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6 Cards in this Set

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Assessment
is gathering and organizing data in relation to the patient's health status. Continually updating data, as in checking temperature.
Nursing Diagnosis
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.
Evaluation
is assessing the patient's response to nursing care including progress toward the expected outcome (patient-centered goals)
Planning
is determining the expected outcomes (patient- centered goals) and formulating specific strategies to achieve the expected outcomes.
Implementation
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
Nursing Diagnosis more in depth.
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