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6 Cards in this Set
- Front
- Back
Assessment
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is gathering and organizing data in relation to the patient's health status. Continually updating data, as in checking temperature.
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Nursing Diagnosis
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is derived from data gathered during the assessment. Health problems or potential health problems are identified and formulated into nursing diagnosis. example: Ineffective Breathing Patterns related to ascities.
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Evaluation
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is assessing the patient's response to nursing care including progress toward the expected outcome (patient-centered goals)
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Planning
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is determining the expected outcomes (patient- centered goals) and formulating specific strategies to achieve the expected outcomes.
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Implementation
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is initiating and completing nursing actions/interventions designed to move the patient toward the expected outcomes related to health promotion, health maintenance, and health restoration
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Nursing Diagnosis more in depth.
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Nursing Diagnosis is the basis for planning nursing interventions that help prevent, minimize or aleviate specific health issues. it's written in a format called "PES"
P-Problem E-Etiology or cause of problem S-Signs and Symptoms of problem |