Save
PRELIM 1st yr 2nd sem
HAS
2nd Week
Save
Share
Learn
Content
Leaderboard
Learn
Created by
z
Visit profile
Cards (29)
Diagnosis
Formulate
the
Nursing
Diagnosis
Identify
the
problem
Analyze
Time-lapsed
Assessment - Several months
after initial assessment
Evaluation
- Determine if goals are met or not, assesses effectiveness of nursing intervention
Nursing Intervention
- Action taken by the nurse to achieve desired outcome.
INITIAL
ASSESSMENT - performed after admission
Problem-focused
assessment - Ongoing process
integrated with nursing care
EMERGENCY
ASSESSMENT -During any physiological or psychological crisis of the client
Primary
source - client or family
Secondary
source - Physical exam, nursing history, team members, lab reports, diagnostic tests
HEALTH ASSESSMENT
-Review of systems
Nursing diagnosiis
- can change from day to day
Medical diagnosis
- stays the same as long as the disease is present
Actual
- the problem is already existing
Risk
- The causes that can make the problem become
present are already there
Wellness
- The patient is not ill, the patient is well
Possible
- The patient has the tendency to develop the
problem
Syndrome
- composed of 2 or more problem
Problem Statement
-The client’s response to a
problem
Etiology
▪ What’s causing/contributing to the
client’s problem
Defining Characteristics
or S/S
▪ what’s the evidence of the
problem
Planning
- expected outcomes are identified
Planning
- priorities can change
SMART
S -
Specific
M-
Measurable
A -
Attainable
R-
Realistic
T -
Time-bounded
Intial planning
- Admission; short and quick
Ongoing
- Confinement; day to day planning depending to the type of the problem the patient is presenting
Dischage Planning
- before discharge
Short-term
goals - if the patients problem wil last no longer than
6
months
Long-term
goals - if the patient's problem will last for more than
6
months
Evaluation
- examines if nursing interventions are working