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17 Cards in this Set
- Front
- Back
Assessment |
Collecting subjective and objective data. |
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Diagnoses |
Analyzing subjective and Objective data |
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Planning |
Determining outcome criteria and developing a plan |
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Implementation |
Carrying out the plan |
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Evaluation |
Assessing whether the desire outcome has been met. |
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Purpose of Health Assessment |
collect holistic subjective and objective data to determine a client's overall level of functionings. |
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ADL |
Activities of Daily Living |
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Focus of Health Assessment |
how the client's health status affects activities of daily living and how those activities of daily living affects the client's health. |
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Medical Assessment |
focused only on clients physiologic status |
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Assessment |
is the first and most critical phase of the nursing process |
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Initial Comprehensive Assessment |
involves collection of subjective data about the client's perception of his or health (family history, patient health history) |
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Ongoing or partial assessment |
consist of data collection that occurs after the comprehensive dats is established. |
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Focused or problem-oriented assessment |
It consist of a thorough assessment of a particular client problem and does not address not related to the problem. |
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Emergency Assessment |
A very rapid assessment that is performed in life threatening situations |
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Validating Objective data |
to ensure that the assessment process is not ended before all relevant data have been collected, and helps to prevent documentation of inaccurate data |
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Documenting data |
it forms the database for the entire nursing process and provides data for all other members of the health care team. |
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Nursing Diagnoses |
provides the basis for selecting nursing intervention to achieve outcomes for which the nurse is accountable. |