HAS

• Other members of the healthcare team may participate in various parts of the data collection process during an initial comprehensive assessment
• Health Assessment is an essential nursing function providing the foundation for quality nursing care and interventions
• The Nursing Process is a systematic, organized method of planning and providing quality and individualized nursing care
• The Nursing Process involves phases like Assessment, Diagnosis, Planning, Implementation, and Evaluation
• The four basic types of assessment are:

  • Initial comprehensive assessment
  • Focused or problem-oriented assessment
  • Time-lapsed Assessment
  • Emergency assessment
• Focused assessment fully exposes and treats the medical issue, relieving the patient from pain and stabilizing their condition
• Emergency assessment evaluates the patient's airway, breathing, circulation, and the cause of the problem during emergency procedures
• Nursing Diagnosis is a clinical judgment concerning human response to health conditions, life processes, or vulnerability that the nurse is licensed and competent to treat
• Health Assessment is an essential nursing function providing the foundation for quality nursing care and interventions
• Nursing Process phases: Assessment, Diagnosis (Nursing), Planning, Implementation, Evaluation
• The Nursing Process is a systematic, organized method of planning and providing quality and individualized nursing care
• The four basic types of assessment in nursing: Initial comprehensive assessment, Focused or problem-oriented assessment, Time-lapsed Assessment, Emergency assessment
• Nursing Diagnosis is a clinical judgment concerning human response to health conditions, life processes, or vulnerability for that response by an individual, family, or community that the nurse is licensed and competent to treat
• Medical Diagnosis focuses on illness, injury, or disease process, while Nursing Diagnosis focuses on responses to actual or potential health problems or life processes
• Types of Nursing Diagnosis recognized by NANDA-I: Problem-focused (actual) Nursing diagnosis, Risk Nursing diagnosis, Syndrome Nursing diagnosis, Health Promotion Nursing diagnosis
• Freud's superego is the moral component of the psyche, representing internalized societal values and standards
• Nursing Diagnosis Domains:

  • Domain 1: Health Promotion
  • Domain 2: Nutrition
  • Domain 3: Elimination & Exchange
  • Domain 4: Activity/ Rest
  • Domain 5: Perception/ Cognition
  • Domain 6: Self-perception
  • Domain 7: Role Relationships
  • Domain 8: Sexuality
  • Domain 9: Coping/ Stress tolerance
  • Domain 10: Life Principles
  • Domain 11: Safety/ Protection
  • Domain 12: Comfort
  • Domain 13: Growth/ Development
• Nursing Diagnosis Components:

  • Problem/ Diagnostic label
  • Related factors/ Etiology
  • Defining characteristics (Signs & Symptoms)
• Maslow's Hierarchy of Needs prioritizes basic physiological needs, safety and security, love and belonging, self-esteem, and self-actualization
• Subjective data can only be elicited and verified by the client, providing clues to possible physiological, psychological, and sociologic problems
• Schaffer and Emerson's 1964 study on attachment:

  • Aim: identify stages of attachment / find a pattern in the development of an attachment between infants and parents
  • Participants: 60 babies from Glasgow
  • Procedure: analysed interactions between infants and carers
  • Findings: babies of parents with 'sensitive responsiveness' were more likely to have formed an attachment
• Freud's superego is the moral component of the psyche, representing internalized societal values and standards
• Interacting with seductive clients: set firm limits on overt sexual behavior, report inappropriate behavior to a supervisor
• Pulse deficit is a condition where the apical pulse rate is greater than the radial pulse rate, indicating a heart condition like atrial fibrillation
• Factors affecting oxygen saturation include infection, disease, peripheral perfusion, and activity