Hypothermia

 

Instructions: Fill out this form, print it, and hand it in with your assessment to your instructor. When you click on Next at the bottom of the page, you see the data you submitted. Please follow the instructions on how to save the data on the next page.

AOL users: Read this instruction.

Definition: state in which an individual's temperature is reduced below the normal range

1. Your initials (required): 

2. Defining Characteristics- check those that apply to your client:

None- high risk diagnosis  temperature below normal range  cool skin  cyanotic nail beds  pallor shivering  slow capillary refill 
3. Related Factors- check those that apply to your client:

prolonged exposure to cold environment trauma decreased basal metabolic rate inadequate clothing inactivity
medications causing vasodilation illness


4. Goal (ultimate, long term) 

5. Outcome Criteria (short term) 

6. Evaluation: Was the outcome criteria met? 

Yes- Give Evidence: 

No- Explain how you would change the plan: 

7A. Interventions 

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7B. Rationale for each intervention
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