALTH – balance in a
INSTALL
persons internal life and adaptation
t lit
to reality
 
Search Mental ILL Health – state of imbalance
characterized by a disturbance in a persons
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thoughts, feelings and behavior 
Poverty and abuses are major risk factors 
Psychiatric nursing – interpersonal process
Download whereby the professional nurse practitioner   
,through the therapeutic use of self(art) and
nursing theories (science), assist clients to
achieve psychosocial well being.
nursingmanageme Glossary of Terminology of Psychiatric Clinical Rotation Mental Health of
Core of psych nursing – interpersonal process –
nursing second… Psychiatric Terms Psychiatry Nursing Notes Plan GNM
human
healthy to human
and ill) relationship(both for mentally
 

Neurosis
any long term mental or behavioral d/o in which
contact with realit y is retained the condition is
reality
recognized by the patient as abnormal.
Essentially features anxiet
anxiety y or behavior 
exagerrated designed to avoid anxiety
( anxiety d/o ; hysteria to conversion
d/o,amnesia,fugue,multiple personality and
depersonalization- dissociative d/o
;oc d/o)

Result of inappropriate early little value)


programming(psychoanalysis
Benefits from Behavior Th erapy
Therapy
 

Psychosis  
Mental or behavioral disorder wherein
patient looses contact with realit y
reality
Presence of delusions,
hallucinations,severe thought
disturbances,alteration of mood, poverty of 
thought and abnormal behavior 
(schizophrenia , major disorder of affect
( mania – depression), major paranoid
states and organic mental disorder 
Benefits from psychoanalysis and
a ntipsychotics
antipsychotics
 

Mental hygiene – measures to promote


mental health , prevent mental illness and
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suffering and facilitate


(and if necessary rehabilitation…….
find meaning in these
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Main tool – therapeutic use of self 

It requires self awareness


It requires self-awareness
Methods to increase self-awareness:
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 – Experience
   – Role play 
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nursingmanageme Glossary of
Common Behavioral
Terminology of
Signs and
Psychiatric Clinical Rotation Mental Health of
nursing second… Psychiatric Terms PsychiatrySymptoms
Nursing Notes Plan GNM
1) Disturbances in perception
 Illusion- misinterpretation of an actual
external stimuli
 Hallucinations – false sensory perception in

the absence of external stimuli

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1) Disturbances in thin king and speech


thinking
 neologism – coining of words that people do
not understand
 Circumstantiality – over inclusion of 
inappropriate thoughts and details
 Word salad – incoherent mixture of words and
phrases with no logical sequence
 Verbigeration – meaningless repetition of 
words and phrases
 Perseveration – persistence of a response to a
previous question
 Echolalia – pathological repetition of words of 
others
 Aphasia – speech difficulty and disturbance
 Expressive , receptive or global

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 Flight of ideas-
INSTALL shifting of one topic from
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related way
related way

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 Looseness of association-incoherent
,illogical flow of thoughts(unrelated way)  Sign In Join

 Clang association – sound of word gives

direction to the flow of thought 


Download  Delusion – persistent false belief,rigidly  
held
Delusions of grandeur- special /important in a way
nursingmanageme Glossary of Terminology of Psychiatric Clinical Rotation Mental Health of
Persecutory-threatened
nursing second… Psychiatric Terms Psychiatry Nursing Notes Plan GNM
Ideas of reference-situation/events involve them
  Somatic- body reacting in a particular way

 Magical thinking – primitive thought


process thoughts alone can change
events
 Autistic thinking – regressive thought

process-subjective interpretations not


validated with objective reality

1) Disturbances of affect
 Inappropriate – disharmony between the
stimuli and the emotional reaction
 Blunted affect – severe reduction in
emotional reaction

Flat affect reaction
emotional – absence or near absence of 
 Apathy – dulled emotional tone
 Depersonalization – feeling of strangeness
from one’s self 
 Derealization – feeling of strangeness
towards environment
 Agnosia – lack of sensory stimuli integration

1) Disturbances in motor activi ty


activity
 Echopraxia – imitation of posture of others
 Waxy flexibility – maintaining position for a
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long period of time


 Ataxia – loss of balance
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 Akathesia – extreme restlessness
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 Dystonia- uncoordinated spastic movements
of the body
 Tardive dyskenisia – involuntary twitching or 
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muscle movements
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Apraxia – involuntary unpurposeful
movements
 

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1) Disturbances in memo ry
memory
Confabulation – filling of memory gaps
Déjà vu – 2nd time-like feeling
Jamais vu- not having been to the place
one has been before
Amnesia – memory loss (inability to
recall past events)
 Retrograde-distant past


Anterograde – immediate past
Anomia – lack of memory of items

Dynamics of Human Behavior 


Behavior – the way an individual reacts to a
certain stimulus

Conflict – situation
two opposing drivesarising from the presence of 
Need - organismic condition that requires a
certain activity
Stress – life events in which a demanding
situation (warrants a response )taxes a person’s
resources( support systems or coping
mechanisms/strategies…distress and eustress
Adaptation – process of interacting with the
environment to maintain homeostatic equilibrium
Related titles Maladaptation – ineffective coping

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Dynamics of Human Behavior 
 Search Personality – integration
habits representing systems and
of
anindividuals  Sign In Join
characteristic adjustment to his
environment expressed through behavior  
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nursingmanageme Glossary of Terminology of Psychiatric Clinical Rotation Mental Health of
nursing second… Psychiatric Terms Psychiatry Nursing Notes Plan GNM

3 divisions of the mind


Conscious – focussed on awareness

Subconscious – recalled at will

Unconscious – never recalled / largest


part

Learning – change in behavior through –


insight , relearning and remotivation
 

Freuds psychosexual theory


Libido – inner drive
Parts of body –focus of gratification

Unsuccesful resolution - fixation


Structures of personality

 – Id – pleasure principle-instinct

 – Ego – controls action and perception –reality principle

 – Superego – moral behavior - conscience

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0-18 m0s ;oral – mouth – trust and 


Download discriminating
 
18 mos.on
holding – 3oryears ; anal
letting go – bowels –
nursingmanageme Glossary of Terminology of Psychiatric Clinical Rotation Mental Health of
 – Negativism and toilet training age
nursing second… Psychiatric Terms Psychiatry Nursing Notes Plan GNM
3 -6 years phallic ; genitals –exploration
and discovery ( inc. sexual tension)
 – Gender identification and genital awareness
 – Oedipus and Electra complex //
 – Castration anxiety and penis envy

6-12 years
energy –latency
diverted (quiet
to play. stage) sexual
Institution of 
superego…control of instinctual impulses
12 – young adult – genital ; reawakening

of sexual drives –relationships


 – Sexual maturation
 – Sexual identity ,ability to love and work

Psychosocial – Erickson
developmental milestones //delay
0-12mos; TRUST

1-3y AUTONOMY
3-6 INITIATIVE
6-12 INDUSTRY
12-18 IDENTITY
18-25 INTIMACY
25-60 GENERATIVITY
60 and above EGO INTEGRITY
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INFANCY
 Search CONSISTENT – TRUST –CHILD
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INNER FEELING OF SELF WORTH



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HOPE
nursingmanageme Glossary of Terminology of Psychiatric Clinical Rotation Mental Health of
nursing second… Psychiatric Terms Psychiatry Nursing Notes Plan GNM

TODDLER
ALLOW EXPLORATION
EXPLORATION
PROVIDE FOR SAFETY

NO NO – NEGATIVISM
OFFER CHOICES / REVERSE PSYCHOLOGY
TOILET TRAINING – 18 MOS.-BOWEL
DAYTIME BLADDER -2 Y
NIGHTIME BLADDER 3 Y
REWARD W/ PRAISE AND AFFECTION

INDEPENDENCE
 

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PRE-SCHOOL
PROVIDE PLAY MATERIALS
SATISFY CURIOSITY
TEACH AND
Related titles REINFORCE(HYGIENE,SOCIAL

BEHAVIOR)
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SIBLING RIVALRY
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WILLPOWER

 

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SCHOOL AGE
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HOW TO DO THINGS WELL-SUPPORT
nursingmanageme Glossary of EFFORTS
Terminology of Psychiatric Clinical Rotation Mental Health of
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CHUMS AND HOBBIESNursing Notes Plan GNM

NEEDS TO EXCEL/ACCOMPLISH
NEED FOR PRIVACY AND PEER
INTERACTION

COMPETENCE
 

ADOLESCENCE
MAKE DECISION,EMANCIPATION
FROM PARENTS
BODY IMAGE CHANGES

NEED TO CONFORM BUT KEEP


INDIVIDUALITY

SELF - AWARENESS
 

YOUNG ADULT

COMMITMENT AND FIDELITY

RESPONSIBILITY

ACHIEVEMENT OF INDEPENDENCE

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MIDDLE ADULTHOOD
SUPPORT-PERIOD OF ROLE TRANSITIONS
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ADJUSTMENT AND COMPROMISE 


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MOST PRODUCTIVE AND CREATIVE

nursingmanageme Glossary of Terminology of Psychiatric Clinical Rotation Mental Health of


ALTRUISM
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LATE ADULTHOOD
SELF ACCEPTANCE

SELF WORTH

WISDOM

PIAGET’S COGNITIVE
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REFLEXES
nursingmanageme Glossary of IMITATIVE
Terminology of Psychiatric
REPETITIVE BEHAVIOR Clinical Rotation Mental Health of
nursing second… Psychiatric Terms Psychiatry Nursing Notes Plan GNM
SENSE OF OBJECT PERMANENCE
AND SELF SEPARATE FROM ENVT.
TRIAL AND ERROR RESULTS IN
PROBLEM SOLVING

2-7Y PRE-OPERATIONAL
SELF-CENTERED,EGOCENTRIC
CANNOT CONCEPTUALIZE OTHER’S VIEW
ANIMISTIC THINKING
IMAGINARY PLAYMATE – SYMBOLIC
MENTAL REPRESENTATION – CREATIVITY
2-4 PRE-CONCEPTUAL (PRE-LOGICAL)
4-7 INTUITIVE (UNDERSTANDING OF ROLES)

7-12Y CONCRETE
OPERATIONAL
LOGICAL CONCRETE THOUGHT

INDUCTIVE
GENERAL) RESAONING (SPECIFIC TO
CAN RELATE ,PROBLEM SOLVING
ABILITY
REASONING AND SELF-REGULATION

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nursingmanageme Glossary of Terminology of Psychiatric Clinical Rotation Mental Health of
nursing second… Psychiatric Terms
 
Psychiatry Nursing Notes Plan GNM

12-ABOVE FORMAL
OPERATIONAL THOUGHT
Abstract thinking
Separation of fantasy and fact
Reality oriented
Deductive reasoning
Apply scientific method

Havighurst
Developmental Tasks

Baby to early childhood


 – Right from wrong and Conscience
Late childhood
 – Physical skills,wholesome attitude,social roles
 – Conscience morality and values
 – Fundamental skills in academics
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 – Personal independence
Adolescence
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 – Sexual social roles
INSTALL
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 – Relationships
 – Independence and ideology
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Early adulthood
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 – Selecting a mate

nursingmanageme  – Finding
Glossary of Middle Civic or social
Terminology of responsibility
Psychiatric Clinical Rotation Mental Health of
age
nursing second… Psychiatric Terms Psychiatry
 – Achieving Nursing Notes
Civic or social responsibility Plan GNM
 – Adjusting to changes
 – Satisfactory career performance
 – Adjusting to aging parents
 – Adjusting to parental roles
Old age
 – Adjusting to changes
 – Establishing satisfactory living arrangements and
affiliations

Kohlberg – MORAL
DEVELOPMENT/
THINKING/ JUDGEMENT

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PRE-CONVENTIONAL (0-6)
 – PUNISHMENT AND OBEDIENCE
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 – OBEDIENCE TO RULES TO AVOID
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PUNISHMENT
CONVENTIONAL ( 6-12 )
 – MUTUAL INTERPERSONAL
EXPECTATIONS,RELATIONSHIPS AND
 Search CONFORMITY   Sign In Join

 – SOCIAL SYSTEM AND CONSCIENCE


MAINTENANCE 
 – BEING GOOD IS IMPORTANT SELF
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POST –CONVENTIONAL (12 – 18 Y)


PRIOR RIGHT OR SOCIAL CONTRACT
UNIVERSAL ETHICAL PRINCIPLE
ABIDE FOR COMMON GOOD
RATIONAL PERSON-VALIDITY OF

PRINCIPLES-AND
COMMITTED BECOME
TO THEM
INNER CONTROL OF BEHAVIOR
UNDERSTANDING THE EQUALITY OF
HUMAN RIGHTS AND DIGNITY OF
HUMAN BEINGS AS INDIVIDUALS
 

SULLIVANS
INTERPERSONAL
INTERPERSONAL
THEORY

INFANCY
NEED FOR SECURITY-INFANT LEARNS
TO RELY ON OTHERS TO GRATIFY
NEEDS AND SATISFY WISHES,
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DEVELOPS A SENSE OF BASIC TRUST,


SECURITY AND SELF WORTH WHEN
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CHILDHOOD
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nursingmanageme Glossary of CHILDTerminology
LEARNS of Psychiatric
TO COMMUNICATE Clinical Rotation Mental Health of
nursing second… NEEDS
Psychiatric Terms THROUGH
Psychiatry USE OF WORDS
Nursing Notes Plan GNM
AND ACCEPTANCE OF DELAYED
GRATIFICATION AND INTERFERENCE
OF WISH FULFILLMENT

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PRE-SCHOOL
DEVELOPMENT OF BODY IMAGE AND SELF-
PERCEPTION
ORGANIZES AND USES EXPERIENCES IN
TERMS OF APPROVAL AND DISAPPROVAL
DISAPPROVAL
RECEIVED
BEGINS USING SELCTIVE INATTENTION AND

DISASSOCIATES THOSE OR
THAT CAUSE PHYSICAL EXPERIENCES
EMOTIONAL
DISCOMFORT AND PAIN

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SCHOOL AGE
Read books, audiobooks, and more
Scribd, Inc INSTALL OF LEARNING TO FORM
THE PERIOD
SATISFYING RELATIONSHIPS WITH
PEERS USES
PEERS-USES
 Search COMPETITION,COMPROMISE
 AND
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COOPERATION
THE PRE-ADOLESCENT LEARNS TO
RELATE TO PEERS OF THE SAME SEX

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ADOLESCENCE
LEARNS INDEPENDENCE AND HOW
TO ESTABLISH SATISFACTORY
RELATIONSHIPS WITH MEMBERS OF
THE OPPOSITE SEX
THE OPPOSITE SEX

YOUNG ADULTHOOD
BECOMES ECONOMICALLY,
INTELLECTUALLY AND EMOTIONALLY

SELF SUFICIENT

LATER ADULTHOOD
LEARNS TO BE INTERDEPENDENT
AND ASSUMES RESPONSIBILITY FOR
OTHERS
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SENESCENCE
DEVELOPS AN ACCEPTANCE OF
RESPONSIBILITY FOR WHAT LIFE IS
AND WAS AND OF ITS PLACE IN THE
FLOW OF HISTORY

FORMATION OF PERSONALITY
 
CERTAIN GOALS MUST BE
ACCOMPLISHED, IF THIS GOALS ARE
NOT ACCOMPLISHED AT A CERTAIN
STAGE,….PERSONALITY WILL BE
WEAKENED….FACTORS IN EACH
STAGE PERSISTS AS A PERMANENT
PART OF PERSONALITY….

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EACH STAGE HAS MAJOR


TRAUMAS AND FRUSTRATIONS THAT
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…….SUCCESSFUL
…….SUCCESSFUL RESOLUTION OF
CONFLICTS ASSOCIATED WITH EACH
CONFLICTS ASSOCIATED WITH EACH
 Search STAGE IS ESSENTIAL TO
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DEVELOPMENT…..UNRESOLVED
CONFLICTS REMAIN IN THE
UNCONSCIOUS AND MAY, AT TIMES, 
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PROMOTING PSYCHOSOCIAL
HEALTH

SELF- AWARENESS
SELF CONCEPT – COLLECTION OF
FEELING BELIEFS ABOUT ONE’S SELF

SELF ESTEEM – CONFIDENCE IN


ONE’S ABILITIES AND JUDGEMENT

ASSERTIVENESS

+ SELF - EVALUATION
 

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GAS – ALARM-RESISTANCE-EXHAUSTION

COPING AND STRESS MANAGEMENT
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ANXIETY-
nursingmanageme Glossary of  – MILDTerminology of
– SLIGHT AROUSAL Psychiatric
AND INCREASED Clinical Rotation Mental Health of
PERCEPTION
nursing second… Psychiatric Terms Psychiatry Nursing Notes
 – MODERATE-INC. TENSION AND SELECTIVE
Plan GNM
MODERATE-INC. TENSION AND SELECTIVE
INATT.
 – SEVERE – DEC. PERCEPTION AND FOCUSSED
ENERGY

 – PANIC – OVERPOWERING AND LOSS OF


CONTROL
 

GRIEF AND LOSS


Loss is a universal experience that occurs throughout life span
Grief is a form of sorrow involving feelings, thoughts, and behaviors
caused by bereavement
Responses to loss are strongly influenced by one’s cultural
background
The grief process involves a sequence of affective, cognitive, and
psychological states as a person responds to, and finally accepts a
loss.
Responses to loss and patterns of coping with loss are developed
early
Stagesin of
life.
Grieving (Kubler-Ross)
Denial- refuses to believe that the loss has occurred
Anger- the individual resists the loss and may “act out” feelings.
Bargaining- the individual attempts to make a deal in an attempt to
postpone the reality of loss.
Depression- overwhelming feeling of loneliness and withdrawal from
others
Acceptance- the individual comes to terms with loss, or impending
loss, psychological reactions to loss to the loss cease, and the
interaction to other people resumed.
 

LOSS ,GRIEVING AND DEATH


DEATH CONCEPTS
 – 1-5Y.O – IMMOBILITY AND INACTIVITY
Wishes and unrelated action responsible for 
action
 – 5-10 – final but can be avoided
 – 9-12 – understands own mortality and fears
death
 – 12 – 18 – fears and fantasizes avoidance
 – 18-45 – increased attitude awareness
 – 45-65 – accepts mortality
 – Above 65 – multiple meanings, encounters and
 

fears
 

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KUBLER ROSS – STAGES OF


Read books, audiobooks, and more GRIEF
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D – SUPPORTIVE

A- PROVIDE STRUCTURE AND CONTINUITY


 
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D- ALLOW EXPRESSION AND PROVIDE FOR


SAFETY 
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CONCEPTS
6 MOS – 2 YEARS
PROVISION OF DIGNIFIED PAIN FREE
DEATH( QUEST. ANSWERED AND EMT.

SUPPORT)
DNR- COMFORT AND HYGIENE NEEDS
ON-GOING
 CURE GOALS ----- COMFORT GOALS

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