ch 5 fundies

everytime pnt changes into new department

-cognitive
-psychosocial 
-emotional
-cultural
-spiritual components

physical examination on ALL body systems - full completed assessment

focus assessment - on one area - solely on that certain thing

*patient C/O abdominal pain*
-location - where
-duration - how long&#039;s it been going on 
-characteristics - sharp or stabbing 
-triggers - when you eat, or sleep ..
-prior treatment - what have you done before to help this

-assess
-diagnose 
-plan &amp; identify outcomes
-implement
-evaluate

gather information about the patients condition

diagnose -(what you think is going on, come up with diagnosis in your head)

set goals of care and desired outcomes and identify appropriate nursing actions

plan and identify outcome -(now that we think we know what&#039;s wrong, what are we going to do,what will be outcome)

perform the nursing actions identified in planning

implement -(what all do we need to set up for this patient to get our goals met)

Study with Quizlet and memorize flashcards containing terms like nursing process, complete assessment, review history and more.

ch 5 fundies Flashcards

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