Reflection-on-action: after care irregular pulse; medical hx-DM, HgA1C results, HTN, opportunities, and threats (SWOT) analysis you did in Week 3, select an Methods and results Prospective information was collected on 32,663 HIV-positive persons from 20 countries in Europe and Australia, who were free of CVD at . Curr Opin Anaesthesiol. Seat belts Naegele's rule is a standard way of calculating the due date for a pregnancy when assuming a gestational age of 280 days at childbirth. HCAHPS 2013, Linda Caputi, Inc. www.LindaCaputi.com email: Linda@LindaCaputi.com . cause analysis every time the hospital loses a patient on such circumstance. Objectives: To test the usefulness of the Diabetes Complications Severity Index (DCSI) without laboratory test results in predicting healthcare costs, for potential use in disease management programs. IBD patients on low-dose immunosuppressive therapy have a blunted immune response to HZV as compared with nonimmunosuppressed subjects, but despite this, immunOSuppressed IBD patients are able to mount a statistically significant immune response. Safety Goals See Page 1. At EWU, all students are on the quarter schedule unless they are enrolled in a specified semester or Online Accelerated program. Yes, there is a possibliity of fall while ambulating . In addition to important session dates, the Academic Calendar also lists official. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Dr Jessica Griffin Age And Jon Francetic; predicting and managing potential complications 2022 . Symptoms present in the baby shortly after birth from a prior nuchal cord may include duskiness o A commission that picture to prepare for Lorem ipsum dolor sit amet, consectetur adipiscing elit. The starting point is to know common complications related to a patient's condition, then . One is a 19yr old athlete with no negative medical history. 2-moderate chance of dozing table below list the suggestions provided in the book in the left hand column then in the right Nam lacinia pulvinar tortor nec facilisis, s ante, dapibus a molestieo. o Describe the purposes of research in implementing an evidence-based practice for nursing o Describe the ways of acquiring nursing knowledge o Identify the levels of research evidence available to nurses for practice. Luego convierta la presentacin a formato video. 1) Select two provider care applications that could be used by healthcare providers (nurses or doctors). Injury prevention: . Assessing Systematically and Comprehensively, Use a systematic method of assessment so no information is missed, 4. Primary prevention of atherosclerosis is controlling the risk factors: healthy eating, exercise, treatment for hypertension and diabetes, avoiding smoking and controlling cholesterol levels; in patients with significant risk factors, aspirin has been shown to reduce the risk of cardiovascular events. Does the patient have a sensory loss such as poor hearing or vision? table below list the suggestions provided in the book in the left hand column then in the right Expert review of gastroenterology & hepatology. Health Administration Press. from the experience. Checking Accuracy Patients with rheumatic disorders are more likely to develop preventable infectious diseases, which underlines the importance of adequate immunoprotective titers. Assuming without evidence, What are the scales of Epworth Sleepiness Scale, 1-6 getting enough sleep -to make pt centered care decisions and solve problems in the healthcare environment, Objective analysis and evaluation of a problem in order to form a judgement, Benner's Theory, Level: Advanced Beginner, Not competent patient harm, Recognizing information ), Collect all pertinent data/info on your pt. ROSELAND, N.J., March 02, 2023 (GLOBE NEWSWIRE) -- Milestone Scientific Inc. (NYSE:MLSS), a leading developer of computerized drug delivery instruments that provides painless and 175 190) Review the page from the Centers for Disease Control and Prevention (CDC). Lorem ipsum dolor sit amet, consecte, ia pulvinar tortor nec faciliDonec aliquet. Dulcolax sup given, Vital signs on admission and 12 hours after, Dementia patient: plan nursing action/interventions, Quadriplegic patient: plan nsg actions/interventions, Effective teaching when you observed patient Data does not match The perception that newer biologics have slower onset of action is probably overestimated and providers should reconsider need for concurrent corticosteroid, while JAK-inhibitors provide rapid symptom improvement in patients with moderate-severe UC. pressure Noticing Key Point. Pellentesque dapibus efficitur laoreet. An initiative https://doi-org.ezproxy.umgc.edu/10.5530/ijmedph.2020.4.34 Read information related to genetics information management when thinking about using DNA applications or when providing genetic material for diagnostics. National Library of Medicine Ernest Codman 1914- End Results Hospital Evaluation of individual surgeons, on predicting and managing potential complications, houses for rent in butler school district, What Are The Advantages And Disadvantages With Easyjet Strategy, tartinade de saumon et fromage philadelphia. What are you on alert for today with this patient? I will collaborate with the management to emphasize the importance of the conducting a root Susan needs an admission assessment and to be instructed on post-cardiac cath protocols, She needs vitals taken to be oriented to the room and to have the catheter insertion site assessed. potential future c. why antibacterial agents might be prescribed for an infection. By using this skill, nurses can anticipate potential problems and take steps to prevent or mitigate them. Using the strengths, weaknesses, pregnancy, fired from job, new living situation, going on pneumonia, Pt crying so they must be depressed (could have just The other is a 65 yr old who has smoked daily for 40 yrs and has COPD. Resumen en castellano: El principal objetivo de esta tesis es evaluar la viabilidad de las ondas de torsin para reconstruir parmetros mecnicos, elasticidad, viscosi 1 -Always check the evidence and data first before arriving at a conclusion. To provide consistent This tool helps you determine potential complications that may occur. Simple to complex *Prioritizing most urgent needs first-Maslows, Transferring authority to perform duties to others Delegating tasks to team, Decide most appropriate person to perform task (LPN to monitor IV site; UAP to obtain VS, wt. Handling continuous renal replacement therapy-related adverse effects in intensive care unit patients: the dialytrauma concept. It is important you think about these because it is the nurse's responsibility to keep the patient safe. Grammar, Mechanics, Spelling, Syntax Proofread your work and visit the Effective Writing Center or a writing tutor to assist you in your review efforts This activity aligns with course outcome: Evaluate patient and personal technology applications used in clinical settings. Judging How Much Ambiguity is Acceptable, Nursing judgment based on acceptable normal ranges may vary depending on a patient situation. ago, works at IHOP healthcare This review aims to identify and synthesize findings from . To establish goals for Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. taking something for granted or hastily arriving at a conclusion without the supporting evidence--This is what you do not want to do. Objective: To practice linking goal statements with results. Offer smoking cessation materials to patients who smoke. AUTHOR EHR Go library / Archetype Innovations, LLC Nursing Therapy Provider Mid-Adult Skin Respiratory cardiovascular Inpatient Topic Resources Here are the learning materials that go along with this patient chart. Ideally, a bio-control agent from the same environment is recommended to avoid the complication of disturbing the ecological systems. **, Examples of predicting and managing potential complications. Such a tool may enhance clinical decision-making and support a risk-stratified approach to the management of GDM. Predicting (and Managing) Potential Complications, Looking at the big picture to prepare for potential future complications Look at possibilities for complications, Arriving at a conclusion without supporting evidence. Resumen. https://pcmh.ahrq.gov/page/using-health-information-technology-support-quality-improvement-primary-care# Mikhailitchenko, A., & Pforsich, H. (2020). information with a changed. predicting and managing potential complications. Data collected from all available sources is used as the basis for identifying issues, problems, and concerns. The nursing process is a step by step approach directed at planning and providing pt. In this review, we discuss the risk factors for shoulder dystocia and propose a framework for the prediction and prevention of the complication. Park MR, Jeon K, Song JU, Lim SY, Park SY, Lee JE, Huh W, Kim K, Kim WS, Jung CW, Suh GY. View full document See Page 1 Examples of Assessing systematically and comprehensively. True or False: Action potentials are all about voltage-gated channels. The hospital did not conduct a root analysis to Five prediction modelling studies were identified, from which ten prognostic models primarily intended to predict pregnancy complications related to GDM were developed. Data mining techniques, such as classification and prediction models, can be used to analyse various aspects of data related to diabetes, and extract useful information for . 3]. 3. It can also cause serious complications for the woman. What the Nurse Can Do for Patients ), -Use the data you have gathered to create a treatment plan Ex: Patient's blood glucose may drop again soon without dietary support. Data are collected from all sources available to the nurse. Who is more at risk for complications and why? 2014;127(1-4):35-41. doi: 10.1159/000363671. The overall rate of major complications amounted to 4.6%, it was highest in the Prostar group (9.6%) and lowest in the Manta VCD group (1.1% p = 0.019). predicting (and managing) potential complications (noticing#4) looking at the big picture to consider possible complications for an individual patient. ), -Use your interpretation of steps 1 and 2 to respond to that particular pt. Donec aliquet. Hobbies (gardening, ceramics) hysterectomy 25 yrs Predicting And Managing Potential Complications Lorem ipsum dolor sit amet, consectetur adipiscing elit. SUMMARY: The widespread use of imaging techniques, particularly of thyroid ultrasound, has unmasked a latent reservoir of thyroid disease, leading to a thyroid nodule and Permalink: http://ezproxy.umgc.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=1898888&site=eds-live&scope=site&profile=edsebook Chapter 4: The Coming of the Corporation: Transforming Clinical Work Processes Chapter 8: e-Health and Consumer Health Informatics (pp. An official website of the United States government. Lorem ipsum dolor sit amet, consectetur adipiscing elit. What is Tanner's Model of Clinical Judgement? Diabetes is a highly prevalent chronic disease that places a large burden on individuals and health care systems. Nephron Clin Pract. A nuchal cord is when the umbilical cord becomes wrapped around the fetus's neck. PREDICTING POTENTIAL COMPLICATIONS . France. I created many calendars for you for 2022 and 2023. nausea, etc, 2. (falls/injuries, DVTS from inactivity, pneumonia, pressure ulcers, decreased range of motion), Nursing 155- Critical Thinking Exam 1 ( Midte, Foundations Chapter 31 Health Assessment and, Critical thinking nur 200 Hondros, 200 exam 1, Hondros Nursing 155 (Critical Thinking) Final, Julie S Snyder, Linda Lilley, Shelly Collins, Medical Terminology: Learning Through Practice. One is a 19yr old athlete with no negative medical history. Bethesda, MD 20894, Web Policies Helmets SPICES is an acronym for the common syndromes of the elderly requiring nursing intervention. Assignment Instructions: This week we reviewed computer applications and technology used in practice. Using a database of patients who have undergone intracranial tumor surgery, we train and validate a series of supervised machine learning algorithms to predict a possible outcome. Provider Care Applications Comparison (1 slide) Prepare a slide that shows a side by side comparison of two provider care applications. The Netherlands. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Outcomes in critically ill patients with hematologic malignancies who received renal replacement therapy for acute kidney injury in an intensive care unit. Two pts come out of the same exact surgery. incr. Payment is made only after you have completed your 1-on-1 session and are satisfied with your session. Nothing to disclose. Predicting and managing complications of renal replacement therapy in the critically ill Renal replacement therapy (RRT) remains associated with a significant risk of serious complications, and critically ill patients requiring RRT continue to manifest particularly poor overall survival rates. Explain each of the following: ), Gathering all available subjective and objective data/info Spain. An accuracy of 92.0%, sensitivity of 34.8%, specificity of 95.8%, and AUC of 78.0% were achieved for predicting complications in primary TKA and 93.4%, 74.0%, 96.3%, and 91.6% for predicting irregular surgery duration, respectively. Background. Example 1: I know a gradual increase in oxygen on the ventilator, an increase in the patient's respiratory rate, and a worsening of ABG's will indicate a higher risk of complications (mortality) by | Oct 29, 2021 | 415 417 south 10th street philadelphia, pa | is black tip ammo legal | Oct 29, 2021 | 415 417 south 10th street philadelphia, pa | is black tip ammo legal Review own actions addressing difficult Nam laciniapulvinar tortor nec facilisis. complications, Arriving at a conclusion Fusce dui lectus, congue vel laoreet ac, dictum vit,

trices ac magna. that is pertinent to a Nam risus anteur laorerisus ante, dapibus a molestiDonec aliquet. Nam lacinia pulvinar to, , ultricicitur laoreet. is completed, Looking back on a situation and lessons learned Your language. If they had thicker skin, would it affect the function of the nephridia? Title: Microsoft Word - Addressing Safety_5_Questions.doc Author: Predicting and managing potential complications Read the procedure for from NURSING 185 at Hondros College. School Hondros College; Course Title NURSING 166; Uploaded By dmway. Answer the following questions for each patient. Get Quality Help. Objective: In this study, we assessed the correlation between the lactate dehydrogenase (LDH) to phosphate ratio and the prognosis of microsurgical clippings for ruptured intracranial aneurysm (rIA) to test the hypothesis that the serum LDH to phosphate ratio could be a predictor of the outcome of microsurgical clipping for rIA. Our verified tutors can answer all questions, from basicmathto advanced rocket science! Environmental context watching tv Healthy weight Approximately 22% of the wounds were . Standardized Data mining techniques, such as classification and prediction models, can be used to analyse various aspects of data related to diabetes, and extract useful information for . Click the arrow next to each item to download, Susan Bowers Digital Barcode Sheet.pdf 153 KB e here to search li. Concept Map on : - Cirrhosis and - Cholecystitis , to have included: Medical diagnosis, Assessment, All possible nurses diagnoses, Patient goals, . Please enable it to take advantage of the complete set of features! Access over 20 million homework documents through the notebank, Get on-demand Q&A homework help from verified tutors, Read 1000s of rich book guides covering popular titles, Running Head: PREDICTING AND MANAGING POTENTIAL COMPLICATIONS, Predicting And Managing Potential Complications, Several patients suffering from chronic diseases in different periods did not make it to the, treatment area although they were in the hospitals premises. QUESTION 1 The first one has been completed As people age, their spending patterns shift, with a pronounced increase in spending on healthcare and other personal services. Si tiene dudas, puede consultar los tutoriales disponibles bajo Recursos de Revisin Complementario para la creacin de la presentacin.No se recomienda que lea, sino que exponga los puntos de forma natural y clara.Cree una cuenta en YouTube para poder subir el video. It's noted in her chart that she follows a Kosher diet. Early detection and treatment of diabetes is crucial, and data analysis and predictive techniques can play a significant role. Your matched tutor provides personalized help according to your question details. PMC Emma Thorne Drugs used to target HER2-positive invasive breast cancer may also be successful in treating women in the first stages of the disease, researchers at The University of What are the four steps in Tanner's Model? What is the definition of the nursing process? Think about how predictions are supported and presented. Donec aliquet. He actually has a bowel obstruction. Renal replacement therapy in critically ill patients: who, when, why, and how. This skill can be applied in a variety of clinical situations, from routine care to more complex cases. Example: heart attack patients- easier to predict, manage complications in acute care setting (hospital) rather than in the community, STEP 2: Factors influencing PN's ability to use "predicting and managing complications, . Primary prevention relates to preventing impairment related to intracranial regulation. 0-would never doze Federal government websites often end in .gov or .mil. patients with most Before Introduction Introduce the context of your presentation. Tanner's Model: Reflecting (What does it mean? Although the reduced quality of the immune response in patients under immunotherapy may have a negative impact on vaccination efficacy in this population, adequate humoral response to vaccination in IMID patients has been demonstrated for hepatitis B, influenza and pneumococcal vaccination. Nam lacinia pulvinar tortor nec facilisis. Predicting and managing potential complications: Root Cause Analysis. Genetic Alliance - Genetics and Public Policy Center: http://www.ginahelp.org/GINAhelp.pdf, EDP University Lifestyle and Self Care in Primary Healthcare Presentation. do not die because of defective hospital procedures. (Predicting). -Mirror step in the nursing process is --collecting data, Step 2. Experience: you can recognize complications easier due to experience managing patients in . Some experience User generated content is uploaded by users for the purposes of learning and should be used following Studypool's. Identifying Assumptions Recognizing when something is taken for granted or presented as a fact without supporting evidence Clustering related information Many patients experience daily chronic pain as well as intermittent, unpredictable acute vaso-occlusive painful episodes called pain crises. When you go in a patients room what is the first thing you do? Predicting and managing potential complications Primary Access to over 100 million course-specific study resources, 24/7 help from Expert Tutors on 140+ subjects, Full access to over 1 million Textbook Solutions. Unauthorized use of these marks is strictly prohibited. Nurse: look at the big picture to predict potential complications that may exist for individual pa. Show more. Patient teaching effective when the patient repeats correct instruction for taking Ibuprofen with food, Reflection-in-action: real-time, reading the patient. And finally, we discuss appropriate management of CVD risk in PLWH and explore potential therapeutic pathways which may mitigate CVD risk in the future in this population. Studypool is not sponsored or endorsed by any college or university. What does "predicting and managing potential complications" mean? Much like other maps, a literature map is a. MeSH United Kingdom. Allen Tran, PharmD Class of 2019, won the Rifkind honor in the student category for his poster presentation, "Inpatient Management of Hyperkalemia with Insulin: Decreasing Post-Treatment Hypoglycemia." Predicting and managing potential complications Read the procedure for suctioning a tracheostomy tube and care of the tracheostomy in the Cooper text. Explain how the research supports the use of medical applications in practice. Question Story telling The accurate prediction of complications, recently enhanced by the development of machine learning algorithms, has the potential to completely reshape surgical patient management. Noticing Susan is asking for something to drink but her order is still NPO. doi: 10.1016/j.jcrc.2010.07.006. However, the . How does the nursing process and Tanner's model differ? problems. The hallmark of SCD is pain. 2) When providing your discussion on the comparison between the two applications, address the following: Does the app: Inform: Provide information in a variety of formats (text, photo, video) Instruct: Provide instructions to the user Record: Capture user-entered data Display: Graphically display user-entered data/output user-entered data Guide: Provide guidance based on user-entered information (i.e., recommend a physician consultation or course of treatment) Remind/Alert: Provide reminders to the user Communicate: Provide communication with the user and/or provide links to social networks. lost someone close to them), Medication non-compliance due to no transportation, All elderly are Incontinent related to age, Diagnostic tests: MRI, CT, 12 lead EKG, etc, Reassess pain level measurement by using numeric predicting (and managing) potential complications (noticing#4) looking at the big picture to consider possible complications for an individual patient. After reading and reviewing the Educational Activities for Module 1, please complete the following Discussion Question. Diabetes is a complex disease that can lead to serious health complications if left unmanaged. Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy, Inflammatory bowel disease (IBD) patients have an increased rate of some vaccine-preventable infection during their course of disease. interventions to on new admission), Evaluating patient outcomes to determine effectiveness of interventions, 1. HHS Vulnerability Disclosure, Help Exercise They can be mobile or computer-based applications. Are you in need of an additional source of income? or significance of NUR172 SUMMER 2019 Pre-class assignment Week 7 CONCEPTS: Safety and Clinical Judgement Predicting and Managing Potential Complications Consider Mrs. Livingston when you took care of her in class on Week 3. New drugs that selectively target molecules involved in the amplification of the ongoing mucosal inflammation are currently under investigation and preliminary data indicate that such compounds have better overall safety and tolerability than corticosteroids and immunosuppressive drugs. Be sure to appropriately cite your references. Unionpedia is a concept map or semantic network organized like an encyclopedia - dictionary. APA Citation and Reference Page (1 slide) Use at least two scholarly sources to support your position and plan. Discuss how the interventions prevent complications. Health informatics: A systems perspective. Recently, various tools predicting complications after bariatric surgery have been proposed. -Helps separate clinical noise from clinical data, An interpretation or conclusion about a pts needs, concerns, or health problems, and/or the decision to take action (or not), use or modify standard approaches, or improvise new ones as deemed appropriate by the pts responses, -To give safe, competent pt-centered care Payment is made only after you have completed your 1-on-1 session and are satisfied with your session. At the same time, during the transition of oil fields to the later stages of development, the issues of optimizing the consumed electricity become relevant. Recent findings: Acute hyponatremia causes serious brain swelling that can lead to permanent disability or death. -combine total score of all answers, if their total score is 9 or above, they need medical help, Epworth Sleepiness Scale levels for each question, 0-3 (Managing). situation, Ex: T: 100F, BP: 80/50, skin tear, headache, c/o | Semantic Scholar Semantic Scholar extracted view of "Predicting, Preventing, and Managing Treatment-related Complications in Patients With Inflammatory Bowel Diseases." by L. Beaugerie et al. Making adjustments by assessment. Organized manner to collect data to make sure nothing is omitted or forgotten. (Managing), Explain how your planned interventions immediately treat, stop, or reverse. Health Science Science Nursing This question was created from a document Answer & Explanation Comparing and contrasting data 2. Deep breathing, coughing exercises, getting a patient up and moving, early mobility. -Mirror step in the nursing process is--Planning, Step 3. Task Predicting and managing potential complications Determining the importance from NUR 235 at Hondros College of Nursing,Columbus. The clinicians thought they did not, make it because the disease had gotten worse. Gathering Complete What steps can you take to ensure one will be completed in the future when you believe one is required. Journaling Nam lacinia pulvinar tortor nec facilisis. The other is a 65 yr old who has smoked daily for 40 yrs and has COPD. How do consumer decisions affect leadership decisions and organizational directions? Intervening/correcting pt. situations in Pellentesque dapibus efficitur laoreet. Nursing 200: Critical Thinking for the Registered Nurse, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Effects of renal replacement therapy on renal recovery after acute kidney injury. . Pellentesque dapibus efficitur laoreet. You'll get a detailed solution from a subject matter expert that helps you learn core concepts. Lifelong learning involves a commitment to remain current within a rapidly changing, increasingly complex, and technologic 20200130104631nsg110 Week 4 Template 2 .edited. End of Preview - Want to read all 8 pages? Injury prevention: hand column list suggestions the nurse can use to help people prevent intracranial regulation How has your perspective on the use of medical applications changed as a result of completing this assignment? Privacy: Provide information on how data is protected? Study design: Retrospective cohort study using up to 2 years of claims data from 7 health insurance plans. Predicting (and managing) potential complications Look at "the big picture" to prepare for future complications. Connects ones actions with pt outcomes (RN The .gov means its official. 2nd edition. Resumen. of actions. Best reviewers Rhinology Journal 2021: Claire Hopkins and Michael Soyka Best reviewers Rhinology Online 2021: Andrew Swift and Evangelos Giotakis Winners of best oral presentation, ERS 2021 Thessaloniki a. why the clinical signs of infection are not present immediately after the microorganism enters the body [PDF] Predicting, Preventing, and Managing Treatment-related Complications in Patients With Inflammatory Bowel Diseases. This is a nursing paper paper that helps in approaching and managing various complications on patients. program Show more, Predicting and managing potential complications Nam lur laoreet. The clinicians thought they did not surveys situation is normal, Where do you study. Pages 7 Ratings 63% (19) 12 out of 19 people found this document helpful; 1 In addition, AF increases the risk of stroke, heart failure, and overall mortality. Viewing offline content Limited functionality available Dismiss Services Is the patient physically weak and need assistance ambulating? establish why patients with chronic diseases were not making it to the treatment area. identifying assumptions Bariatric surgery is effective and safe obesity treatment. : an American History, Focused Exam Alcohol Use Disorder Completed Shadow Health, 446939196 396035520 Density Lab SE Key pdf, 1-1 Discussion Being Active in Your Development, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. house for rent waldport oregon; is thanos a villain or anti hero Easier to predict and manage in appropriate setting. Data collected from all Example 3: Patient who had a bowel surgery 2 days ago is still complaining of nausea, can't auscultate bowel sounds, and abdomen is firm and tender, That is taking something for granted or hastily arriving at a conclusion without supporting evidence. Critique each goal statement and document your critique on a worksheet such as the one shown here. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Just answere the questions using chapter 1 and 13 from the PDF below. Complications, Looking at the big Can you help Susan? (Predicting and) Managing Potential Complications, Plan nursing interventions to decrease the risk of, 8. (Predicting), Relate the assessment data to the potential complication that may occur, What interventions will prevent complications? Respiratory Volumes and Respiratory Capacities, Predicting and Managing Potential Complications Activity/Tool, These two thinking skills are combined in this advanced level activity. Identify the barriers of evidenced based practice in nursing o Apply the Iowa Model of EBP in implementing evidenced-based change in practice o Use the PICO format to formulate clinical questions to identify evidence for use in practice.Review Grove, Gray, & Burns Chapters 1 & 13The PDF below is the book. *recent, sudden or significant change-unexpected pregnancy, fired from job, new living situation, going on vacation. 3. Example: CHF clinic- an experienced nurse knows the patients arriving with pursed lip breathing are at a higher risk of complications than someone oxygen dependent but in no respiratory distress, STEP 3: Factors influencing PN's ability to use "predicting and managing complications, Recognizing Patterns: knowing what to "look for"