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    Cues Problem Physiologic Behavioral: Date Identified: July 19, 2016 Subjective Cues

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    itsmeaya
    The client presented with a pain scale of 7/10 at the operative site from a recent external hemorrhoid surgery. Vital signs and laboratory results were noted. The physiological problems identified were actual pain at the operative site and potential risks for constipation and self-care deficit related to toileting. Behavioral problems included actual anxiety and knowledge deficit regarding the disease condition, as well as potential risks for ineffective health maintenance and decisional conflict due to lack of relevant information.

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    Cues Problem Physiologic Behavioral: Date Identified: July 19, 2016 Subjective Cues

    Uploaded by

    itsmeaya
    63 views2 pages
    The client presented with a pain scale of 7/10 at the operative site from a recent external hemorrhoid surgery. Vital signs and laboratory results were noted. The physiological problems identified were actual pain at the operative site and potential risks for constipation and self-care deficit related to toileting. Behavioral problems included actual anxiety and knowledge deficit regarding the disease condition, as well as potential risks for ineffective health maintenance and decisional conflict due to lack of relevant information.

    Original Description:

    Hemorrhoids

    Original Title

    Problem List

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    The client presented with a pain scale of 7/10 at the operative site from a recent external hemorrhoid surgery. Vital signs and laboratory results were noted. The physiological problems identified were actual pain at the operative site and potential risks for constipation and self-care deficit related to toileting. Behavioral problems included actual anxiety and knowledge deficit regarding the disease condition, as well as potential risks for ineffective health maintenance and decisional conflict due to lack of relevant information.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    63 views2 pages

    Cues Problem Physiologic Behavioral: Date Identified: July 19, 2016 Subjective Cues

    Uploaded by

    itsmeaya
    The client presented with a pain scale of 7/10 at the operative site from a recent external hemorrhoid surgery. Vital signs and laboratory results were noted. The physiological problems identified were actual pain at the operative site and potential risks for constipation and self-care deficit related to toileting. Behavioral problems included actual anxiety and knowledge deficit regarding the disease condition, as well as potential risks for ineffective health maintenance and decisional conflict due to lack of relevant information.

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    CUES

    Date Identified: July 19, 2016


    Subjective Cues:
    Gasakit pa ang akon buli.
    as verbalized by the client
    Objective Cues:
    Pain scale of 7/10 noted
    Anxiety noted
    Vital signs are as follows:
    Temperature: 36.8C
    Pulse Rate: 65 bpm
    Respiratory rate: 18 cpm
    Blood Pressure: 140/100
    Others
    Laboratory Results
    WBC
    12.1 (5.00-10.00 x 10^ 9/L)
    Monocytes
    7 (2.00-6%)

    PROBLEM

    Pain at operative site

    PHYSIOLOGIC

    BEHAVIORAL

    Actual
    Alteration in comfort: Pain related to
    post operation wound secondary to
    External Hemorrhoids

    Actual
    Fear related to perceived pain during
    elimination secondary to External
    Hemorrhoids

    Potential
    Risk for constipation related to
    reluctance to defecate secondary to
    External Hemorrhoids

    Potential
    Risk for self-care deficit: toileting r/t
    pain during elimination secondary to
    External Hemorrhoids

    Eosinophils
    15 (1.00-4%)

    Lack of information about disease


    condition

    Actual
    Knowledge Deficit related to
    unfamiliarity of disease condition

    Actual
    Moderate anxiety related to inadequate
    knowledge on disease condition

    Potential
    Potential
    Risk for ineffective health maintenance Risk for decisional conflict related to
    related to lack of knowledge regarding lack of relevant information
    basic health practices

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