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This Concept Map, created with IHMC CmapTools, has information related to: Frasier, Provide optimum nutrition with diet high in protein for tissue healing 2nd intervention Impaired Skin Integrity related to poor nutritional status as evidenced by large, unstagable wound to the sacrum, Ms. Frasier has poor nutritional status, Assess readiness to learn and individual learning needs 1st intervention Deficient Knowledge related to lack of exposure as evidenced by patient's frequent request for information and assurance, tracheostomy disposable inner canula ventilator dependent, MRSA also colonized, right PICC line 2/5 Septic Endocarditis, anuric ???? end-stage renal failure, Corpak aspiration precautions watch for green aspirate when suctioning patient, Ms. Frasier has end-stage renal failure, Patient receiving Nepro tube feed with high protein content outcome Provide optimum nutrition with diet high in protein for tissue healing, cardiomyopathy Ejection fraction 25% Septic Endocarditis, hypertensive (CVA 12/07) ???? end-stage renal failure, right femoral quentin dialysis, an unstageable bedsore (poor nutrition) edges are clear, cardiomyopathy HR 120s-130s sinus tachycardia, an unstageable bedsore (poor nutrition) ???? sacrum, dialysis ???? end-stage renal failure, Deficient Knowledge related to lack of exposure as evidenced by patient's frequent request for information and assurance is Nursing Diagnosis #3, HR 128 (Amiodarone for recurrent SVT) . Vitals, Refer to speech therapist for exercises to strengthen muscles and techniques to enhance swallowing 3rd intervention Risk for aspiration related to presence of tracheostomy (per Doenges, 'At risk' diagnoses are not evidenced by s&s, as they are yet to happen)