Subjective: VERBAL STATEMENTS Current complaint, history, medications
Objective: MEASURABLE Vital signs, intake and outputs of fluids, height/ weight
Ex: Asking John questions about how he has been feeling, taking his temperature
Diagnosis
RN's Clinical Judgement about actual and potential health problems
Ex: Nurse looks over patients symptoms and determines they have high cholesterol
Planning
Goals and outcomes formulated, personalized to individuals unique needs
Ex: Nurse plans that he may need to go on medication and creates a diet for the patient
Implementation
Carrying out interventions outlined
Ex: Prescribing mediacation
Evalutation
Evaluate implementation to ensure desired outcome has been met
Ex: has the patients cholesterol levels gone down
Working to acquire nursing knowledge and skills
Ex: Student Nurse
, Solution 2024/2025
Pepper
Advanced Beginner
- 6 months experience
- Reliance on protocol and oversight from colleagues
Ex: Newly qualified nurse
Competent
- Able to provide independent care
- Assumes greater responsibility
Ex: a nurse who has worked in the healthcare setting for 2 years
Proficient
- Able to recognize and respond to rapidly changing clinical situations
Ex: Nurse with 3 years working in the healthcare setting
Master
- Intuitive management of complex cases
- 5+ years experience
- Patient advocate
Ex: expert nurse
Determinats of health
the range of personal, social, economic, and environmental factors that influence health status
Ex: Economic stability, Education success, Healthcare access, Environment
Primary Prevention
Efforts to prevent an injury or illness from ever occurring
Ex: Providing a patient with a pamphlet on ways to stay healthy
secondary prevention
Efforts to limit the effects of an injury or illness that you cannot completely prevent.
- Identify disease early on
Ex: Screenings
teritary prevention
When a disease has already been identified , preventions in place to stop the disease from spreading
Ex: surgery or treatments like medicines
RACE
rescue, alarm, contain, extinguish
PICOT
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