Ineffective airway Clearance

Gayuh Wigi Utari (201511017)

Nadya Nurhasanah (201511017)
 Client Will (Verb) :

Maintain Demontstrate Expectorate

Identify Verbalize

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 Action/Interventions :

Facilitation

Collection

Promotion
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 Nursing Priority No.1 (Verb)
Assess

Keep
Evaluate
Environtment

Note Position

Insert
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 Nursing Priority No.1 (Noun)
Immobility Esophagus Throat
Spinal Cord injury Seizures Equimpent
Tracheostonomy Coma Suction
Tachypnea Chest
Bronchitis Cerebra palsy
Emphysema Brain Injury

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 Nursing Priority No.2 (Verb)

Elevate

Assist

Encourage

Mobilize

Administer

Give

Provide

Perfrom

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 Nursing Priority No.2 (Noun)
 Absence
 Understanding
 Therapeutic
 Regimen
 Airway
 Potential
 Preventive
 Corrective
 Facilitation
 Promotion
 Compression

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 Nursing Priority No.3 (Verb)

Ausculate use
Observe Change
Document
Obtain
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 Nursing Priority No.3 (noun)

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 Nursing Priority No.4 (Verb)

Refer Urge

Review Instruct

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 Nursing Priority No.4 (Noun)

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Documentation Focus

Plan

Modifications Referrals Response

Progress

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Sample Clinical Applications :
Chronic Obstructive Congestive Heart Failure
Pulmonary Disease (COPD) (CHF)
Pneumonia Cystic Fibrosis

Influenza Neuromuscular Diseases

Acute Respiratory Distress Inhalation injuries

Syndrome (ARDS)
Cancer of lung

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 Picture Title
Picture description

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