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Brunner and Suddarth's Textbook of Medical-Surgical Nursing - 12th Edition Free Download
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Woman goes to hospital to give birth, wakes up with no arms or legs
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5 Jul 2013
Risk for Ineffective Tissue Perfusion — Amputation
In general, amputation of limbs is the result of trauma, peripheral vascular disease, tumors, and congenital disorders. This is an amputation nursing care plan for a patient with a risk for ineffective tissue perfusion.
Nursing Diagnosis:
- Tissue Perfusion, risk for ineffective: peripheral
Risk factors:
- Reduced arterial/venous blood flow; tissue edema, hematoma formation
- Hypovolemia
Desired Outcomes:
Self-Esteem, situational low , Amputation NCPs
Nursing Diagnosis
- Self-Esteem, situational low
May be related to
- Loss of body part/change in functional abilities
Possibly evidenced by
- Anticipated changes in lifestyle; fear of rejection/reaction by others
- Negative feelings about body, focus on past strength, function, or appearance
- Feelings of helplessness, powerlessness
- Preoccupation with missing body part, not looking at or touching stump
- Perceived change in usual patterns of responsibility/physical capacity to resume role
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