FOCUS/Nursing DATA ACTION RESPONSE

Diagnosis

SEPTEMEBER 24 2022 Subjective Data:  Assessed the  Patient

2:36 PM • Reported patients skin verbalized
swelling in his done understanding
Risk for impaired skin bilateral lower  Provided of pressure
integrity related to extremities health ulcer and the
sedentary lifestyle • Has not promotion measures to
ambulated for about prevent any
several days pressure progression
ulcer  Client
 Assisted ambulated
Objective Data: client to at 11am
N/A ambulate q4
hours

EVALUATION
Goals met 
Goals partially met 
Goals unmet 