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الخط كبير

R

Last Update: 2014-09-04
Subject: General
Usage Frequency: 1
Quality:
Reference: Anonymous

الخط كبير

marivic

Last Update: 2014-08-11
Subject: General
Usage Frequency: 1
Quality:
Reference: Anonymous

كبير

Kabir

Last Update: 2014-05-24
Usage Frequency: 29
Quality:
Reference: Wikipedia

كبير

capitate

Last Update: 2014-05-10
Subject: Medical
Usage Frequency: 1
Quality:
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كبير

great

Last Update: 2014-05-10
Subject: Medical
Usage Frequency: 1
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كبير

L

Last Update: 2013-04-29
Subject: Marketing
Usage Frequency: 1
Quality:
Reference: Zizoo24

كبير

[1] Patient's name (Initials only) ________________ Bed number __________ Assessor: __________________________¬¬_____ Interview date: _________ Source of Information (Specify): ___________ Reliability : Good Fair Poor. Birth Date: __________ Age: _____ Gender: M. F. Marital Status: S M W D. If married, years married ______ Number of children _______ Highest level of education: _________ Occupation: _______________ Admission Date: _________________ Admitted from: _____________ Medical Diagnosis: _________________________________ Address: _________________________ Lives: Alone With:_____________________ Health insurance: Yes No. Past Medical History:________________________________________________________________ Past Surgical History:________________________________________________________________ CHIEF COMPLAINT(S):[2] ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ REASON FOR ADMISSION:[2] ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Nursing diagnosis HEALTH PERCEPTION AND MANAGEMENT [1] Regular physical check ups: Yes No. Smoker: Yes No. If yes, packs/day: _____ Number of years _________ Altered health maintenance Narjileh use: Yes No. If yes, frequency of use/week_______________ Alcohol use: Yes No. If yes, frequency/week_______ Amount:______ Other drugs: Yes No. If yes, type, frequency, amount: _____________ SAFETY AND PROTECTION: [1] Allergies (food, drug, dye, other) _____________ Reaction: _______________ Risk for suffocation Impaired vision/hearing: Yes No. Mental disability ______________ Risk for poisoning Ambulatory devices _______ Deformities ______ Prosthesis _________ Risk for injury Blood transfusions: Yes No. If yes, date: _______ Reaction: _______ MOVING Nursing diagnosis Subjective [1] Exercise habits (type, frequency) ________________________________ Impaired physical mobility Limitation(s) in mobility (Specify): ______________________________ *(Walking, bed mobility, Fatigue weakness pain dyspnea ____________________________ * transferability) Sleep: Hours: ________ Naps: ___________ Aids: _______________ Fatigue Difficulty falling/remaining asleep: _____________________________ Sleep pattern disturbance Objective:[1] Response to activity: At rest After activity (Risk for) activity intolerance a- Cardiovascular: HR ___________ ___________ b- Respiratory: RR ___________ ___________ Type of activity: ______________ Other response:____________ Muscle mass/tone/strength: Emaciation Flaccidity Rigidity Paralysis. Posture: ______________ Gait: ________________ Range of Motion: Full Other:______________________ Fracture/dislocations: __________ Joint problems: ___________ Back problems:_______________ Other: _________________ Activities of daily living: Subjective:[1] Independent. Dependent (check what applies to your client): Mobility Feeding Hygiene Dressing/grooming Toileting Impaired mobility Other (Specify): ______________________________________________ Feeding self care deficit Objective:[1] Bathing/hygiene self care deficit Body odor: ____________ Presence of vermin: Yes No Dressing/grooming self care deficit Toileting self care deficit SYSTEMS I- Cardiovascular Subjective:[2] History of: Hypertension: __________ Heart disease: ________ Altered tissue perfusion: Rheumatic Fever: _______ Ankle/leg edema: ______ *Cardiopulmonary Phlebitis: ______________ *Peripheral Numbness/Tingling (location):________________ Chest pain (Describe): _______________________________ Altered comfort related to chest pain Objective:[2] BP: Rt: _______Lt: ________ Position: Lying sitting standing. BP: R_________________L________________ Position �Lying �Sitting �Standing Pulse pressure: _____________ Nursing diagnosis Pulses (palpation): Carotid: ___Temporal: ____ Brachial: ____ Radial: _____ Femoral: ____ Popliteal: ____ Posttibial _____Dorsalis Pedis: ______ Heart sounds: _______________________________________ Heart rate: ______Rhythm: Regular Irregular. Quality: Strong Weak Jugular vein distention: Yes No. Position: Lying Sitting. Extremities: Skin temperature: Warm Cold. Capillary refill: ______ Homan's sign: Yes No. Varicosities: ______________________ Edema(specify): General Dependent Ascites (Risk for) Fluid volume excess Skin: Pallor: Overall Lips Nailbeds Conjunctiva Skin: cyanosis: Overall Lips Nailbeds Conjunctiva II- Oxygenation: Subjective:[2] Dyspnea/Orthopnea (Describe): ________________________________ Cough: Productive Nonproductive. Hemoptysis: Yes No History of: Bronchitis: _________________ Asthma: _________________ Tuberculosis: _______________ Emphysema: ______________ Use of respiratory aids: _________________Oxygen: _______________ Objective:[2] Respirations: Rate:____ Depth: _______ Rhythm:_________ Ineffective breathing pattern Quality: Labored Unlabored. Chest expansion: _____________________. Accessory muscles use: Yes No. Pursed lip breathing: Yes No Breath sounds: Rt upper lobe: Normal Decreased Abnormal ___________________ Lt upper lobe:Normal Decreased Abnormal ____________________ Rt lower lobe: Normal Decreased Abnormal ___________________ Lt lower lobe: Normal Decreased Abnormal ___________________ Sputum: Color: _________ Amount:________ Consistency: Thick Thin Ineffective airway clearance Use of incentive spirometer: Yes No. Clubbing of fingers: Yes No III-Nutrition Subjective:[2] Type of diet: At home: ____________ Current ___________________ Altered nutrition (Risk for): Food intolerance: Yes No. If yes, describe______________________ *Less than body requirement Appetite changes: Yes No. If yes, describe____________________ *More than body requirement Nausea/vomiting: Yes No. If yes, describe______________________ Nursing Diagnosis History of: ulcers Heart burn Indigestion: ____________________ Altered oral mucous membranes Dentures: Upper Lower. Mastication problems: Yes No. Altered dentition Swallowing problems: ___________________________ Impaired swallowing Usual weight: ________ Changes in weight ( or ): _____________ Risk for aspiration History of Diabetes mellitus: ________________________________ Objective:[2] Current weight: _____ Height: ______ Body mass index:_________ Hernia/masses: Yes No. If yes, location/size:_________________ Thyroid enlarged: Yes No. Halitosis: Yes No Condition of teeth/gums/tongue/mucous membranes: _____________ IV therapy: ______________________________________________ IV-Elimination: - Gastrointestinal/bowel Subjective:[2] Usual bowel patterns: Frequency____ Color/consistency: ________ Constipation (Risk for) Diarrhea Constipation Incontinence. Stoma/ostomy:Yes No. Diarrhea Remedies used for bowel problems: _________________________ Bowel incontinence History of bleeding: ________________ Hemorrhoids: __________ Altered comfort Objective:[2] Risk for fluid volume deficit Bowel sounds (Describe):___________________________________ Abdomen tender: Yes No. Soft Firm. Liver enlarged: Yes No Palpable mass: Yes No. If yes, describe______________________ Hemorrhoids: (External): Yes No - Renal/urinary Subjective:[2] (Risk for): Usual urinary patterns: Times/day:_____ Color_____ Hematuria Altered urinary elimination Incontinence Urgency Frequency Retention *Incontinence Pain Burning Difficulty voiding Dribbling *Retention Use of aids to void:_______________________________________ History of kidney/ bladder disease: ____________________________ Objective:[2] Urine: Color: _______ Odor: _______ Output/hr/shift:__________ Fluid volume excess Bladder palpable: Yes No Catheter/Stoma/Ostomy: Yes No Fluid volume deficit V- Skin integrity Nursing diagnosis Subjective:[2] Changes in moles: ________________ Enlarged nodes: ____________ History of fever/Infectious diseases: ____________________________ History of Cancer: __________________________________________ Objective:[2] Temperature: ________ Lymph nodes enlargement: ______________ Hyperthermia Skin: Moist Dry Warm Cool Pale Pink Jaundiced Hypothermia Skin turgor: Elastic Firm Fragile Dehydrated Impaired skin integrity Skin integrity: Intact. Rashes: ____________ Blisters: __________ Impaired tissue integrity Surgical incision/scar: ________________ Ecchymosis: ______________ (Risk for) Lacerations: ________________________ Ulcerations: _______________ Risk for infection Pressure sores: _________________________________________________ COGNITIVE /PERCEPTUAL Subjective:[2] History of: Fainting/ Syncope:___________ Dizziness:___________ Headaches: Location___________ Frequency _________________ Stroke _____________________ Seizures ____________________ Sensory/perceptual disturbance: Vision: No problem Deficit: Right Left. Glasses Lenses *Visual Hearing: No problem Deficit: Right Left. Hearing aid *Auditory Smell: No problem Deficit:__________________________ *Olfactory Taste: No problem Deficit:__________________________ *Gustatory Objective:[2] Level of consciousness (check what applies to your patient): Altered thought processes Alert Drowsy Stuporous Comatose Restless/agitated Orientation: Time: Yes No. Place: Yes No. Person: Yes No. Loss of memory: Recent: Yes No. Past: Yes No. Impaired memory Pupils: Equal size: Yes No. If no, describe:_________________ Pupil reaction: -Direct: Brisk: Rt Lt. Sluggish: Rt Lt. Non reactive: Rt Lt. -Consensual: Brisk: Rt Lt. Sluggish: Rt Lt. Non reactive: Rt Lt. Facial droop: Rt Lt. Gag reflex: Present Absent Handgrasp: Rt: __________________ Lt: ___________________ Deep tendon reflexes:___________________________________ Nursing Diagnosis Verbal response: Clear Slurred Unintelligible Aphasic Impaired verbal communication Gait Disturbance � Yes � No Paralysis (Describe)_________________________ FEELING A-Pain Subjective: [2] Pain: Yes No. Pain Onset: __________Location: _________ Radiation: __________ Intensity (1-10): ______ Quality: ________ Frequency:_______ Duration: _____ Associated with: _________________________ Aggravated by: ________________ Alleviated by: ___________ Objective:[2] Facial grimacing: Yes No. Guarding affected area: Yes No. Emotional response to pain: Crying Withdrawn Angry B-Psycho-Socio-Cultural Emotional Integrity: Subjective:[1] Recent stressful life events other than illness: Yes No. If yes, describe:____________________________________ How do you usually manage stress?____________________ Objective:[1] Emotional status (check those that apply): Anxiety Calm Cooperative Anxious Angry Withdrawn Fear Combative Irritable Euphoric Other_____________________ Grieving Associated physical manifestations:__________________________ Impaired social interaction Role:[1] Role within family: Breadwinner Caregiver Other__________ Altered role performance How does your illness affect your: Family____________________________________________ Job_______________________________________________ Valuing:[1] Does illness/hospitalization interfere with any of the following: 1. Religious practices: Yes No. _________________________ 2. Cultural practices: Yes No. __________________________ 3. Family traditions: Yes No. ___________________________ SEXUALITY/REPRODUCTION Nursing Diagnosis Female Subjective:[1] Age at menarche: ____ Length of cycle: _____ Duration: ________ Last menstrual period: _______________ Menopause: Yes No. Vaginal discharge: __________ Bleeding between periods: : Yes No. Altered sexuality patterns Practices breast self-examination: ______ Last pap smear: _________ History of STD: __________________________________________ Sexual concerns/problems:___________________________________ Objective:[1] Breast examination: ______________________________________ Vaginal warts/lesions: _____________________________________ Male [2] Penile discharge: _____________ Prostate disorder: _____________ Practices self-examination: Breast: __________ Testicles: ________ Last prostate exam: _____________ History of STD:________________________ Sexual concerns/problems: _________________________________ KNOWING [1] Familial history (Specify which relative has the disease): Anemia/blood dyscrasias ___________ Peripheral vascular ____________ Cancer _________________________ Kidney disease _______________ Diabetes ________________________ Stroke ______________________ Heart disease _____________________Tuberculosis _________________ Hypertension _____________________ Other: ______________________ Knowledge about current illness: ________________________________ Knowledge deficit ___________________________________________________________ Knowledge about current medications/treatments: ___________________ ___________________________________________________________ Expectations of therapy: _______________________________________ Requesting information concerning: _________________________________ List the nursing diagnoses identified to your client in priority order: 1. ______________________________________________ 2.______________________________________________ 3.______________________________________________

Last Update: 2013-02-18
Subject: General
Usage Frequency: 1
Quality:

كبير

Upper

Last Update: 2014-10-23
Subject: Computer Science
Usage Frequency: 1
Quality:
Reference: Translated.net

الكبير كبير

Al Kebeer Kebeer

Last Update: 2014-05-19
Usage Frequency: 1
Quality:
Reference: Wikipedia

طيز الاخت

The Phoenix Sister

Last Update: 2014-09-13
Subject: General
Usage Frequency: 1
Quality:
Reference: Anonymous

كورش الكبير

Cyrus the Great

Last Update: 2014-05-22
Usage Frequency: 1
Quality:
Reference: Wikipedia

القطع الكبير

Broadsheet

Last Update: 2014-09-14
Usage Frequency: 1
Quality:
Reference: Wikipedia

مؤخرة او طيز

Ass

Last Update: 2014-10-07
Usage Frequency: 1
Quality:
Reference: Wikipedia

كبيْرٌ

macroscopic

Last Update: 2014-05-10
Subject: Medical
Usage Frequency: 1
Quality:
Warning: This alignment may be wrong.
Please delete it you feel so.

كبيْرٌ

macroscopical

Last Update: 2014-05-10
Subject: Medical
Usage Frequency: 1
Quality:
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اَلصِّهْرِيجُ الْكَبِيرُ

cisterna magna

Last Update: 2014-05-19
Subject: Medical
Usage Frequency: 1
Quality:
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اَلثَّرْبُ الْكَبِيرُ

greater omentum

Last Update: 2014-05-19
Subject: Medical
Usage Frequency: 1
Quality:
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اَلثَّرْبُ الْكَبِيرُ

omentum majus na

Last Update: 2014-05-19
Subject: Medical
Usage Frequency: 1
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اَلْجُدَرِيُّ الْكَبِيرُ

variola major

Last Update: 2014-05-19
Subject: Medical
Usage Frequency: 1
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وَرِكٌ كَبِيرٌ

coxa magna

Last Update: 2014-05-19
Subject: Medical
Usage Frequency: 1
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