Excessive sleep, particularly during the day
Debilitating; can result in disorientation, irritation, restlessness, slower speech and thought processes
Intermittently fall asleep, but does not relieve symptoms
Could be from sleep apnea, substance abuse, head trauma, meds, depression, obesity, genetics, etc.
an elevated blood pressure with a small pulse pressure, increased respiratory and pulse rates, pallor, and cyanosis. Anxiety, restlessness, confusion, and drowsiness also are common signs of hypoxia. Hypoxia is often caused by hypoventilation (decreased rate or depth of air movement into the lungs). Hypoxia can also be a chronic condition
effects of chronic hypoxia can be detected in all body systems and are manifested as altered thought processes, headaches, chest pain, enlarged heart, clubbing of the fingers and toes, anorexia, constipation, decreased urinary output, decreased libido, weakness of extremity muscles, and muscle pain
A system of collection data that focuses on the primary client problems. A problem list is generated, updated, and continually reviewed. The plan addresses this problem list.
All HCP record information on the same forms.
Advantages: entire team works together to identify a master list of problems; contributes collaboratively to POC.
Includes: defined database, problem list, care plans, and progress notes.
Acronym for: Subjective, Objective, Assessment, Plan
SOAP, SOAPE, SOAPIE, or SOAPIER notes often used with this method.