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  2. Roper–Logan–Tierney model of nursing - Wikipedia

    en.wikipedia.org/wiki/Roper–Logan–Tierney...

    The original purpose of the model was to be an assessment used throughout the patient's care, but it has become the norm in UK nursing to use it only as a checklist on admission. It is often used to assess how a patient's life has changed due to illness or admission to hospital rather than as a way of planning for increased independence and ...

  3. Nursing assessment - Wikipedia

    en.wikipedia.org/wiki/Nursing_assessment

    Nursing assessment is the gathering of information about a patient's physiological, psychological, sociological, and spiritual status by a licensed Registered Nurse. Nursing assessment is the first step in the nursing process. A section of the nursing assessment may be delegated to certified nurses aides.

  4. Gordon's functional health patterns - Wikipedia

    en.wikipedia.org/wiki/Gordon's_functional_health...

    Activity exercise-whether one is able to do daily activities normally without any problem, self care activities; Sleep rest-do they have hypersomnia, insomnia, do they have normal sleeping patterns; Cognitive-perceptual-assessment of neurological function is done to assess, check the person's ability to comprehend information

  5. Nursing documentation - Wikipedia

    en.wikipedia.org/wiki/Nursing_documentation

    The nursing documents may contain a number of assessment forms. In an assessment form, a licensed Registered Nurse records the client's information, such as physiological, psychological, sociological, and spiritual status (see Figure 2). The accuracy and completeness of nursing assessment determine the accuracy of care planning in the nursing ...

  6. Activities of daily living - Wikipedia

    en.wikipedia.org/wiki/Activities_of_daily_living

    Activities of daily living (ADLs) is a term used in healthcare to refer to an individual's daily self-care activities. Health professionals often use a person's ability or inability to perform ADLs as a measure of their functional status .

  7. Braden Scale for Predicting Pressure Ulcer Risk - Wikipedia

    en.wikipedia.org/wiki/Braden_Scale_for...

    The assessment of a client's nutritional status looks at their normal patterns of daily nutrition. Eating only portions of meals or having imbalanced nutrition can indicate a high risk in this category.

  8. Health assessment - Wikipedia

    en.wikipedia.org/wiki/Health_assessment

    Health assessment has been separated by authors from physical assessment to include the focus on health occurring on a continuum as a fundamental teaching. [8] In the healthcare industry it is understood health occurs on a continuum, so the term used is assessment but may be preference by the speciality's focus such as nursing, physical therapy, etc.

  9. Medical record - Wikipedia

    en.wikipedia.org/wiki/Medical_record

    When a patient is hospitalized, daily updates are entered into the medical record documenting clinical changes, new information, etc. These often take the form of a SOAP note and are entered by all members of the health-care team (doctors, nurses, physical therapists, dietitians, clinical pharmacists, respiratory therapists, etc.). They are ...

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