(Muskus)
6 steps of nursing process - ANSAssessment
Diagnosis
Outcome identification
Planning
Implementation
Evaluation
Assessment - ANSInterview, health history, ROS, physical examination, functional
assessment, spiritual and cultural assessment
Subjective data - ANSWhat patient SAYS
Objective data - ANSWhat you OBSERVE
SMART component in outcome identification - ANSSpecific
Measurable
Attainable
Relevant
Time bound
First level priority - ANSEmergent situations, life threading and needs immediate attention
Second level priority - ANSRequires attention to avoid further deterioration
Third level priorirty - ANSCan be addressed after more important problems are addressed
Complete total health Database - ANSFull health history, and physical exam
Yields first diagnosis
Current and past health state
Focused or problem centered database - ANSLimited and short term problems
Concerned with mainly one problem, or one body system
Follow up database - ANSFollow up care to evaluate if problem is getting better or worse
Emergency database - ANSRapid urgent collection of data
Radio diagnosis
Primary prevention - ANSPreventing health problems
Ex: vaccines, safety glasses