1. preparation
tool
- stationery
2. working
procedures
2. I. Validation
data relating identified during history collection and physical
assessment
2.2. Group data relating
vang is generally the signs and symptoms that indicate a public health problem
2.3. Identifiikasi needs
- the needs of the client (the problem - the
problem)
2.4. Making nursing
diagnoses:
- - Impaired physical mobility due to spinal trauma, fracture
- - Jangguan decrease in cardiac output due to immobility
- - Risk of injury due to orthostatic pneumonia
- Activity intolerance due to decreased muscle tone and strength
- Syndrome of self-care due to decreased muscle flexibility
- No ineffective breathing pattern due to decreased lung expansion
- Disruption of gas exchange due to decreased respiration motion
- Disorders of elimination due to immobility
- Urinary retention due to impaired physical mobility
- Urinary incontinence due to interference mobi (physical itas
- Changes in nutrition less than body requirements due to decreased appetite, due to decreased gastric secretion, decreased intestinal peristaltic
- Disorders of fluid balance and elektriolit: due to the lack of intake
- Impaired social interaction due to the immobility
- Disorders of self-concept due to immobility
2.5. Reevaluate diagnosis
list. nursing individually
developed for each meeting
