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  2. 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

  3. Nursing assessment - Wikipedia

    en.wikipedia.org/wiki/Nursing_assessment

    For example, the Waterlow score and the Braden scale deals with a patient's risk of developing a Pressure ulcer (decubitus ulcer), the Glasgow Coma Scale measures the conscious state of a person, and various pain scales exist to assess the "fifth vital sign". The use of medical equipment is routinely employed to conduct a nursing assessment.

  4. Comprehensive geriatric assessment - Wikipedia

    en.wikipedia.org/wiki/Comprehensive_geriatric...

    ISBN 9780198701590 (chapters 16 - Comprehensive Geriatric Assessment: Evidence, & 17 - Comprehensive Geriatric Assessment: The Specific Assessment Technology of InterRAI) Sinclair AJ, Morley JE, Vellas B. (eds) (2012, 5th ed.) Pathy's Principles and Practice of Geriatric Medicine ISBN 9780470683934 (chapter 112 - Multidimensional Geriatric ...

  5. Nursing diagnosis - Wikipedia

    en.wikipedia.org/wiki/Nursing_diagnosis

    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 ...

  6. SOAP note - Wikipedia

    en.wikipedia.org/wiki/SOAP_note

    The four components of a SOAP note are Subjective, Objective, Assessment, and Plan. [1] [2] [8] The length and focus of each component of a SOAP note vary depending on the specialty; for instance, a surgical SOAP note is likely to be much briefer than a medical SOAP note, and will focus on issues that relate to post-surgical status.

  7. Nursing care plan - Wikipedia

    en.wikipedia.org/wiki/Nursing_care_plan

    A nursing care plan promotes documentation and is used for reimbursement purposes such as Medicare and Medicaid. The therapeutic nursing plan is a tool and a legal document that contains priority problems or needs specific to the patient and the nursing directives linked to the problems. It shows the evolution of the clinical profile of a patient.

  8. Physical examination - Wikipedia

    en.wikipedia.org/wiki/Physical_examination

    The routine physical, also known as general medical examination, periodic health evaluation, annual physical, comprehensive medical exam, general health check, preventive health examination, medical check-up, or simply medical, is a physical examination performed on an asymptomatic patient for medical screening purposes.

  9. 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 ...

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