Chapter 7
The Nursing Process II
Ocena pielęgniarska
The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the ...
Gromadzenie danych I
Data collection gathers information needed to make accurate judgments about a patient's present condition. During a health history interview, ...
Gromadzenie danych II
The nursing history captures and records the patient's health status, so that a care plan evolves to meet the patient's individual needs. The ...
Gromadzenie danych III
The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. ...
Walidacja danych
Data validation is an essential part of a comprehensive assessment. Validation is confirming or verifying and opening the door to gathering more ...
Raportowanie i rejestrowanie danych
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient ...
Diagnoza pielęgniarska
Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. ...
Formułowanie i walidacja diagnozy pielęgniarskiej I
A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing ...
Formułowanie i walidacja diagnozy pielęgniarskiej II
Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, ...
Dokumentacja diagnozy pielęgniarskiej
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a ...
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