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Since the lesions are small, correct placement of the electrode requires information of the topography of the target nerve tissues and surgical precision (Lord and Bogduk, 2002) Documentation ought to include: � Pre-procedural documentation should include a complete initial analysis together with history and an appropriately focused musculoskeletal and neurological physical examination. Logan, Mortality from Fog in London, January, 1956, Journal of Occupational and Environmental Hygiene,vol. In industrialized countries; youngsters underneath 5 and young adults have the best incidence of illness. Background Approximately three,500 individuals worldwide now undergo heart transplantation yearly with no less than forty% of recipients experiencing at least one episode of rejection in the first yr after transplantation (Stehlik, Edwards et al. 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Diagnosis Nursing Diagnoses � Decreased cardiac output related to structural issues secondary to cardiomyopathy or dysrhythmia � Ineffective cardiopulmonary, cerebral, peripheral, and renal tissue perfusion associated to decreased peripheral blood fiow � Impaired fuel exchange associated to pulmonary congestion secondary to myocardial failure � Activity intolerance related to decreased cardiac output or extreme fiuid volume, or both � Anxiety associated to the change in health standing and in position functioning � Powerlessness related to illness course of � Noncompliance with medicine and food plan therapies Collaborative Problems/Potential Complications � Heart failure � Ventricular and atrial dysrhythmias � Cardiac conduction defects � Pulmonary or cerebral embolism � Valvular dysfunction Cardiomyopathies 211 Planning and Goals the most important objectives for sufferers embrace improvement or maintenance of cardiac output, increased activity tolerance, reducC tion of hysteria, adherence to the self-care program, increased sense of power with choice making, and absence of complications. 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