Sample Care Plan Template Page 35
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515) The other priority of care during the shift is skin
5) Risk for impaired skin integrity R/T altered
integrity because the patient is on bedrest and
nutritional status, altered circulation, altered
intubated. He has a Braden scale score of 9 placing
metabolic state, mechanical factors, moisture, AEB
him at high risk. Also, the patient is diagnosed with
patient on bedrest, diagnosed with malnutrition,
malnutrition and has nutritional deficiencies related
position immobility, use of 2-points restraints, and
to his alcohol dependency. Finally, the patient has 2-
Braden scale score of 9.
point soft mechanical restraints on his upper
extremities related to the agitation caused by his
AWS.
F:\group\MEPN\MEPN Level III\NURS610B\2013NURS 610B\610BCarePlan
12/17/2012
page 15
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