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Stacie Smith

Assess/Analyze Plan Implement Evaluate
Data Base
IR rotation
Nursing Diagnosis
based on Maslow’s
Hierar!y o" Needs#
$$$$$ _________ ___
%a"ety
&ong'(erm
)oal
%!ort'(erm
)oal
Nursing Ations %ienti"i
*ationale
Evaluation
%ub+etive
-pt states
pain in left
calf of a 5 on
a scale of 0-
10
-patient states
pain while
ambulating
but fine
while sitting
,b+etive
'extreme
redness in
lower left
calf
-delayed
wound
healing on
left foot
-pedal pulse
absent in left
foot
Ineffective peripheral
tissue perfusion rt
obstructed blood flow
in peripheral arteries
!"# patient history of
intermittent
claudication$
decreased sensation
and healing in left
lower extremity
%atient will
demonstrate
increased
peripheral
perfusion by
having pedal
pulse strong and
present by day
of discharge
-. %atient will
verbali&e an
understanding of
his condition and
therapy regimen by
end of day one
/. %atient will
demonstrate
behaviors of
lifestyle changes to
improve circulation
such as regular
exercise by the end
of day one
-. S' will
collaborate with
physical therapy and
patient to help patient
develop an
appropriate exercise
regimen
/a. S' will help
patient ambulate at
least ( times per shift
or according to
physical therapies
recommendations
/b.S' will measure
capillary refill
/. S' will
determine pulse
e)uality as well as
intensity and compare
bilaterally
-. *aving patient
involved in
planning helps
ensure
compliance with
recommended
therapy
/a. Improves
circulation of
blood for tissue
profusion
/b. +etermines
ade)uacy of
systemic
circulation
/. "valuates
distribution and
)uality of blood
flow and success
or failure of
therapy
,oals not met
due to the
recommendati
on by IR to
have an artery
bypass to
regain
peripheral
blood flow