the way nurses cluster data into similar groupings to determine patient need or a nursing diagnosis
An organizational framework for the practice of nursing. It encompasses all steps taken by the nurse in caring for a patient: assessment, nursing diagnoses, planning (with goals and outcome criteria), implementation of the plan (with patient teaching), and evaluation.
involves collecting objective and subjective data.
information (data) that is detectable by an observer or can be tested against an accepted standard; can be seen, heard, felt, or smelled
Things a person tells you about that you cannot observe through your senses; symptoms
is performed shortly after the patient is admitted to a healthcare agency or service.
The part of the assessment process in which problems are reevaluated and responses to treatment are assessed.
independent nursing actions
nursing actions that may be performed based on the nurse's own clinical judgement
choosing a goal and developing a strategy to achieve that goal
Likely condition of a client at the end of therapy or of a disease process, including the degree of wellness and the need for continuing care, medications, support, counseling, or education.
the act of implementing (providing a practical means for accomplishing something)
effective therapeutic regimen management
patient is willing to regulate and integrate into daily living the treatment regimensuch as the self-administration of medicines.
ineffective therapeutic regimen management
a patient may not be taking the medication correctly or following the medication regimen prescribed by the primary health care provider
nurse diagnose related to lack of exposure to information
patients inability or refusal to follow prescribed orders
The condition of feeling uneasy or worried about what may happen
(n) the act of judging the value or worth of; the result of evaluating; a judgment or appraisal
the activities of educating or instructing or teaching
the cognitive process of acquiring skill or knowledge
a need or desire that energizes and directs behavior
intellectual activities such as thought, recall, decision making, and drawing conclusions
objectives focusing on attitudes and feelings
the "skill" domain, includes motor skills such as giving an injection