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      <title>Care Plan for JM by Sarah Nickel</title>
      <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3</link>
      <description>Full Code
Age 75</description>
      <language>en-us</language>
      <pubDate>2022-02-17 10:38:48 UTC</pubDate>
      <lastBuildDate>2022-03-07 00:09:04 UTC</lastBuildDate>
      <webMaster>hello@padlet.com</webMaster>
      <image>
         <url></url>
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      <item>
         <title>Renal Cell Carcinoma</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052923805</link>
         <description><![CDATA[<div>right-sided</div>]]></description>
         <enclosure url="https://charlestonnephrology.org/wp-content/uploads/2020/09/IMG_0803.jpg" />
         <pubDate>2022-02-17 10:42:21 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052923805</guid>
      </item>
      <item>
         <title>Impaired physical mobility r/t pain aeb pt reports of severe pain upon mobilization</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052927418</link>
         <description><![CDATA[]]></description>
         <enclosure url="" />
         <pubDate>2022-02-17 10:44:55 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052927418</guid>
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      <item>
         <title></title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052929627</link>
         <description><![CDATA[<div><strong><em><del>Risk for loneliness r/t discharge aeb pt reporting limited support at home</del></em></strong></div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-17 10:46:30 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052929627</guid>
      </item>
      <item>
         <title>Chronic Pain r/t carcinoma aeb pt reports of pain pre and post surgery</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052941256</link>
         <description><![CDATA[]]></description>
         <enclosure url="" />
         <pubDate>2022-02-17 10:54:21 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052941256</guid>
      </item>
      <item>
         <title></title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052943506</link>
         <description><![CDATA[<div><strong><em><del>Discharge Goal</del></em></strong><del>: Pt will explicitly having adequate analgesia prior to discharge. This will be achieved via thorough pain assessments</del></div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-17 10:55:49 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052943506</guid>
      </item>
      <item>
         <title></title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052947865</link>
         <description><![CDATA[<div><strong><em>Discharge Goal:</em></strong> Pt will mobilize as tolerated once per day (e.g., to shower, or for a short walk) and explicitly state pain is manageable prior to discharge</div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-17 10:58:42 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052947865</guid>
      </item>
      <item>
         <title></title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052950221</link>
         <description><![CDATA[<div><strong><em>Discharge GOAL:</em></strong> Pt will explicitly have state having adequate supports in the community prior to discharge.<br><br><strong>GOAL MET!</strong> February 17th, as pt stated she was happy with the supports she will receive when she returns home</div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-17 11:00:24 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052950221</guid>
      </item>
      <item>
         <title>References</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052950758</link>
         <description><![CDATA[<div>https://nursing.unboundmedicine.com/nursingcentral/view/nurses-pocket-guide/2819083/all/acute_Pain?q=acute+pain<br><br>https://nursing.unboundmedicine.com/nursingcentral/view/nurses-pocket-guide/2819106/all/impaired_physical_Mobility#4.0<br><br>https://nursing.unboundmedicine.com/nursingcentral/view/nurses-pocket-guide/2819051/all/risk_for_Loneliness?q=for+loneliness+risk<br><br>https://nursing.unboundmedicine.com/nursingcentral/view/nurses-pocket-guide/2819379/all/impaired_Gas_Exchange?q=breathing</div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-17 11:00:46 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052950758</guid>
      </item>
      <item>
         <title>Intervention 1</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052952724</link>
         <description><![CDATA[<div><strong>Evaluate pain characteristics and intensity</strong> 2x per day (1-10, PQRST) (Rationale: creates baseline to evaluate whether pain is becoming worse, staying the same, or getting better) (Unbound Medicine, 2022a)</div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-17 11:02:02 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052952724</guid>
      </item>
      <item>
         <title>Intervention 2</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052954372</link>
         <description><![CDATA[<div><strong>Ascertain pt's goal for pain</strong> (e.g., would they be satisfied with 1 pain) (Rationale: 0 pain might not be achievable for the pt but sufficient discomfort could be alleviated by bringing the pain down) (Unbound Medicine, 2022a)</div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-17 11:03:09 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052954372</guid>
      </item>
      <item>
         <title>Intervention 3</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052955525</link>
         <description><![CDATA[<div><strong>Convey empathy by acknowledge and validate pain</strong> (Rationale: reduces defensiveness, promotes trust, and enhances cooperation with regimen) (Unbound Medicine, 2022a)</div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-17 11:03:55 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052955525</guid>
      </item>
      <item>
         <title>Intervention 1</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052963692</link>
         <description><![CDATA[<div><strong><em>Evaluate and track degree and presence of pain upon mobilizing </em></strong>(rationale: determines effectiveness of analgesic regimen) (Unbound Medicine, 2022b)&nbsp;</div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-17 11:09:35 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052963692</guid>
      </item>
      <item>
         <title>Intervention 2</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052966895</link>
         <description><![CDATA[<div><strong><em>Determine and treat underlying cause of pain </em></strong>(rationale: maximizes potential for mobilization) (Unbound Medicine, 2022b)</div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-17 11:11:54 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052966895</guid>
      </item>
      <item>
         <title></title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052968412</link>
         <description><![CDATA[<div><em>CPAS referral</em></div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-17 11:12:55 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052968412</guid>
      </item>
      <item>
         <title>Intervention 1</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052970557</link>
         <description><![CDATA[<div><strong><em>Note presence and proximity of significant others</em></strong> (rationale: determines if family is available to assist with care) (Unbound Medicine, 2022c)</div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-17 11:14:27 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052970557</guid>
      </item>
      <item>
         <title>Intervention 2</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052973411</link>
         <description><![CDATA[<div><strong><em>Identify patient's strengths </em></strong>(rationale: empowers pt and also prompts ideas for connecting with others) (Unbound Medicine, 2022c)</div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-17 11:16:31 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052973411</guid>
      </item>
      <item>
         <title>Intervention 3</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052976949</link>
         <description><![CDATA[<div><strong><em>Determine how MJ perceives and manages solitude </em></strong>(rationale: pt may view solitude and positive or sad; therefore, this directs precision of interventions) (Unbound Medicine, 2022c)</div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-17 11:19:03 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2052976949</guid>
      </item>
      <item>
         <title>Type II Diabetes</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2054466202</link>
         <description><![CDATA[]]></description>
         <enclosure url="" />
         <pubDate>2022-02-18 02:43:24 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2054466202</guid>
      </item>
      <item>
         <title>Pertinent Lab Values</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2054475105</link>
         <description><![CDATA[<div><em>Creatine = 131<br>Glomerular Filtration Rate = </em></div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-18 02:50:25 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2054475105</guid>
      </item>
      <item>
         <title></title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2054479633</link>
         <description><![CDATA[<div><em>PT will visit pt in the community&nbsp;</em></div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-18 02:54:13 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2054479633</guid>
      </item>
      <item>
         <title>Impaired Gas Exchange r/t lung fibrosis from previous COVID-19 aeb SPO2 &lt;91 OD</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2054484123</link>
         <description><![CDATA[]]></description>
         <enclosure url="" />
         <pubDate>2022-02-18 02:57:56 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2054484123</guid>
      </item>
      <item>
         <title></title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2054495618</link>
         <description><![CDATA[<div><em>Supportive daughter</em></div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-18 03:08:24 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2054495618</guid>
      </item>
      <item>
         <title>Intervention 1</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2054505975</link>
         <description><![CDATA[<div><strong><em>Assess presence of conditions that could be causing impaired gas exchange </em></strong>(anemia, immobility, pain) (Rationale: impaired gas exchange can be related to many factors) (Unbound Medicine, 2022d)</div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-18 03:16:46 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2054505975</guid>
      </item>
      <item>
         <title>Intervention 2</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2054509228</link>
         <description><![CDATA[<div><strong><em>Encourage frequent position changes and deep breathing and coughing exercises </em></strong>(rationale: promotes optimal chest expansion, mobilizes secretions, and oxygen diffusion) (Unbound Medicine, 2022d)</div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-18 03:19:40 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2054509228</guid>
      </item>
      <item>
         <title>Intervention 3</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2054523044</link>
         <description><![CDATA[<div><strong><em>Discuss pt's reports/perceptions of breathing ease</em></strong> (rationale: a range of symptoms might be stated) (Unbound Medicine, 2022d)</div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-18 03:31:01 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2054523044</guid>
      </item>
      <item>
         <title></title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2055755379</link>
         <description><![CDATA[<div><strong><em>GOAL MET</em></strong>: pt's pain manageable with dilauded and Tylenol. Pt was discharged on Feb. 18th, 2022 with this regimen. Next steps: keep adjusting this regimen and inform pt that opiods cause constipation</div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-18 18:34:40 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2055755379</guid>
      </item>
      <item>
         <title>Readiness for Enhanced Education r/t lifestyle post nephrectomy aeb pt requesting information</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2055759556</link>
         <description><![CDATA[]]></description>
         <enclosure url="" />
         <pubDate>2022-02-18 18:37:37 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2055759556</guid>
      </item>
      <item>
         <title></title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2055761805</link>
         <description><![CDATA[<div><strong><em>GOAL</em></strong>: Pt will explicitly state that she is satisfied with education provided and has enhanced self-efficacy prior to discharge.</div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-18 18:39:00 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2055761805</guid>
      </item>
      <item>
         <title>GOAL MET!</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2055763195</link>
         <description><![CDATA[<div>I advocated or pt on Feb. 17th and the physician addressed pt's request up AM rounds on Feb 18th.</div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-18 18:39:59 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2055763195</guid>
      </item>
      <item>
         <title>Intervention 1</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2055767030</link>
         <description><![CDATA[<div><strong><em>Assist the client to identify learning goals and measurable outcomes</em></strong> (rationale: helps to frame or focus content to be learned and provides a measure to evaluate the learning process (Unbound Medicine, 2022)</div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-18 18:42:38 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2055767030</guid>
      </item>
      <item>
         <title>Intervention 2</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2055768938</link>
         <description><![CDATA[<div><strong><em>Provide information about additional or outside learning resource</em></strong> (rationale: promotes ongoing learning after discharge)</div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-18 18:44:05 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2055768938</guid>
      </item>
      <item>
         <title>Previous Stroke</title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2055770171</link>
         <description><![CDATA[]]></description>
         <enclosure url="" />
         <pubDate>2022-02-18 18:45:03 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2055770171</guid>
      </item>
      <item>
         <title>Dyslipidemia </title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2055770687</link>
         <description><![CDATA[]]></description>
         <enclosure url="" />
         <pubDate>2022-02-18 18:45:26 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2055770687</guid>
      </item>
      <item>
         <title>Mild Lung Fibrosis </title>
         <author>sarah7nickel</author>
         <link>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2055771492</link>
         <description><![CDATA[<div>formerly had COVID-19</div>]]></description>
         <enclosure url="" />
         <pubDate>2022-02-18 18:46:06 UTC</pubDate>
         <guid>https://padlet.com/sarah7nickel/mwt4un418bbpfyx3/wish/2055771492</guid>
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