Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

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Severe anxietyDEFINING CHARACTERISTICSInvoluntary passage of stool________________________________________________________________________________BREATHING PATTERN, INEFFECTIVE_____________________________________________________________________ Diagnostic Division: VentillationDefinition: [ A change in bre athing patterns which does not provide adequate ventilation to meet individualneeds.]SUPPORTING DATAETIOLOGYNeuromuscular/musculokeletal impairmentAnxietyInflammatory processPainPerception or cognitive impairmentDecreased energy and fatigueDecreased lung expansionTracheobronchial obstruction[Alteration of patient’s normal O2/CO2 ratio, e.g., O2 therapy in COPD ]DEFINING CHARACTERISTICSSubjectiveShortness of breathObjectiveDyspneaFremitusCyanosisNasal flaringAssumpcion of 3-point positionIncreased anetoposterior diameterTachypneaAbnormal alterial blood gasCoughRespiratory depth changesPursed-lip breathing and prolonged expiratory phaseUse of accessory musclesAltered chest excursion________________________________________________________________________________________________CARDIAC OUTPUT, ALTERATION IN: DECREASED
_____________________________________________________________________ Diagnostic Division: CirculationDefinition: [ failure of the heat to pump an adequate supply blood to meet the needs of the body. Cardiacoutput and tissue perfusion may be interrelated although there are differences. When cardiac output isdecreased, tissue perfusion problems will develop, however tissue perfusion problems can exist withoutdecreased cardiac output.]SUPPORTING DATAETIOLOGYMechanical: alteration in preload; afterload; inotropic changes in heart.Electrical: alterations in rate; rhythm; conduction.Structural, [e.g. ventricular-septal rupture, ventricular aneurysm, papillary muscle rupture, valvular disease.]DEFINING CHARACTERISTICSSubjectiveFatigueDyspneaObjectiveVariations in hemodynamic readingCyanosis; pallor of skin and mucous membranesCold, clammy skinOrthopneaArrhythmias; ECG changesJugular vein distensionOliguria; anuriaDecreased peripheral pulsesRalesRestlessnessOther possible defining characteristics [under consideration <strong>by</strong> NANDA]:SubjectiveSyncopeVertigoWeaknessObjectiveEdemaChange in mental statusShortness of breathFrothy sputumGallop rhythm; abnormal heart soundsCuogh________________________________________________________________________________________________COMFORT, ALTERATION IN: PAIN [ACUTE/CHRONIC]_____________________________________________________________________ Diagnostic Division: Pain
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NeurologyEdited by Professor Emerit
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That I only found when studying Wil
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fig. 2: origins and distribution of
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Vasodilatation - ØIntestineslongit
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those two modes, its contact with t
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epressive sexual education/impaired
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"The vegetative“ (autonomic) "ner
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4.1. TechniqueOver the years, lots
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medication which either only battle
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the ANS' level, stress means sympat
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In therapy, we work from the tensio
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Naturally, besides the intensive tr
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neck furthermore intercepts the flo
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Robert A. Dew puts asthma down to t
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Looking at the vernacular gives the
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5.5. Peptic Ulcer5.5.1. Pulsation o
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appears "openly dependent" or, if c
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During the resolution of the blocks
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Heike S. Buhl M.D., born 1955. Trai
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TitleDiagnosing and Treating Injure
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ody electrolyte strength will gener
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As presented, the peak of the first
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This situation has an important imp
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fibers. Sequential action potential
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and active tissue under electrode B
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Action potentials of injured cardia
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a nearby electrode and a distant re
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The distances between the poles of
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ecorded simultaneously the membrane
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When there are conditions of hypoad
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Trauma and injuries are a natural a
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BOOKS1. An Advanced Treatise in Qua
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One of the easiest ways to learn ab
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HOMEOPATHIC TREATMENT OF PAINAbstra
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DESCRIPTION: PAIN - HEAT IMPROVESNU
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BEFOREAFTER4321OOOOOOOOXXXXXXXX0Avg
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tissues to bring about a lowering i
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CAUSES OF HEADACHE PAIN (Vindicate)
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ARTICLES AND STUDIES1. A Practical
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impairment or "disability" evaluati
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criteria:The third step is the comp
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5. Estimate of the expected date of
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ImpairmentThe Extremities, Spine, a
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3. Explanation for concluding that
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3.1b Principles and Methods of Impa
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The range of motion should be recor
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IA is a function of V when Vext = V
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Interphalangeal Joint-Flexion and E
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Example: Thumb metacarpophalangeal
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Note: Because the relative value of
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Determine the length of the finger
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position (0 cm) to: Lost Retained o
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If the metacarpophalangeal joint is
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40 of ring finger 450 of little fin
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Joint-Radial and Ulnar DeviationMea
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Flexion IA%=21%Lateral deviation IA
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extremity.Flexion and ExtensionMeas
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the upper extremity, and 15% impair
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Add the impairment values for flexi
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Internal and External RotationMeasu
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shoulder motions (flexion/ extensio
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The peripheral spinal nerves consti
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obtained history, a thorough medica
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Example: In an injury, a patient su
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associated with those particular ne
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Ulnar or Radial Deviation%Digit Imp
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Joint Instability% Joint Impairment
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Example: Implant resection arthropl
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Intrinsic tightness in the hand may
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Extensor TendonSubluxation Severity
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With the patient plantar-flexing th
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0° 30° 0° 4510° 20° 10° 3020
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Center the goniometer over the meta
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Example: If 50% of the distal phala
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of the toe being tested (Figure 61c
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Center the goniometer over the late
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Inversion and Eversion (Subtalar Jo
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10° active dorsi-flexion 410° act
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Place the goniometer base as if mea
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Add the impairment values contribut
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Place the goniometer base as if mea
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Hip Joint-Two or More Ranges of Mot
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3.2f Impairment of the Lower Extrem
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In evaluating pain that is associat
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After the individual values for los
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value for loss of function = 15%) 1
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Principles for Calculating Impairme
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motion or ankylosis.B. Repeat the a
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is the greatest angle measured.5. C
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Example: Occipital flexion measurem
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possible, again recording both incl
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Cervical Region-RotationBecause the
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minimum kyphosis is actually a meas
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2. With the subject in either the s
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1. The subject may be seated or sta
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3.3) Ask the subject to rotate the
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3.3e Impairments Due to Range of Mo
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(for automated devices capable of c
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Example: T12 flexion measurements o
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3. Record the "0" readings first at
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3.4 The PelvisThe following shows i
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Addendum to Chapter 3A. Introductio
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1. If applicable, use Table 49 (p.
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B. Repeat the above steps for secon
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2. Consult the Ankylosis Section of
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impairment of the whole person.Exam
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Ankylosis1. Place the goniometer ba
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6. Add the impairment values contri
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FINAL IMPAIRMENT RATING FOR WHOLE M
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Combined value of spinal impairment
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There is a neutral or relaxed perio
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SPHENOBASILAR/CRANIAL BASE TORSIONT
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IMPAIRMENT OF THE NERVOUS SYSTEMThe
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upper extremities, controlling blad
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2. Neurological disorder results in
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4) Neurological: Grades = 5=normal
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4) Neurological:Sensation: (right/l
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technique on the part of the physic
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Direct TechniqueWith the patient co
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CONTRAINDICATIONSThe only contraind
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In order to determine the presence
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IX Glosso- pharyngealPharynx muscle
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ReflexesMuscle stretch reflexes, cu
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Abdominal skin reflex (exteroceptiv
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Sensory symptomsPersistant or episo
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Pyramidal tract signsEponym Manoeuv
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doubts of survival7. Psychotic symp
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· Foramen jugulare syndrome (Siebe
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For cranial nerve stimulation the c
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Demonstration of specific antibodie
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4.6.2 Explosive type4.6.3 Postural
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8.4.2 Caffeine withdrawal headache8
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Headache: differential diagnosisDes
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Diagnostic criteria of drug-induced
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convexity), glioblastoma, oligodend
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Hypothalamic regulatory hormonesHyp
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0 = normal1 = stride down to 30-45
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Parkinsonism: causesAetiology or Pa
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Paradoxical hyperkinesiaSudden good
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Meige syndrome(bilateral facial spa
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ThalamotomyScale for quantification
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Eating10 = independent (with aids)5
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InfectionsMeningitisOtitis media, m
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OculomotorDependent on surgery, var
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AreflexiaSlowed nerve conduction ve
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Causes of lumbosacral root disorder
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Compartment syndromescompartmentsAu
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Lateral root of median nerve (C5-C7
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Palsy without pronator, teres invol
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Baker's cyst (in rheumatoid arthrit
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Gluteal nerve lesionsIntramuscular
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Differential diagnosis of important
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2. C8 root syndromeMotor lossAs for
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Congenital and usually inherited my
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(iv) Type 7.erythrocytes involved.P
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Myopathies (polymyositis, dermatomy
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denervated muscles.)Prostigmine may
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Polyneuropathy (rarely)Hypothyroidi
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Multiple sclerosis - CAMBS scaleDis
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Intrathecal IgG production ≥90Oli
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THE CV-4 TECHNIQUEThe still point a
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NEUROLOGY TESTBlood pressure should
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To find out about the different neu
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Page 333 and 334: HYGIENESelf-care deficit (specify l
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Page 337 and 338: ObjectiveHard -formed stoolStrainin
Page 339 and 340: Definition: [ failure of the heat t
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Page 343 and 344: Work overloadUnrealistic perception
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Page 351 and 352: Definition: The client is unable to
Page 353 and 354: DEFINING CHARACTERISTICSInternal (i
Page 355 and 356: SUPPORTING DATAETIOLOGYLack of expo
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Page 359 and 360: DEFINING CHARACTERISTICSSubjectiveX
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Page 365 and 366: SUPPORTING DATAETIOLOGYEnvironmenta
Page 367 and 368: Mechanical factorsShearing forcesPr
Page 369 and 370: Changes in postureFrequent yawningN
Page 371 and 372: DEFINING CHARACTERISTICSObjectiveSk
Page 373 and 374: Toxic reactions to medicationBatter
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Page 377 and 378: Bed rest or immobilityDEFINING CHAR
Page 379 and 380: Unmet needs[Physiological factors,
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Page 385 and 386: Inability to speak in sentencesDoes
Page 387 and 388: Decision and actions by family whic
Page 389 and 390: ETIOLOGYSituational transition and/
Page 391 and 392: Hypotension [postural]Increased pul
Page 393 and 394: Central venous pressure changesJugu
Page 395 and 396: ObjectiveCryingDevelopmental regres
Page 397 and 398: Abnormal blood profile: altered clo
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Page 401 and 402: Reluctance to attempt movement[C/o
Page 403 and 404: SubjectiveReported or observed dysf
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Page 407 and 408: Acute Phase:Emotional reactions: an
Page 409 and 410: SubjectiveVerbalization of:Change i
Page 411 and 412: SUPPORTING DATAETIOLOGYEnvironmenta
Page 413 and 414: ETIOLOGYExternal (environmental) fa
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Page 419 and 420: DEFINING CHARACTERISTICSSubjectiveF
Page 421 and 422: 6) ORTHOPAEDIC TEST/SIGNS:Noted in
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Page 425 and 426: PROGNOSIS:MODERATE:The prognosis fo
Page 427 and 428: RECIPESBETTER BUTTERFor those of yo
Page 429 and 430: or flakes. Begin with 1/2 teaspoon
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This recipe also makes an excellent
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adding the celery and carrot near t
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stuffed caps in lightly greased bak
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TOFU SURPRISES2 tablespoons cold-pr
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By following these guidelines, you
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The technique of somatoemtional rec
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SPINAL IMPAIRMENT RATINGWhole Man1.
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59. Do you have a loss of interest
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The technique used to mobilize the
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The technique for evaluation and tr
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