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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.
Mental health informatics is a branch of health or clinical informatics focused on the use of information technology (IT) and information to improve mental health. Like health informatics, mental health informatics is a multidisciplinary field that promotes care delivery, research and education [1] as well as the technology and methodologies required to implement it.
Participants in the assessment process are health care professionals and direct care staff such as registered nurses, licensed practical or vocational nurses (LPN/LVN), Therapists, Social Services, Activities and Dietary staff employed by the nursing home. MDS information is transmitted electronically by nursing homes to the MDS database in ...
The mental status examination (MSE) is an important part of the clinical assessment process in neurological and psychiatric practice. It is a structured way of observing and describing a patient's psychological functioning at a given point in time, under the domains of appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight, and ...
The assessment includes social and biographical information, direct observations, and data from specific psychological tests. It is typically carried out by a psychiatrist , but it can be a multi-disciplinary process involving nurses , psychologists , occupational therapist , social workers , and licensed professional counselors .
A nursing diagnosis may be part of the nursing process and is a clinical judgment about individual, family, or community experiences/responses to actual or potential health problems/life processes. Nursing diagnoses foster the nurse's independent practice (e.g., patient comfort or relief) compared to dependent interventions driven by physician ...
The Nursing Minimum Data Set (NMDS) is a classification system which allows for the standardized collection of essential nursing data. The collected data are meant to provide an accurate description of the nursing process used when providing nursing care. The NMDS allow for the analysis and comparison of nursing data across populations ...
The Journal of Psychosocial Nursing and Mental Health Services is a monthly peer-reviewed nursing journal for psychosocial and mental health nurses. It includes sections on psychopharmacology , mental health care of older adults, addictive behaviors and diagnoses, and child/adolescent disorders and issues.