nibbles.html

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    <div class="center sliding">What to Include in Plan</div>
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        <div class="content-block-title">NIBBLES approach:</div>
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            <li><span><span class="firstLetter">N</span>eurological Level:</span> include AIS</li>
            <li><span><span class="firstLetter">I</span>mmobilization:</span> any spinal orthoses, extremity orthoses/splints/wraps? (to prevent contracture, facilitate stability, promote tenodesis, etc.) place nursing communication</li>
            <li><span><span class="firstLetter">B</span>ladder:</span> appropriate UMN vs LMN orders</li>
            <li><span><span class="firstLetter">B</span>owel:</span> appropriate UMN vs LMN orders</li>
            <li><span><span class="firstLetter">B</span>lood Pressure:</span> consider orthostatic hypotension</li>
            <li><span><span class="firstLetter">B</span>one:</span> vitamin D level, supplementation prn</li>
            <li><span><span class="firstLetter">L</span>ungs:</span> include orders for nebulizers, ventilator settings, chest perccusion, post drainage and insufflator use if any needed</li>
            <li><span><span class="firstLetter">E</span>mbolism / <span class="firstLetter">E</span>xtremities:</span> DVT Prophylaxis</li>
            <li><span><span class="firstLetter">S</span>kin:</span> wound care orders, turning schedule, also Lac-hydrin if dry skin</li>
            <li><span><span class="firstLetter">S</span>exuality:</span> include any sexual dysfunction</li>
            <li><span><span class="firstLetter">P</span>ain:</span> neuropathic? nociceptive? visceral?</li>
            <li><span><span class="firstLetter">M</span>SK:</span> include any pertinent MSK concerns. Assess for heterotopic ossification</li>
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