~: comprehensive, episodic or problem-focused, emergency
comprehensive assessment
~: (initial) results in baseline data for problem identification and care planning, time consuming,
complete, all aspects of preventive health/physical disease
episodic/problem-focused assessment
~: based on the patient's health issues, involves one or two body systems. smaller scope, but
more in depth
What is the nursing process?
~: systematic problem-solving approach to identifying and treating human responses to actual or
potential health difficulties. patient centered and focuses on problem solving and inhaling
strengths. uses ADPIE
emergency assessment
~: involves life threatening or unstable situation, traumatic injury, uses ABCDE
ABCDE
~: airway, breathing, circulation, disability, and exposure
, Elscores 8/18/2024 6:16:34 PM
ADPIE
~: assessment of patient, nursing diagnosis, planning care, implementing and then evaluating
patients status
implementation
~: collaboration with other team members, involvement of patient and family, actually doing the
phase
evaluation
~: how effective is nursing care and each phases affects the other
nursing diagnosis vs medical diagnosis
~: medical focuses on diagnosis and treatment of disease whereas nursing focuses on the
human response to actual or potential health problems
~: clustering of data to make a judgement or statement about the patient's difficulties or condition
Nanda diagnosis for nursing
~: a clinical judgement about individual, family, or community responses to actual or potential
health difficulties/life processes. Provides the basis for selection of nursing interventions to
achieve outcomes for which the nurse is accountable
, Elscores 8/18/2024 6:16:34 PM
Normal range of blood pressure
~: 120/80
normal range of pulse
~: 60-100 bpm
scale of pulse strength
~: 0-4+
scale of 0 pulse
~: non palpable or absent
1+ of pulse
~: weak, diminished, and barely palpable
2+ of pulse
~: normal, expected
3+ of pulse
~: Full, increased
4+ of pulse
~: Bounding
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