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Assessment of the risk of falls: FRS (Fall Risk Store) Scale JH. Downton (1993).
Measurement of the risk of suffering a fall, through a validated scale. Objectives: - To identify the patient susceptible to falls.- Establish the necessary actions to prevent falls in patients identified at risk. Equipment: - FRS falls risk assessment scale....
Assessment of pressure ulcer risk using the norton scale
Measurement of the risk of developing a pressure ulcer, through a validated scale. Objective: To quantify the risk of pressure ulcer presented by the patient. Equipment: Norton pressure ulcer risk assessment scale. Material: - Nursing records. Procedure: -...
Risk assessment of pressure ulcers in children by means of the braden q scale
A measure of pressure ulcer risk that has been validated and modified for use in NICUs and PICUs. Objective: To assess the risk of developing pressure ulcers in children. Equipment: Braden Q pressure ulcer risk assessment scale. Procedure: - Preserve patient privacy.-...
Pressure ulcer risk assessment by means of the braden’s scale braden scale
Measurement of the risk of pressure ulcer through a validated scale. Objective: To quantify the patient's risk of pressure ulcer occurrence. Equipment: Braden pressure ulcer risk assessment scale. Material: - Nursing records. Procedure: - Preserve the patient's...
Pain assessment
Collection and analysis of pain data by the nurse of pain felt by the patient from both an objective and subjective perspective. Objective: To know etiology, intensity, location, type, onset, duration, and relief of pain presented by the patient. Equipment: Pain...
Assessment of the patient’s level of consciousness using the glasgow scale
Measurement of the patient's state of consciousness using validated scales. Objective: To determine the patient's level of consciousness. Equipment: - Glasgow scale. Material: - Nursing records.- Procedure:- Preserve the patient's privacy.- Inform the patient.-...
Health education for patients with subcutaneous reservoir
To provide oral and written information to the patient and family, subcutaneous reservoir carrier. Objective: To educate the patient and family about the purpose, care and maintenance of the subcutaneous reservoir. Materials: - Nursing records.- Informative triptych...
Removal of the needle from the subcutaneous reservoir
Set of maneuvers performed by the nurse in order to remove the needle from the subcutaneous reservoir chamber after completion of the treatment or blood draw. Objective: To prevent complications when removing the curved needle with special bevel and extension pole...
Care and maintenance of the subcutaneous reservoir
Set of activities performed by the nurse to the patient with a subcutaneous reservoir. Objective: - To maintain the permeable reservoir.- Prevent complications such as infection, extravasation, accidental needle removal, gas embolism, etc. Equipment: - Cure trolley or...