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A case presentation is a formal communication between health care professionals such as doctors and nurses regarding a patient's clinical information. [ 1 ] [ 2 ] [ 3 ] Essential parts of a case presentation include:
The clinical case vignette in Rudolph's article is informative.) Egalitarian-based ethics provide a foundation to think about how socioeconomic factors influence power and privilege to create and perpetuate loss of agency, oppression and trauma. Those factors include gender, race, education, income, and culture.
Vignettes in the form of sentences describing actions have been used extensively to estimate impression formation equations in research related to affect control theory. [4] In this case, different respondents are presented with each sentence, and some are asked to rate how the actor seems during the event, others rate the object of action, and ...
In medicine, a case report is a detailed report of the symptoms, signs, diagnosis, treatment, and follow-up of an individual patient.Case reports may contain a demographic profile of the patient, but usually describe an unusual or novel occurrence.
A clinical formulation, also known as case formulation and problem formulation, is a theoretically-based explanation or conceptualisation of the information obtained from a clinical assessment. It offers a hypothesis about the cause and nature of the presenting problems and is considered an adjunct or alternative approach to the more ...
Point of care (POC) documentation is the ability for clinicians to document clinical information while interacting with and delivering care to patients. [10] The increased adoption of electronic health records (EHR) in healthcare institutions and practices creates the need for electronic POC documentation through the use of various medical devices. [11]
The nursing care plan (NCP) is a clinical document recording the nursing process, which is a systematic method of planning and providing care to clients. [6] It was originally developed in hospitals to guide nursing students or junior nurses in providing care to client; however, the format was task-oriened rather than nursing-process-based. [8]
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.