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Actual Soapie

Actual Soapie

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Published by yhanne
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For anyone's wishing to download my files just look for me in friendster and facebook.. I don't open this account very often.. jst look for satchuna.. thanks..
sample soapie

For anyone's wishing to download my files just look for me in friendster and facebook.. I don't open this account very often.. jst look for satchuna.. thanks..

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Published by: yhanne on Jul 28, 2008
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01/15/2013

ACTUAL SOAPIE S O “Hindi ako nagbaBT kase wala pang pera”- as verbalized by the patient Received on bed on supine

position conscious and coherent, with intact and unsoaked incision dressing, (-) breast engorgement, urine (1), (-)BM, unsoaked vagial/perineal pads with moderate amount of lochia serosa, (-)Homan’s sign, ambulatory, pale buccal mucosa and conjunctiva, hgb count (77), hct (0.33), with initial vital signs taken as follows: BP- 120/80 mmHg, PR-83 bpm, RR-26 bpm, Temp.-36.4 oC. Altered Tissue Perfusion r/t decrease hgb(77), hct(0.33) counts After 2o of nursing intervention, the patient will verbalize understanding of the condition, treatment/therapy regimen, and will demonstrate behavioral changes to improve circulation. Assessed for physical manifestations of anemia Assessed for factors that could precipitate to anemia such as bleeding on incision site, excessive lochia and diet. Assessed diet/food preference Encouraged to increase intake of food rich in iron such as animal liver & green & leafy vegetables when in DAT status Instructed to watch for sign of bleeding on incision site (soaked dressing) and increase in lochia Instructed compliance to oral iron supplement intake administered due medication Patient verbalized understanding of condition and therapeutic regimen and demonstrated behavioral changes to improve circulation

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“Eku migalo masakit kasi, maghilab ya ing tiyan ku dati, tatakut naku”- as verbalized by the patient Received on bed on supine position conscious and coherent, with intact and unsoaked incision dressing, (-) breast engorgement, urine (1), (-)BM, unsoaked vagial/perineal pads with moderate amount of lochia serosa, (-)Homan’s sign, ambulatory, pale buccal mucosa and conjunctiva, hgb count (77), hct (0.33), with initial vital signs taken as follows: BP- 160/90 mmHg, PR-90 bpm, RR-23 bpm, Temp.-36.4oC. Impaired Physical Mobility r/t pain and discomfort secondary to episodes of uterine contractions: preterm labor After 2 hours of nursing intervention, the patient will display increase in activity level and will verbalize understanding to maintain safety. Monitored V/S Assessed for episodes of preterm uterine contraction Assessed for degree of discomfort that limits patient’s movements Assisted in performing ADL

Instructed to increase food rich in calorie sch as fruits, vegetables, rice, bread, etc. to regain energy Instructed patient to perform ADL as tolerated and gently

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