Nursing Assessment According to Doenges (1999: 476-485) are:
a. Activity together with Rest.
Symptoms: weakness, fatigue, malaise, feeling anxious together with anxiety, restriction of activities / endure inwards relation to the illness process.
b. circulation
Signs: Tachycardia (fever response, the inflammatory procedure together with pain), relative bradycardia, hypotension including postural, peel / mucous membranes pathetic turgor, dry, muddy tongue.
c. Ego integrity
Symptoms: Anxiety, emotional, upset eg feelings of helplessness / no hope.
Signs: Refuse, narrowed attention.
d. elimination
Symptoms: Diarrhea / constipation.
Signs: Decreased bowel / no peristalsis increased inwards constipated / a peristaltic.
e. Food / fluid
Symptoms: Anorexia, nausea together with vomiting.
Signs: Decreased subcutaneous fat, weakness, musculus note together with pathetic peel turgor, mucous membranes pale.
f. Hygiene
Signs: The inability to hold self-care, torso odor.
g. Pain / comfort
Symptoms: Hepatomegaly, Spenomegali, epigastric pain.
Symptoms: Tenderness inwards the correct hipokondilium or epigastrium.
h. security
Symptoms: Increased torso temperature of 38 C - forty C, blurred vision, mental delirium / psychosis.
i. Social interaction
Symptoms: Decreased relationships alongside others, relating to weather condition inwards nature.
j. Counseling / Learning
Symptoms: Influenza A virus subtype H5N1 identify unit of measurement history of inflammatory bowel diseased. Sumber http://nanda-nursinginterventions.blogspot.com/
a. Activity together with Rest.
Symptoms: weakness, fatigue, malaise, feeling anxious together with anxiety, restriction of activities / endure inwards relation to the illness process.
b. circulation
Signs: Tachycardia (fever response, the inflammatory procedure together with pain), relative bradycardia, hypotension including postural, peel / mucous membranes pathetic turgor, dry, muddy tongue.
c. Ego integrity
Symptoms: Anxiety, emotional, upset eg feelings of helplessness / no hope.
Signs: Refuse, narrowed attention.
d. elimination
Symptoms: Diarrhea / constipation.
Signs: Decreased bowel / no peristalsis increased inwards constipated / a peristaltic.
e. Food / fluid
Symptoms: Anorexia, nausea together with vomiting.
Signs: Decreased subcutaneous fat, weakness, musculus note together with pathetic peel turgor, mucous membranes pale.
f. Hygiene
Signs: The inability to hold self-care, torso odor.
g. Pain / comfort
Symptoms: Hepatomegaly, Spenomegali, epigastric pain.
Symptoms: Tenderness inwards the correct hipokondilium or epigastrium.
h. security
Symptoms: Increased torso temperature of 38 C - forty C, blurred vision, mental delirium / psychosis.
i. Social interaction
Symptoms: Decreased relationships alongside others, relating to weather condition inwards nature.
j. Counseling / Learning
Symptoms: Influenza A virus subtype H5N1 identify unit of measurement history of inflammatory bowel diseased. Sumber http://nanda-nursinginterventions.blogspot.com/