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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.
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.
The Modified Overt Aggression Scale (MOAS) is a four-part behavior rating scale used to evaluate and document the “frequency and severity” of aggressive episodes. [1] The rating scale is made up of four categories; verbal aggression , aggression against objects, aggression against self, and aggression against others. [ 1 ]
Scribd is a digital document library that hosts over 195 million documents. Everand is a digital content subscription service offering a wide selection of ebooks, audiobooks, magazines, podcasts, and sheet music. SlideShare is an online platform featuring over 15 million presentations from subject matter experts. [1] [2] [3]
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The present-day concept of advanced practice nursing as a primary care provider was created in the mid-1960s, spurred on by a national shortage of physicians. [7] The first formal graduate certificate program for NPs was created by Henry Silver, a physician, and Loretta Ford, a nurse, in 1965. [7]
For example, the International Classification of Nursing Practice (ICNP), draws on terms from the Foundation Component, but also uses terms specific for nursing not found in the Foundation. [ 16 ] A classification can be represented as a tabular list, which is a "flat" hierarchical tree of categories.
The medical history, case history, or anamnesis (from Greek: ἀνά, aná, "open", and μνήσις, mnesis, "memory") of a patient is a set of information the physicians collect over medical interviews.