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Related Flashcards
Related Topics
Cards In This Set
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Collect and analyze data pertinent to patient's health
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Assessment
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Identification of actual or potential health needs
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Diagnosis
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Clinical judgement about a person's response to an actual or potential health state
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Nursing diagnosis
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Complete head to toe assessment inpatient setting- admission to hospitaloutpatient setting- annual physical/ well child care
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Comprehensive assessment
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"mini database" one problem one cue complex or one body sys history and examination hospital nurse's shift assesmentoutpatient- acute illness or injury
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Focused of problem specific assessment
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Re- evaluation, checking up on medication, regular and appropriate intervals short term or chronic health issues
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Follow up assessment
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Rapid assessmentER ominous change in hospitalized patient with lifesaving measures
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Emergency assesment
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What the client tells you- historysymptoms EX i threw up yesterday
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Subjective data
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What the nurse can see, hear, feel or measure in some way- physical exam signs if you see the throw up
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Objective data
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Process of analyzing health data and drawing conclusions to identify diagnosis
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Diagnostic reasoning
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Absence of disease
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Biomedical model of health
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Mind body and spirit functioning as a whole
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Holistic model of health
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Dynamic process of moving toward optimal functioning
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Wellness
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Sickness. disease, ailment- physical, psychosocial or spiritual
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Illness
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NutritionactivityrestSES (socioeconomic status)occupation environmentage
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Lifestyle impacts on health
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