Nursing process-ADPIE - A-Assessment
D-Diagnosis
P-Planning
I-Implementation
E- Evaluation
Purpose of assessment - identify wellness, strengths, problems, evaluate plan of care and
interventions
Gordon's functional health patterns - holistic focus on patients-assessment
*health perception/m...
, NANDA - ✔✔✔North American Nursing Diagnosis Association- Nursing diagnosis
HIPAA - ✔✔✔Health care insurance portability and accountability act
informed consent - ✔✔✔client informed by physician procedure/treatment, surgery and risks. RN
gives written consent to be signed. example: shared decision making
critical thinking - ✔✔✔process of information: knowledge, experiences, competencies, attitudes, and
standards.*helps to form nursing diagnosis, *using evidenced based rationale
clinical reasoning - ✔✔✔worst possible scenario, be prepared
health perception - ✔✔✔verifies client understanding of conditions and maintaining health
*appearance
*current complaint
*history
*past hospitalization
*allergies
*current medications
3 levels of health promotion - ✔✔✔*primary prevent disease and promote healthy lifestyles
*secondary screening for early detection
*tertiary minimize disability from acute/chronic to maximum health
performing visual assessment - ✔✔✔*appearance
*grooming, dress, hygiene
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