The document defines nursing as involving diagnosis and treatment of actual or potential health problems through a problem-solving process. It outlines the nursing process as assessment, diagnosis, planning, implementation, and evaluation. The nursing process is used for critical thinking, communication, and developing an individualized care plan. Physical assessment involves gathering data through interviews, observations, examinations, and medical record review. The data is analyzed to identify problems and clinical judgments, which are then expressed as nursing diagnoses. Goals are set to direct interventions and evaluate their effectiveness in addressing the abnormal signs and symptoms identified in the nursing diagnoses.
The document discusses the important role of nurses in microbiology. It emphasizes that nurses must have a conceptual clinical approach in areas like asepsis, sterilization, infection control, and recognizing infections. Nurses need fundamental knowledge in microbiology to understand disease stages, diagnoses, treatments, and provide quality patient care. They must learn microbiology concepts and skills like sample collection, laboratory testing, and the biology of microbes to aid diagnosis and treatment. Understanding pathogenesis, immunity, antibiotics, and infection control is essential for nurses to fulfill their role in microbiology.
The document outlines a patient's bill of rights, which lists protections and responsibilities for patients during hospitalization. It states patients have the right to receive medical information, make healthcare decisions, privacy, and confidentiality of medical records. While not legally binding, the bill of rights provides guidance for healthcare facilities and staff on treating patients and their families with courtesy, respect and responsiveness.
medical surgical nursing , nursing management of burn patients, it includes definition, classification of burn injury, clinical manifestaion, assessment of burn injury , management of patient with burn, care given to the patient.
Nursing care of the client hiv and aidsNursing Path
The document discusses HIV/AIDS, including its causes, statistics, stages of progression, testing methods, transmission routes, common opportunistic infections, and treatment approaches. It provides details on various opportunistic infections that can affect the lungs, gastrointestinal tract, oral cavity, central nervous system, and other body systems in persons with advanced HIV/AIDS due to their weakened immune systems. It also discusses common diagnostic tests and opportunistic malignancies associated with HIV/AIDS such as Kaposi's sarcoma and non-Hodgkin's lymphoma.
This document discusses patient safety indicators (PSIs) as a way to measure and improve healthcare quality. It defines PSIs as a subset of quality indicators focused on preventable complications during or after hospitalization. The document then provides details on 20 specific PSIs, including definitions, calculation methods, and sample results for Portugal between 2000-2005. It analyzes PSI rates by gender, economic hospital group, administrative hospital group, and year to identify safety trends and differences between hospital types. The goal is to understand PSI prevalence, evaluate hospital safety over time, and identify opportunities to enhance patient safety.
This document discusses the planning phase of the nursing process. Planning involves setting priorities, establishing goals, and selecting interventions. It describes initial planning, ongoing planning, and discharge planning. Guidelines are provided for developing different types of nursing care plans such as informal, formal, standardized, and individualized plans. The planning process involves setting priorities, establishing goals and desired outcomes, selecting nursing interventions, and writing nursing orders.
Nursing assessment involves collecting data to understand a patient's health status. It includes gathering subjective information from the patient and objective data through examination. The nurse organizes, validates, and documents the assessment data to identify health problems, strengths, and needs to develop an appropriate plan of care. Common assessment techniques are inspection, palpation, percussion, and auscultation to examine each body system.
The document discusses the important role of nurses in microbiology. It emphasizes that nurses must have a conceptual clinical approach in areas like asepsis, sterilization, infection control, and recognizing infections. Nurses need fundamental knowledge in microbiology to understand disease stages, diagnoses, treatments, and provide quality patient care. They must learn microbiology concepts and skills like sample collection, laboratory testing, and the biology of microbes to aid diagnosis and treatment. Understanding pathogenesis, immunity, antibiotics, and infection control is essential for nurses to fulfill their role in microbiology.
The document outlines a patient's bill of rights, which lists protections and responsibilities for patients during hospitalization. It states patients have the right to receive medical information, make healthcare decisions, privacy, and confidentiality of medical records. While not legally binding, the bill of rights provides guidance for healthcare facilities and staff on treating patients and their families with courtesy, respect and responsiveness.
medical surgical nursing , nursing management of burn patients, it includes definition, classification of burn injury, clinical manifestaion, assessment of burn injury , management of patient with burn, care given to the patient.
Nursing care of the client hiv and aidsNursing Path
The document discusses HIV/AIDS, including its causes, statistics, stages of progression, testing methods, transmission routes, common opportunistic infections, and treatment approaches. It provides details on various opportunistic infections that can affect the lungs, gastrointestinal tract, oral cavity, central nervous system, and other body systems in persons with advanced HIV/AIDS due to their weakened immune systems. It also discusses common diagnostic tests and opportunistic malignancies associated with HIV/AIDS such as Kaposi's sarcoma and non-Hodgkin's lymphoma.
This document discusses patient safety indicators (PSIs) as a way to measure and improve healthcare quality. It defines PSIs as a subset of quality indicators focused on preventable complications during or after hospitalization. The document then provides details on 20 specific PSIs, including definitions, calculation methods, and sample results for Portugal between 2000-2005. It analyzes PSI rates by gender, economic hospital group, administrative hospital group, and year to identify safety trends and differences between hospital types. The goal is to understand PSI prevalence, evaluate hospital safety over time, and identify opportunities to enhance patient safety.
This document discusses the planning phase of the nursing process. Planning involves setting priorities, establishing goals, and selecting interventions. It describes initial planning, ongoing planning, and discharge planning. Guidelines are provided for developing different types of nursing care plans such as informal, formal, standardized, and individualized plans. The planning process involves setting priorities, establishing goals and desired outcomes, selecting nursing interventions, and writing nursing orders.
Nursing assessment involves collecting data to understand a patient's health status. It includes gathering subjective information from the patient and objective data through examination. The nurse organizes, validates, and documents the assessment data to identify health problems, strengths, and needs to develop an appropriate plan of care. Common assessment techniques are inspection, palpation, percussion, and auscultation to examine each body system.
medical surgical nursing , nursing care of elderly patient with disease conditions and different care given to them,it contain introduction , definition, nursing care, patient teaching, diet management, research.
The document discusses nursing care for unconscious patients. It begins by defining unconsciousness and describing the reticular activating system's role in consciousness. Potential causes of unconsciousness include trauma, infection, drugs or alcohol. Nursing management aims to maintain adequate cerebral perfusion and function, including careful monitoring, positioning, airway care, and treatment of increased intracranial pressure if present. Assessment tools like the Glasgow Coma Scale are used to evaluate responses and guide care of the unconscious patient.
Defense mechanisms are techniques used by individuals to reduce anxiety and resolve conflicts. They range from normal and successful mechanisms like repression and rationalization to less adaptive unsuccessful ones like denial and projection. Successful mechanisms help deal with reality while unsuccessful ones can create emotional problems if used excessively. Defense mechanisms originate from different developmental periods, and understanding them helps nurses support patients and their families cope with difficult diagnoses and end-of-life situations.
The document discusses the extended and expanded roles of nurses. It describes 22 different nursing roles including care giver, manager, advocate, counselor, communicator, rehabilitator, collaborator, school health nurse, occupational health nurse, parish nurse, public health nurse, home care nurse, rehabilitation nurse, office nurse, nurse epidemiologist, critical care nurse, nurse administrator, nurse practitioner, nurse midwife, community health nurse, and occupational health nurse. For each role, the document outlines the definition and key functions and responsibilities of nurses working in that specialty.
The document defines and describes critical care units, nursing, and nurses. It states that critical care units are specially designed facilities staffed by skilled personnel that provide effective care for life-threatening illnesses. Critical care nursing deals with human responses to life-threatening problems. Critical care nurses are responsible for ensuring optimal care for critically ill patients and their families.
Emergency nursing involves providing immediate treatment to patients experiencing medical emergencies or injuries. Key principles of emergency nursing include establishing an airway, controlling hemorrhaging, monitoring circulation and neurological status, documenting findings, and starting cardiac monitoring. The scope of emergency nursing is to treat patients of all ages for a wide range of illnesses and injuries, from minor issues to heart attacks. General principles of emergency care involve early detection and response, on-scene care, transportation to definitive care facilities, and following triage and assessment approaches like ABCD, EFGHI, and AMPLE.
Stages of illness, patient's rights, nursing processReynel Dan
The document describes the five stages of illness:
1) Symptom experience and reaction
2) Assumption of the sick role and seeking validation
3) Medical care contact and confirmation of illness
4) Becoming a dependent patient and compliance with treatment
5) Recovery, rehabilitation, and relinquishing the sick role
It also lists the rights of dying persons and Filipino patients, including the right to treatment with dignity, informed consent, privacy, and continuity of care. Finally, it outlines the nursing process as assessment of data, diagnosis of actual or potential problems, planning interventions, implementation, and evaluation of outcomes.
This document discusses stress, coping, and elder abuse in elderly patients. It defines stress as mental tension caused by problems, and coping as processes to overcome difficulties. Many factors can influence coping in elderly, including health, social support, and resources. Poor coping may be caused by poor health, weak social support, or lack of skills. The document also defines elder abuse and lists its main types. Elder abuse cases are often invisible, and risk factors include impaired cognition or aggressive behaviors. Comprehensive nursing assessment is needed to identify stressors, coping abilities, and potential abuse in elderly patients.
This document discusses disaster nursing and disaster management. It begins by defining disasters and describing common types of natural and human-induced disasters that occur in India. It then outlines the phases of a disaster - pre-impact, impact, and post-impact - and discusses disaster nursing principles, roles and responsibilities of nurses during disasters. The document also covers disaster triage, factors affecting disasters, health effects of disasters, and the nurse's major roles in disaster management including assessing needs, prioritizing responses, and coordinating aid efforts.
The document provides information on assessing a patient's immune system through a health history and physical examination. Key areas of focus for the health history include nutritional status, infections/immunizations, allergies, diseases, surgeries, medications, lifestyle factors, and family history of cancer or chronic illnesses. The physical exam assesses the skin, lymph nodes, and various body systems for signs of infection or immune system abnormalities. Understanding a patient's risk factors and current health status is important for evaluating immune function.
This document differentiates between acute and chronic illnesses and describes characteristics of chronic conditions and the phases of chronic illness. Acute illnesses have short disease courses and symptoms that appear and lessen quickly, while chronic illnesses have long disease courses requiring long-term management. Characteristics of chronic conditions include the need for treatment compliance and management involving the whole family as a collaborative process that is expensive. The phases of chronic illness include a pretrajectory risk phase, an onset trajectory phase, stable and unstable phases of symptom control or exacerbation, acute crisis phases requiring hospitalization, and comeback, downward, and dying phases.
Legal and ethical issues in disaster nursingNAZIYA KHAN
This document discusses several key legal aspects of disaster nursing including standards of care, informed consent, duty of care, negligence, documentation, confidentiality, and preservation of forensic evidence. It defines disaster and describes different types. It also covers constitutional amendments related to individual rights and liberty restrictions during disasters. Public health emergency powers and the disaster declaration process are outlined. Issues around volunteers, liability protection, and crisis standards of care are also summarized.
Role of nurse in medical surgical setting RakhiYadav53
The document discusses the role and responsibilities of nurses in various medical-surgical settings. Nurses in outpatient departments provide direct care to patients, educate patients and families, and screen patients for admission. In inpatient departments, nurses are responsible for providing quality medical care, managing patient files, and coordinating care. Intensive care unit nurses closely monitor patients' conditions, assist physicians with procedures, and care for pre- and post-operative patients. Nurses in home health care and community settings provide care outside of hospitals through services like health education, wound care, and disease prevention programs.
The document discusses different theories of disease causation:
1. The miasma theory attributed disease to polluted air. This led to a focus on sanitation and public health measures.
2. Germ theory identified specific microbes as the cause of different diseases, shifting focus to identifying and destroying disease agents.
3. The epidemiological triangle recognized diseases result from interactions between an agent, host factors, and the environment. This informed prevention through modifying exposure and susceptibility.
The document discusses the role of nurses in disaster nursing. It begins with defining disasters and categorizing them into natural disasters like hurricanes, floods, earthquakes, and man-made disasters like explosions, pollution, and terrorist attacks. It then outlines the phases of a disaster as pre-impact, impact, and post-impact. Key principles of disaster management are prevention, response, and recovery. The roles of nurses include assessing the community risk, developing disaster plans, implementing and evaluating those plans, and working with international aid organizations during disaster response and recovery efforts.
1. The document discusses disaster management and defines a disaster as an event that causes damage, loss of life, or deterioration of health services on a large scale.
2. It outlines the principles of disaster management as preventing disasters, minimizing casualties, preventing further casualties after impact, rescuing and treating victims, and promoting reconstruction.
3. The phases of disaster management are discussed as mitigation, preparedness, response, and recovery. Preparedness includes developing disaster plans, identifying resources, and practicing response.
This document provides an overview of nursing management of patients experiencing an altered immune system. It begins with explaining the normal inflammatory response and cellular response to infection. It then discusses specific white blood cells and their roles. The document reviews hypersensitivity reactions, diagnostic tests, drug therapies, and conditions that can cause an altered immune response such as immunodeficiencies and autoimmune disorders.
Occupational and industrial health disordersodha ranbir
The document defines occupational health as promoting workers' physical, mental, and social well-being. It discusses occupational health nursing as applying nursing principles to conserve worker health. Occupational hazards include physical (noise, radiation, etc.), chemical (solvents, metals), biological (bacteria, viruses), and psychosocial (stress, violence) factors. Diseases can result from exposure to these hazards, such as pneumoconioses from inhaling dust. Prevention methods include engineering controls, protective equipment, health monitoring, and education. The overall aim is to prevent work-related illness and injury and promote worker health.
This document provides an overview of the anatomy and physiology of the gastrointestinal system and its components. It discusses the mouth, esophagus, stomach, small intestine, large intestine, liver, gallbladder and pancreas. It also reviews common laboratory procedures related to the GI system like fecalysis, upper and lower GI studies, and endoscopy. Common GI symptoms like constipation, diarrhea and dumping syndrome are discussed along with nursing interventions.
medical surgical nursing , nursing care of elderly patient with disease conditions and different care given to them,it contain introduction , definition, nursing care, patient teaching, diet management, research.
The document discusses nursing care for unconscious patients. It begins by defining unconsciousness and describing the reticular activating system's role in consciousness. Potential causes of unconsciousness include trauma, infection, drugs or alcohol. Nursing management aims to maintain adequate cerebral perfusion and function, including careful monitoring, positioning, airway care, and treatment of increased intracranial pressure if present. Assessment tools like the Glasgow Coma Scale are used to evaluate responses and guide care of the unconscious patient.
Defense mechanisms are techniques used by individuals to reduce anxiety and resolve conflicts. They range from normal and successful mechanisms like repression and rationalization to less adaptive unsuccessful ones like denial and projection. Successful mechanisms help deal with reality while unsuccessful ones can create emotional problems if used excessively. Defense mechanisms originate from different developmental periods, and understanding them helps nurses support patients and their families cope with difficult diagnoses and end-of-life situations.
The document discusses the extended and expanded roles of nurses. It describes 22 different nursing roles including care giver, manager, advocate, counselor, communicator, rehabilitator, collaborator, school health nurse, occupational health nurse, parish nurse, public health nurse, home care nurse, rehabilitation nurse, office nurse, nurse epidemiologist, critical care nurse, nurse administrator, nurse practitioner, nurse midwife, community health nurse, and occupational health nurse. For each role, the document outlines the definition and key functions and responsibilities of nurses working in that specialty.
The document defines and describes critical care units, nursing, and nurses. It states that critical care units are specially designed facilities staffed by skilled personnel that provide effective care for life-threatening illnesses. Critical care nursing deals with human responses to life-threatening problems. Critical care nurses are responsible for ensuring optimal care for critically ill patients and their families.
Emergency nursing involves providing immediate treatment to patients experiencing medical emergencies or injuries. Key principles of emergency nursing include establishing an airway, controlling hemorrhaging, monitoring circulation and neurological status, documenting findings, and starting cardiac monitoring. The scope of emergency nursing is to treat patients of all ages for a wide range of illnesses and injuries, from minor issues to heart attacks. General principles of emergency care involve early detection and response, on-scene care, transportation to definitive care facilities, and following triage and assessment approaches like ABCD, EFGHI, and AMPLE.
Stages of illness, patient's rights, nursing processReynel Dan
The document describes the five stages of illness:
1) Symptom experience and reaction
2) Assumption of the sick role and seeking validation
3) Medical care contact and confirmation of illness
4) Becoming a dependent patient and compliance with treatment
5) Recovery, rehabilitation, and relinquishing the sick role
It also lists the rights of dying persons and Filipino patients, including the right to treatment with dignity, informed consent, privacy, and continuity of care. Finally, it outlines the nursing process as assessment of data, diagnosis of actual or potential problems, planning interventions, implementation, and evaluation of outcomes.
This document discusses stress, coping, and elder abuse in elderly patients. It defines stress as mental tension caused by problems, and coping as processes to overcome difficulties. Many factors can influence coping in elderly, including health, social support, and resources. Poor coping may be caused by poor health, weak social support, or lack of skills. The document also defines elder abuse and lists its main types. Elder abuse cases are often invisible, and risk factors include impaired cognition or aggressive behaviors. Comprehensive nursing assessment is needed to identify stressors, coping abilities, and potential abuse in elderly patients.
This document discusses disaster nursing and disaster management. It begins by defining disasters and describing common types of natural and human-induced disasters that occur in India. It then outlines the phases of a disaster - pre-impact, impact, and post-impact - and discusses disaster nursing principles, roles and responsibilities of nurses during disasters. The document also covers disaster triage, factors affecting disasters, health effects of disasters, and the nurse's major roles in disaster management including assessing needs, prioritizing responses, and coordinating aid efforts.
The document provides information on assessing a patient's immune system through a health history and physical examination. Key areas of focus for the health history include nutritional status, infections/immunizations, allergies, diseases, surgeries, medications, lifestyle factors, and family history of cancer or chronic illnesses. The physical exam assesses the skin, lymph nodes, and various body systems for signs of infection or immune system abnormalities. Understanding a patient's risk factors and current health status is important for evaluating immune function.
This document differentiates between acute and chronic illnesses and describes characteristics of chronic conditions and the phases of chronic illness. Acute illnesses have short disease courses and symptoms that appear and lessen quickly, while chronic illnesses have long disease courses requiring long-term management. Characteristics of chronic conditions include the need for treatment compliance and management involving the whole family as a collaborative process that is expensive. The phases of chronic illness include a pretrajectory risk phase, an onset trajectory phase, stable and unstable phases of symptom control or exacerbation, acute crisis phases requiring hospitalization, and comeback, downward, and dying phases.
Legal and ethical issues in disaster nursingNAZIYA KHAN
This document discusses several key legal aspects of disaster nursing including standards of care, informed consent, duty of care, negligence, documentation, confidentiality, and preservation of forensic evidence. It defines disaster and describes different types. It also covers constitutional amendments related to individual rights and liberty restrictions during disasters. Public health emergency powers and the disaster declaration process are outlined. Issues around volunteers, liability protection, and crisis standards of care are also summarized.
Role of nurse in medical surgical setting RakhiYadav53
The document discusses the role and responsibilities of nurses in various medical-surgical settings. Nurses in outpatient departments provide direct care to patients, educate patients and families, and screen patients for admission. In inpatient departments, nurses are responsible for providing quality medical care, managing patient files, and coordinating care. Intensive care unit nurses closely monitor patients' conditions, assist physicians with procedures, and care for pre- and post-operative patients. Nurses in home health care and community settings provide care outside of hospitals through services like health education, wound care, and disease prevention programs.
The document discusses different theories of disease causation:
1. The miasma theory attributed disease to polluted air. This led to a focus on sanitation and public health measures.
2. Germ theory identified specific microbes as the cause of different diseases, shifting focus to identifying and destroying disease agents.
3. The epidemiological triangle recognized diseases result from interactions between an agent, host factors, and the environment. This informed prevention through modifying exposure and susceptibility.
The document discusses the role of nurses in disaster nursing. It begins with defining disasters and categorizing them into natural disasters like hurricanes, floods, earthquakes, and man-made disasters like explosions, pollution, and terrorist attacks. It then outlines the phases of a disaster as pre-impact, impact, and post-impact. Key principles of disaster management are prevention, response, and recovery. The roles of nurses include assessing the community risk, developing disaster plans, implementing and evaluating those plans, and working with international aid organizations during disaster response and recovery efforts.
1. The document discusses disaster management and defines a disaster as an event that causes damage, loss of life, or deterioration of health services on a large scale.
2. It outlines the principles of disaster management as preventing disasters, minimizing casualties, preventing further casualties after impact, rescuing and treating victims, and promoting reconstruction.
3. The phases of disaster management are discussed as mitigation, preparedness, response, and recovery. Preparedness includes developing disaster plans, identifying resources, and practicing response.
This document provides an overview of nursing management of patients experiencing an altered immune system. It begins with explaining the normal inflammatory response and cellular response to infection. It then discusses specific white blood cells and their roles. The document reviews hypersensitivity reactions, diagnostic tests, drug therapies, and conditions that can cause an altered immune response such as immunodeficiencies and autoimmune disorders.
Occupational and industrial health disordersodha ranbir
The document defines occupational health as promoting workers' physical, mental, and social well-being. It discusses occupational health nursing as applying nursing principles to conserve worker health. Occupational hazards include physical (noise, radiation, etc.), chemical (solvents, metals), biological (bacteria, viruses), and psychosocial (stress, violence) factors. Diseases can result from exposure to these hazards, such as pneumoconioses from inhaling dust. Prevention methods include engineering controls, protective equipment, health monitoring, and education. The overall aim is to prevent work-related illness and injury and promote worker health.
This document provides an overview of the anatomy and physiology of the gastrointestinal system and its components. It discusses the mouth, esophagus, stomach, small intestine, large intestine, liver, gallbladder and pancreas. It also reviews common laboratory procedures related to the GI system like fecalysis, upper and lower GI studies, and endoscopy. Common GI symptoms like constipation, diarrhea and dumping syndrome are discussed along with nursing interventions.
The document discusses the components of a nursing health assessment, including taking a health history, performing a physical examination, and reviewing laboratory and diagnostic test results. It provides details on collecting data through the health history, the various sections of a health history, and techniques for physical examination including inspection, auscultation, palpation, and percussion.
Cirrhosis is a diffuse process characterized by liver necrosis and fibrosis that converts the normal liver architecture into abnormal nodules lacking a normal lobular organization. It has many causes including viral hepatitis infections, alcohol toxicity, autoimmune diseases, and genetic disorders. Pathologically, cirrhosis involves nodularity, fibrosis from collagen deposition, and abnormal hepatocyte changes. Portal hypertension develops due to increased resistance to blood flow from architectural disruption of the cirrhotic liver, leading to formation of portosystemic collaterals that bypass the liver. The severity of cirrhosis is classified using the Child-Pugh or MELD scoring systems to determine prognosis and need for transplantation.
The document discusses the evaluation phase of the nursing process. It defines evaluation as comparing a patient's responses to predetermined goals and outcomes. The nurse evaluates whether expected outcomes were met, not just if interventions were done. Key aspects of evaluation include collecting and interpreting data, comparing outcomes to goals, documenting findings, and revising the care plan if needed. The evaluation determines if care was effective and ensures continuous good patient outcomes.
This document discusses quality assurance in healthcare. It defines quality and quality assurance, and lists their objectives. Quality is defined as the degree to which health services increase desired health outcomes consistent with current knowledge. Quality assurance aims to continuously evaluate healthcare services and their impact. The key objectives of quality assurance are to ensure quality patient care and demonstrate provider efforts to achieve best results. It also outlines various models, components, principles, approaches, factors, barriers, and the nurse's role in quality assurance.
The document discusses the nursing process and its introduction, definition, steps, and importance. It provides a brief history of the development of the nursing process from the 1950s to the present. The key steps discussed in detail include assessment, nursing diagnosis, planning, implementation, and evaluation. The nursing process is presented as a systematic, problem-solving approach that directs nursing activities and provides quality nursing care.
The document discusses the nursing process phase of diagnosing. It defines diagnosing as analyzing assessment data to derive meaning and form nursing diagnoses. Nursing diagnoses focus on the human response to health problems and are formulated using the NANDA taxonomy, which provides standardized labels. A nursing diagnosis consists of a label, definition, defining characteristics, and related/risk factors. It identifies actual or potential client health issues nurses can treat.
The document discusses the nursing process and its characteristics, components, and applications. It compares the nursing process to the medical process. It describes the steps of the nursing process including assessment, nursing diagnosis, planning, implementation, and evaluation. It provides examples of nursing diagnoses statements and common errors to avoid when writing nursing diagnoses.
The document discusses nursing diagnosis, providing information on its definition, evolution, purpose, types, components and how to formulate diagnoses. It defines nursing diagnosis as a clinical judgment about a patient's response to actual or potential health problems. Nursing diagnosis involves identifying problems, risks, and strengths to direct care. It discusses the various parts of a diagnostic statement and provides examples of common nursing diagnoses according to the North American Nursing Diagnosis Association.
The document discusses the nursing process, which is a systematic, problem-solving framework for planning and delivering nursing care. It involves assessing a patient's health needs through various methods like observation, interview, and examination. The assessment data is then analyzed and a nursing diagnosis is made to inform the planning, implementation, and evaluation of care. Gordon's 11 functional health patterns are described as a framework to comprehensively assess patients.
1. Nursing diagnosis is a clinical judgment about a patient's response to actual or potential health problems. It focuses on issues a nurse can treat, unlike a medical diagnosis which identifies disease.
2. The nursing diagnostic process involves collecting data, analyzing it for deviations from norms, clustering related cues, and formulating a diagnosis statement describing the patient's problem, likely cause, and defining characteristics.
3. Nursing diagnoses can be one-part, two-part, or three-part statements specifying the problem, related factors or etiology, and defining signs/symptoms. Variations include unknown or complex etiologies, possible diagnoses, and specifying secondary causes.
This document discusses key concepts in nursing including the roles and responsibilities of professional nurses, concepts of health and illness, the nursing process, common nursing theories, and how to assess a patient. It outlines the roles of the nurse as caregiver, communicator, teacher, counselor, client advocate, change agent, leader, manager, and researcher. It also defines health and discusses factors that affect body temperature and how to properly measure a patient's temperature.
The Pediatric Assessment Triangle (PAT) is a novel approach for the rapid evaluation of children in emergency situations. The PAT uses only visual and auditory cues to assess a child's appearance, work of breathing, and circulation to the skin. This allows clinicians to quickly determine if a child is stable or unstable, and to identify the general category of physiological abnormality. The PAT promotes standardized communication among healthcare providers and helps prioritize critical treatments in emergency pediatric assessments.
This document discusses nursing diagnosis and provides definitions, types, and components. It defines nursing diagnosis as a clinical judgment about an individual's response to actual or potential health problems that provides the basis for selecting nursing interventions. The types of nursing diagnoses covered are problem-focused, risk, health promotion, and syndrome diagnoses. Characteristics of nursing diagnoses are also outlined, including how they are formulated and written as diagnostic statements. The key differences between nursing and medical diagnoses are noted.
The document discusses the concept of NANDA's nursing diagnosis. It begins with an introduction to nursing diagnosis, including its definition as a clinical judgment that helps nurses determine a patient's plan of care. The history of nursing diagnosis is then outlined, from its origins in the 1970s to the current 247 NANDA-I approved diagnoses. The types of nursing diagnoses according to NANDA-I are described as problem-focused, risk, health promotion, and syndrome. Components of a nursing diagnosis including the problem/definition, etiology/risk factors, and defining characteristics are also defined. The document concludes with discussing writing nursing diagnoses and providing a clinical example.
Analysis and Utilization of Relevant Data in Nursing Process91varsha
This document discusses the nursing process and how nurses analyze patient data to develop nursing diagnoses. It provides an overview of the steps in assessment, including collecting subjective and objective data, validating data, organizing data, and recording/documenting data. It then covers analyzing and interpreting the data to identify patterns and problems, propose nursing diagnoses, and check the diagnoses against defining characteristics before documenting the conclusions. Examples are provided to illustrate analyzing sample data clusters to formulate accurate nursing diagnoses and apply them to care planning. Factors that can lead to diagnostic errors during the data collection and analysis process are also reviewed.
The document outlines the nursing process which includes assessment, diagnosis, planning, implementation, and evaluation. Assessment involves collecting subjective and objective data on the patient's physical, psychological, social, and medical history. Nursing diagnoses are developed based on the assessment findings and describe the patient's actual or potential health problems. Goals are then set and a care plan is developed which outlines nursing interventions. Implementation involves performing the interventions and reassessing the patient. Evaluation assesses if goals were met and determines if changes need to be made to the care plan. The nursing process is circular and ongoing to meet the changing needs of the patient.
This document discusses the nursing diagnosis process. It begins by introducing nursing diagnosis as the second phase of the nursing process and a pivotal step. It then discusses NANDA's role in developing standardized nursing diagnoses and taxonomy. The document outlines the 13 domains of nursing diagnosis and characteristics such as being clear, evidence-based, and amenable to nursing intervention. It describes different types of diagnoses and provides examples. Finally, it discusses formulating diagnostic statements, including one, two and three part statements, and qualities of accurate diagnostic statements.
This document discusses nursing diagnosis, which is the second phase of the nursing process where nurses use critical thinking to interpret assessment data and identify client problems. There are four main types of nursing diagnoses: actual, wellness, risk, and syndrome. An example of an actual diagnosis is inadequate airway clearance. A risk diagnosis identifies potential problems, like infection risk. Nursing diagnoses are developed based on assessment data and help provide more effective patient care.
The document discusses nursing diagnosis. It begins by defining nursing diagnosis as a clinical judgment about an individual's response to actual or potential health problems. Nursing diagnosis provides the basis for selecting nursing interventions. The document then discusses the purpose of nursing diagnosis, how it is developed and classified. It compares nursing diagnosis to medical diagnosis and outlines the components and process of developing a nursing diagnostic statement.
This document provides an overview of health assessment. It discusses that health assessment aims to identify a person's specific health needs through techniques like history taking and physical examination. It evaluates an individual's health status along the health continuum.
The document outlines the main components of history taking, including demographic data, presenting complaints, history of present and past illnesses, family history, social history, and occupational history. It also describes the nursing process and its phases - assessment, nursing diagnosis, planning, implementation, and evaluation. Finally, it discusses the different types of health assessments like comprehensive, focused, episodic, and screening assessments.
This document discusses nursing diagnosis, including its definition, steps for formulating a nursing diagnosis, categories and types. It defines nursing diagnosis as a statement of a health problem or potential problem that a nurse can treat. The steps for formulation include establishing a database through various assessments, analyzing client responses, organizing the data, and confirming the diagnosis. Nursing diagnoses can be actual, risk, or potential complications. They should not merely restate a medical diagnosis but provide a basis for nursing interventions.
TEST BANK For Lewis's Medical Surgical Nursing in Canada, 5th Edition by Jane...ssifa0344
TEST BANK For Lewis's Medical Surgical Nursing in Canada, 5th Edition by Jane Tyerman, Shelley Cobbett, Verified Chapters 1 - 72, Complete Newest Version.pdf
TEST BANK For Lewis's Medical Surgical Nursing in Canada, 5th Edition by Jane Tyerman, Shelley Cobbett, Verified Chapters 1 - 72, Complete Newest Version.pdf
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
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Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
2. Defines Nursing as:
the diagnosis and treatment of
human responses to actual or
potential health care
problems.
3.
4. a problem solving approach for
gathering data, identifying a
person’s needs, selecting and
implementing approaches for
nursing care and evaluating
outcomes of care given.
6. RATIONALE FOR USING NURSING PROCESS:
requirement – national practice standards
preparation for NCLEX
promotes critical thinking
means of communication
results in an individualized plan of care
8. 1. a. Interviewing patient & family
– chief complaint
b. Nursing History:
- support system
- health
- ADL’s
- feelings/concerns
- culture
- occupation
- financial concerns
9. 2. Observation & Measurement:
A 'sixth
sense?' Or
merely
mindful
caution?
10. 3. REVIEW OF THE
RECORDS
1. DOCTOR’S ORDERS
2. PROGRESS NOTE
3. HISTORY/PHYSICAL
4. NURSING NOTES
5. CONSULTATION
6. DIAGNOSTIC STUDIES
7. LAB RESULTS
10
12. Cluster Data According To Body
Systems
• Visual & Auditory • Question:
• Respiratory After gathering and clustering
• Cardiovascular all your data, in which areas or
systems are you seeing
• Gastrointestinal abnormal findings? These
• Nervous systems become your priority
assessment areas for a
• Musculoskeletal focused assessment or on-
• Urinary going evaluation
• Reproductive
• Hematological
• Endocrine
• Integumentary
12
13. Data Classification:
#1 What are symptoms and signs:
- Sign : aka - objective data –
what you observe
- Symptom: aka – subjective data –
what the person states
#2 Adaptive vs ineffective responses
#3 Identify the causative factors or
etiology
13
15. CLINICAL JUDGMENT
• IS AN OPINION THAT THE NURSE MAKES BASED ON THE
CLINICAL DATA OBTAINED;
Clinical judgment allows the nurse to identify, associate and interpret
the signs and symptoms of a given condition
NURSING DIAGNOSIS
• IS A CLINICAL JUDGMENT ABOUT AN
INDIVIDUAL’S RESPONSES TO ACTUAL OR
POTENTIAL HEALTH PROBLEMS.
16. CLINICAL JUDGMENT PROCESS – How
to arrive at a Nursing Diagnosis:
Reasoning Critical Nursing
Thinking Diagnosis
/Clinical
Judgment
Knowledge & experience
17. NURSES ARE RESPONSIBLE FOR PROVIDING TREATMENT
FOR IDENTIFIED DIAGNOSES –
…. “actual or potential health problems that nurses by
value of their education and experience are able, licensed
and legally responsible and accountable to treat”.
ANXIETY IMPAIRED MOBILITY
18. TYPES OF NURSING DIAGNOSES
1. ACTUAL
GWC
2. RISK FOR & HIGH RISK FOR
3. POSSIBLE
4. WELLNESS
5. SYNDROME
19. MAKING A NURSING DIAGNOSIS:
A. 1. After gathering data, cluster signs
and symptoms
2. Next identify causative factors
for these signs and symptoms
3. Select a Nursing Diagnosis based
on them
V Klein
20. A 32 year old woman has a fractured leg with
a cast and she does not know how to use her
crutches. She expresses concern that she
“will be confined to bed or a chair and not be
able to get around and care for her 4 year
old son”.
-Fractured leg
- immobilized by a Cast
-Does not know
how to use
Impaired physical mobility
crutches
- Verbalizes concern that
she will be confined and not be able to
care for her 4 year old son
Ineffective Role
Performance
V Klein
21. MAKING A NURSING DIAGNOSIS: cont.
B. Confirm by checking with Carpenito
1. Read the definition
2. Read the defining characteristics –
at least one major
22. MAKING A NURSING DIAGNOSIS: cont.
C. Factors that cause or contribute to the
problem are called Related Factors in
Carpenito – divides them into 4 groups
1. pathophysiological
2. treatment related
3. situational (personal or
environmental)
4. maturational
V Klein
23. Fractured
leg cast
Pathophysiological Treatment
related
Impaired
physical
mobility
Situational Maturational
Lack of none
knowledge
24. MAKING A NURSING DIAGNOSIS: cont.
D. Look at all the causes (aka
related factors) and determine
which is the primary cause of
the problem.
The primary cause or related factor becomes
the second part of the diagnosis which is called
the “related to”
(note: the R/T must be something the
Nurse can treat independently)
V Klein
25. CONNECT THE PROBLEM WITH THE
PRIMARY RELATED FACTOR USING THE
LETTERS R/T:
IMPAIRED PHYSICAL MOBILITY R/T
INSUFFICIENT KNOWLEDGE OF ADAPTIVE
TECHNIQUES IN USE OF CRUTCHES FOR
AMBULATION.
26. A Nursing Diagnosis is one that nurses can
treat independently and one that does not
require medical intervention
Collaborative problems are certain
physiologic complications that nurses
monitor to detect onset or change in
status; collaborative problems require
nursing and medical intervention
27. Nurses cannot prevent a collaborative problem but they
can detect it early to reduce its seriousness - eg monitoring
a dressing closely for signs of bleeding.
Nurses can prevent certain physiological problems and these
can be identified as Risk for Nursing Diagnoses -egs:
Pressure Ulcers - Risk for Impaired Skin Integrity
Aspiration - Risk for Aspiration
Problems that nurses can treat independently are identified
as Nursing Diagnoses – egs
Ineffective cough - Ineffective Airway Clearing
Stage 1 & 2 pressure ulcers - Impaired Skin Integrity
29. 1. When a medical diagnosis is a related
factor, avoid writing it as your R/T
( remember your R/T must be
something you can treat independently
as a nurse)
Eg. Anxiety R/T Cancer
Instead ask what/how has the medical
diagnosis caused or contributed to the
problem V Klein
30. WRITTEN CORRECTLY:
Anxiety R/T perceived/actual
losses secondary to cancer
(Treatment related – loss of hair; financial
etc)
V Klein
31. 2. When writing the R/T avoid using signs
and symptoms – they result from the
problem rather than cause or
contribute.
Eg. Disturbed sleep pattern R/T difficulty
falling asleep.
V Klein
33. 3. Do not use a goal as your R/T.
Impaired parenting R/T parents should
spend more time holding infant
CORRECT DIAGNOSIS:
Impaired parenting R/T a lack of
knowledge regarding infant care and
needs.
34. CORRECTLY WRITTEN ??
Disturbed Body Image R/T Breast Cancer
Disturbed Body Image R/T changes in
appearance secondary to Chemo therapy
Or
Disturbed Body Image R/T a change in
appearance secondary to loss of left breast
35. CORRECTLY WRITTEN ?
Grieving R/T crying and inability to sleep
Grieving R/T losses associated with death of ….
( companionship, financial etc)
V Klein
36. CORRECTLY WRITTEN ?
Ineffective Airway Clearance R/T rhonci bilaterally
Ineffective Airway Clearance R/T inability to maintain an
upright position
OR
Ineffective Airway Clearance R/T thick , tenacious secretions
secondary to inadequate fluid intake.
37. CORRECTLY WRITTEN ?
Imbalanced Nutrition: Less than body requirements R/T
Chemotherapy
Imbalanced Nutrition: Less than body requirements R/T
decreased desire to eat secondary to side effects of chemotherapy
OR
R/T mouth discomfort associated with Chemotherapy
V Klein
38. WHAT IS WRONG WITH THIS DIAGNOSIS??
Risk for Constipation R/T reports of hard dry stool
“ Reports of hard dry stool” is a symptom – therefore it
no longer is a Risk for problem
If the symptom did not exist and the patient had risk
factors :
Risk for constipation R/T side effects of analgesics
Risk for constipation R/T effects of anesthesia and
surgical manipulation.
R/T effects of immobility on peristalsis
39. C. PLANNING – AKA GOAL
SETTING
WHEN WRITING GOALS,THE
FOCUS IS ON CHANGING THE
ABNORMAL SIGNS & SYMPTOMS
Client goals are used to:
1. direct interventions
2. evaluate the effectiveness of
the interventions
40. S SPECIFIC
M MEASURABLE
A ATTAINABLE
R REALISTIC
T TIMELY
41. RULES FOR WRITING GOALS:
1. a. Start out with the phrase: The client will
demonstrate….
b. The first part of the goal needs to reflect the
nursing diagnosis
2. This is followed by AEB and 2-3 goal criteria.
a. Goal criteria must reflect desired
changes in the signs and symptoms listed.
b. Criteria must be observable and/or
measureable
3. Always end with one realistic time frame
42. Disturbed sleep pattern R/T environmental
changes due to hospitalization – noise,
frequent interruptions
Symptoms/Subjective Data :
“I can’t fall asleep here and when I do
someone or something always wakes
me up.”
Signs/Objective Data:
Refuses to participate in self-care
measures. Irritable and sarcastic
when talking to family members and
staff
43. Client will demonstrate an improved sleep pattern
AEB:
Verbalizing that he/she was able to fall and stay
asleep throughout the night
Participating in morning hygiene – teeth
hair, shower
Communicating in a pleasant manner with
family members and staff
- within 48 hours
44. D. Implementation- AKA
interventions
Three components:
1. must use an action verb
2. state where, what, how, how much and how
far
3. time element – when, how often and how
long
Types:
Assess, Care, Manage, Teach
45. E. EVALUATION-
results/effects
The final step is to determine if
your patient’s goal has been met.
Look at your goal criteria to do this.
If criteria not met, remember that
the Nursing Process is a circular
process – it begins and ends with
assessment.