Fundamental Nursing Skills and Concepts
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24 terms
Terms | Definitions |
|---|---|
 SKILLS | 1. Assessment 2. Caring Skills 3. Counseling Skills 4. Comforting Skills |
| Assessment | Data Collection |
| Empathy | perceive clients emotional state and support and must be detached. |
| Sympathy | Feeling emotionally distraught as the client |
| Nursing Process | an organized sequence of problem solving steps used to identify and manage health problems. |
| ADDPIE | Nursing Process: Assessment Data Collection Diagnosis Planning Implementation Evaluation |
| Evaluation Characteristics | Must be in the legal scope of nursing Based on Knowledge - Requires Critical Thinking Planned: Organized and systematic Client Centered - Advocate - Patient has to be part of it. Goal Directed - Has to be reasonable Prioritized - Maslow - what's most important Dynamic - Constantly Changing |
| Data Collection | LPN's and RN's have different responsibilities related to the nursing process but the RN still responsible for data collection. |
| Subjective Data | Only information clients feels and describes ex: pain, nausea, dizzy, constipation |
| Objective | Observable and measurable fact ex: Weight, BP, pulse, respirations |
| Data Sources | Primary Source: Patient Secondary Source: Family, reports, test results |
| Data Base Assessment | Comprehensive. Obtained at admission and physical exam. |
| Focus Assessment | Specific, expanded information. Focus on one specific area of speciality |
| Nursing Diagnosis | A health issue that can be prevented, reduced, resolved or enhanced through independent nursing measures. |
| NANDA | North American Nursing Diagnosis Association |
| Diagnosis Statements | Name of health related issues or problems as identified in the NANDA list. |
| Planning | Prioritizing nursing diagnosis. Collaborative problems with others Measurable goals with the patient |
| Short Term Goal | A few days to a week and must have a target date |
| Long Term Goal | Weeks or months |
| Nursing Orders | Directions for a clients care |
| Standards of Care | Policies that indicate which activities will be provided to ensure quality client care |
| Implementation | Carrying out the plan of care |
| Evaluation | The way in which nurses determine whether a client has reached a goal. |
| Concept Mapping | A method of organizing information into graphics or pictorial form. |
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