Documentation Guidelines

• Physical findings: Urinary output (if any) and description of urine, fluid balance, vital signs, findings related to complications of CRF, presence of pain or pruritus, mental status, GI status, skin integrity

• Condition of peritoneal or vascular access sites

• Nutrition: Response to dietary or fluid restrictions, tolerance to food, maintenance of body weight

• Complications: Cardiovascular, integumentary, infection

• Activity tolerance: Level of fatigue, ability to perform activities of daily living, mobility

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