Term
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Definition
Patricia Was Employed, Quite Useless
P - Patient-centered care
W - Work in interdisciplinary team
E - Employ best practices
Q - Quality Improvement
U - Utilize informatics |
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Term
| Nursing Diagnosis: 3 categories |
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Definition
Actual nursing diagnoses
Potential (or risk) nursing diagnoses
Collaborative Problems |
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Term
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Definition
A health problem that requires both medical and nursing interventions.
This is a problem that is "shared" with another discipline
Nurses monitor for and intervene to reduce complications |
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Term
| Writing a Nursing Diagnosis |
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Definition
PES
Problem- NANDA label
Etiology- "related to" factors
S/S - defining characteristics, AEB or AMB |
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Term
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Definition
Only an RN can do this
Does NOT relate to each intervention implemented.
One overall statement for each problem that related directly to goal or outcome.
Goal met, goal partially met, goal not met |
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Term
| Which type of problem is it? |
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Definition
Identify the problem
Can the nurse treat this problem independently?
Yes - Nursing diagnosis
No - Collaborative problem |
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Term
| Differences between Nursing Diagnosis and Collaborative Problems |
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Definition
ND - ONLY the nurse prescribes the treatment
CP - treatment comes from both nursing and medicine or other discipline |
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Term
| Collaborative Problem Format |
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Definition
| Potential Complication (PC) |
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Term
| Collaborative Problem Examples |
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Definition
MI - PC: Dysrythmia
Loop Diuretic - PC: Hypokalemia
Cardiac Catheterization - PC: Hemorrhage |
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Term
| Guidelines for Outcomes/Goals |
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Definition
Realistic statement that is Client/Family focused
This will be realistic for while I am with the patient.
Behaviorally stated AND measurable
Each goal must have a timeline
Preference is for a 24-hour plan NOT my shift, same day
Use measurable words |
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Term
| Measurable Words for Nursing Diagnosis |
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Definition
Verbalizes
States
Performs
Demonstrates
Lists |
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Term
Goal for Collaborative Problem
Nurse Focused
Example: |
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Definition
PC - Pneumonia
Goal: "The nurse will monitor to detect symptoms of pneumonia and communicate/collaborate with the health care team DHS" |
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Term
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Definition
Cognitive
Psychomotor
Affective |
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Term
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Definition
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Term
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Definition
Generalized health promotion activities
Specific actions that prevent or delay occurrence of a disease |
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Term
Primary Prevention
Examples |
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Definition
Reduce exposure to environmental risks
Eating nutritional foods
Obeying seat belt laws
Practicing safe sex
Obtaining immunizations
Genetic screenings
Eliminating the use of alcohol and tobacco |
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Term
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Definition
| Activities that emphasize early diagnosis and treatment of an illness to stop the pathologic process and enable person to return to his/her former state of health ASAP. |
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Term
Secondary Prevention
Examples |
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Definition
Disease screening: diabetes, hypertension, glaucoma
DIagnostic tests for cancer
Breast/testicular self-exam
TB skin tests
Specific treatment for illness |
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Term
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Definition
| Focus is on stopping the disease process and returning the affected individual to a useful place in society within the constraints of the disability. |
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Term
Tertiary Prevention
Examples |
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Definition
Obtaining medical or surgical treatment for an illness
Enrolling in rehab for head injuries, strokes, etc.
Joining work training programs following illness/injury |
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Term
Nursing is concerned with:
Medicine is concerned with: |
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Definition
Nursing: illness
Medicine: Disease |
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Term
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Definition
| Response a person has to a disease |
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Term
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Definition
| Medical term describing alterations in structure and function of the body or mind. |
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Term
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Definition
| "State of complete physical, mental, and social well-being and not merely the absence of disease or infirmity." |
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Term
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Definition
| All aspects of a person: physical, psychosocial, cultural, spiritual, and intellectual, are considered as essential components of individualized care. |
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