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    Ncp. Oral Mucosa

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    Zmia
    The patient presented with swelling of the oral mucosa and lips due to an inflammatory process possibly related to dehydration. The plan was to assess changes in the lips and oral cavity after 30 minutes of nursing intervention, with a goal of teaching the patient to maintain integrity of the oral mucosa. After 8 hours the long term goal was for the patient to be free from dryness. The rationale was to promote wellness, awareness of dehydration, and maintain nutritional status.

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    Ncp. Oral Mucosa

    Uploaded by

    Zmia
    127 views1 page
    The patient presented with swelling of the oral mucosa and lips due to an inflammatory process possibly related to dehydration. The plan was to assess changes in the lips and oral cavity after 30 minutes of nursing intervention, with a goal of teaching the patient to maintain integrity of the oral mucosa. After 8 hours the long term goal was for the patient to be free from dryness. The rationale was to promote wellness, awareness of dehydration, and maintain nutritional status.

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    ncp. oral mucosa

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    The patient presented with swelling of the oral mucosa and lips due to an inflammatory process possibly related to dehydration. The plan was to assess changes in the lips and oral cavity after 30 minutes of nursing intervention, with a goal of teaching the patient to maintain integrity of the oral mucosa. After 8 hours the long term goal was for the patient to be free from dryness. The rationale was to promote wellness, awareness of dehydration, and maintain nutritional status.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    127 views1 page

    Ncp. Oral Mucosa

    Uploaded by

    Zmia
    The patient presented with swelling of the oral mucosa and lips due to an inflammatory process possibly related to dehydration. The plan was to assess changes in the lips and oral cavity after 30 minutes of nursing intervention, with a goal of teaching the patient to maintain integrity of the oral mucosa. After 8 hours the long term goal was for the patient to be free from dryness. The rationale was to promote wellness, awareness of dehydration, and maintain nutritional status.

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    ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

    Impaired oral INDEPENDENT: Short term:


    SUBJECTIVE: Mucous Inflammatory process Short term: If there is changes of the GOAL MET
    Membrane Assessed for the changes mucous membrane include
    “ Nagkaroon po may be After 30 minutes of in the lips and oral cavity. dry fissured lips. After 30 minutes of nursing
    ako ng singaw related to Swelling of tissues nursing intervention the patient was
    simula nong na inflammatory
    hospital ako “ process and intervention the able to demonstrate
    - as dehydration Disruption of skin patient will be able Evaluated client’s ability to To promote wellness techniques to maintained
    verbalize as evidenced surfaces to demonstrate provide self-care and integrity of oral mucosa.
    d by the by dry / techniques to availability of necessary
    patient fissures of maintain integrity equipment/assistance.
    lips. Impaired Mucous
    of oral mucosa. Educated the
    Membrane To promote awareness Long term:
    Inflammatory process parents/guardians to and prevention of severe
    watch out for signs of dehydration. GOAL MET
    dehydration After 8 hours of nursing
    Long term:
    OBJECTIVE; Swelling of tissues intervention the client was
    COLLABORATIVE; free from dryness.
    After 8 hours of Advised parents to avoid
    - Irritability To maintain nutritional
    nursing irritating foods/fluids,
    - Dry Disruption of skin status of the client and to
    intervention the temperature extremes and
    cracked surfaces prevent irritation of oral
    client will be free provided soft or pureed
    lips mucosa.
    from dryness of diet as required
    - Pain
    oral mucosa.
    scale of Impaired Mucous
    2/10 Membrane DEPENDENT:
    Applied soothing
    ointments to the lips as
    ordered.

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