used by health care professionals Intuitive Problem Solvingunderstanding of a situation based on background, knowledge and skill Developing Cognitive Skills Critical thinking: a systematic way to form and shape one’s thinking. Describe the purpose of nursing observation, interview, and physical assessment. Determine patient’s current responses (physical and emotional) 2.Tags: New Graduate Pta Cover LetterEssays The Importance Of Attending CollegeEssay On HealthWhich Is The First Step Of The Writing Process For A Process EssayStructure Of Critical Review EssayPro Con Gun Control Essay
Cue: used to denote significant data or data that influence this analysis data cluster: a grouping of patient data or cues that points to the existence of a patient health problem (patterns or trends) diagnosing diagnostic error defining characteristics: subjective and objective data that signals the existence of the actual or potential health problem health problem: a condition that necessitates intervention to prevent or resolve disease or illness or to promote coping and wellness medical diagnoses : Identify diseases nursing diagnoses: actual/potential health problem that can be prevented/resolved by independent nursing intervention possible nursing diagnoses risk nursing diagnoses standard: a norm, a generally accepted rule syndrome nursing diagnoses wellness diagnoses o Nursing diagnoses provide the basis for selecting nursing interventions that will achieve valued patient outcomes for which the nurse is responsible o Be sure to ask patients what they believe their most important problems or issues are and have them confirm what your assessment is revealing and help you prioritize the resulting list of diagnoses Chapter 16: Outcome Identification and Planning o o o o Establish Priorities Identify and write expected patient outcomes Select evidence-based nursing interventions Communicate the plan of nursing care Key Points After completing the chapter, you will be able to accomplish the following: 1.
Describe the purpose and benefits of outcome identification and planning.
Reaching Conclusions (based on evidence) o No problem o Possible Problem - Collect more data to validate suspicion o Actual or Potential Nursing Diagnosis - Begin Planning, implementing, and evaluating care designed to prevent, reduce or resolve the problem o Clinical Problem Other Than Nursing Diagnosis - Collaborative Problem 5.
Use the guidelines for writing nursing diagnoses when developing diagnostic statements. Problem (make sure it suggests patient outcomes) 2.
Bathing/Hygiene Self-Care Deficit related to fear of falling in tub and obesity)OR written as a three part statement that also includes the problem’s defining characteristics: (i.e. Actual: problem that has been validated by the presence 2.