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    Assessment Diagnosis Outcomes Interventions Rationale Expected Outcome

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    Matelyn Oarga
    The patient was experiencing pain and facial grimacing from bleeding at their surgical incision site. The nurse assessed the situation and provided interventions to educate the patient on risk factors for further bleeding and promote understanding. Expected short term outcomes included the patient verbalizing understanding of their condition and risks. Long term goals were for the wound to heal within a week without infection or fever.

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    Assessment Diagnosis Outcomes Interventions Rationale Expected Outcome

    Uploaded by

    Matelyn Oarga
    73 views1 page
    The patient was experiencing pain and facial grimacing from bleeding at their surgical incision site. The nurse assessed the situation and provided interventions to educate the patient on risk factors for further bleeding and promote understanding. Expected short term outcomes included the patient verbalizing understanding of their condition and risks. Long term goals were for the wound to heal within a week without infection or fever.

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    Risk-for-bleeding

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    The patient was experiencing pain and facial grimacing from bleeding at their surgical incision site. The nurse assessed the situation and provided interventions to educate the patient on risk factors for further bleeding and promote understanding. Expected short term outcomes included the patient verbalizing understanding of their condition and risks. Long term goals were for the wound to heal within a week without infection or fever.

    Copyright:

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

    Assessment Diagnosis Outcomes Interventions Rationale Expected Outcome

    Uploaded by

    Matelyn Oarga
    The patient was experiencing pain and facial grimacing from bleeding at their surgical incision site. The nurse assessed the situation and provided interventions to educate the patient on risk factors for further bleeding and promote understanding. Expected short term outcomes included the patient verbalizing understanding of their condition and risks. Long term goals were for the wound to heal within a week without infection or fever.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Assessment Diagnosis Outcomes Interventions Rationale Expected Outcome

    Objective: Bleeding related to Short term: - Determine client’s - To assess the client’s
    surgical incision as After giving of nursing perception/ understanding
    The patient looked like evidenced by patient’s intervention, the patient Understanding of the
    she was in pain and was facial grimace when situation.
    will be verbalize
    showing facial grimace moving and subjectively
    whenever she was expressing that the understanding of
    moving or changing surgical wound is painful. individual causative/risk
    positions factor(s).
    Independent:
    - To avoid sudden
    - Educate client about movements that might
    Before discharge, the possible dangers of
    verbalized understanding cause patient to bleed
    bleeding if not
    of bleeding risk from prevented.
    surgery.
    Collaborative: -To promote self
    Observe for diffuse - Collaborate with patient monitoring and
    oozing from tubes, and other health care assessment
    wounds, or orifices with providers to monitor the
    surgical wound and to
    no observable clotting to
    assess for bleeding.
    identify excessive
    bleeding and/or possible
    coagulopathy.

    Long term:
    After 1 week, achieve
    timely wound healing; be
    free of purulent drainage
    or erythema; be afebrile.

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