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  2. Nursing diagnosis - Wikipedia

    en.wikipedia.org/wiki/Nursing_diagnosis

    An example of a health promotion diagnosis is: Readiness for enhanced nutrition. Syndrome diagnosis A clinical judgment describing a specific cluster of nursing diagnoses that occur together, and are best addressed together and through similar interventions. An example of a syndrome diagnosis is: Relocation stress syndrome. [11]

  3. Clinical Care Classification System - Wikipedia

    en.wikipedia.org/wiki/Clinical_Care...

    A nursing intervention is defined as a single nursing action – treatment, procedure or activity – designed to achieve an outcome to a diagnosis, nursing or medical, for which the nurse is accountable. [12] Patient services are usually initiated as medical orders by a referring physician and reviewed by the admitting nurse.

  4. Gordon's functional health patterns - Wikipedia

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

    The following areas are assessed through questions asked by the nurse and medical examinations to provide an overview of the individual's health status and health practices that are used to reach the current level of health or wellness. [1] [2] Health Perception and Management; Nutritional metabolic

  5. Nursing assessment - Wikipedia

    en.wikipedia.org/wiki/Nursing_assessment

    Vitals [clarification needed] and EKG's [clarification needed] may be delegated to certified nurses aides or nursing techs. (Nurse Journal, 2017 [clarification needed]) It differs from a medical diagnosis. In some instances, the nursing assessment is very broad in scope and in other cases it may focus on one body system or mental health ...

  6. Nursing Outcomes Classification - Wikipedia

    en.wikipedia.org/wiki/Nursing_Outcomes...

    The NOC is a system to evaluate the effects of nursing care as a part of the nursing process. The NOC contains 330 outcomes, and each with a label, a definition, and a set of indicators and measures to determine achievement of the nursing outcome and are included The terminology is an American Nurses' Association -recognized terminology, is ...

  7. Risk of infection - Wikipedia

    en.wikipedia.org/wiki/Risk_of_infection

    Risk of infection is a nursing diagnosis which is defined as the state in which an individual is at risk to be infected by an opportunistic or pathogenic agent (e.g., viruses, fungi, bacteria, protozoa, or other parasites) from endogenous or exogenous sources. [1] The diagnosis was approved by NANDA in 1986. Although anyone can become infected ...

  8. Nursing documentation - Wikipedia

    en.wikipedia.org/wiki/Nursing_documentation

    During nursing assessment, a nurse systematically collects, verifies, analyses and communicates a health care client's information to derive a nursing diagnosis and plan individualized nursing care for the client. [5] Complete and accurate nursing assessment determines the accuracy of the other stages of the nursing process. [6]

  9. Nursing care plan - Wikipedia

    en.wikipedia.org/wiki/Nursing_care_plan

    The nursing directives can be addressed to nurses, nursing assistants or beneficiary attendants. Each priority problem or need must be followed by a nursing directive or an intervention. The interventions must be specific to the patient. For example, two patients with the problem 'uncooperative care' can need different directives.

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