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P
E
S
- problem
- etiology or related factor
- symptom or defining characteristics
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Prioritizing problems
- High: ABC and safety
- intermediate: non emergent, non life threatening
- low: future well being
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Difference between a goal and outcome
Outcome is a measurable change
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SMART
Specific, measurable, attainable, realistic, timed
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examples of nursing interventions
All, physical care, life saving measures, counseling, teaching, preventive measures
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Correctly stated intervention should include
Assessment, action and teaching
it should be specific with how, when and how much
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diagnosis
Actual and potential problems
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A nursing diagnosis is
A formal statement of the patient’s response to the health problem
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Three types of nursing diagnosis
- actual
- potential
- health promotion
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Nursing diagnosis provides
The basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable
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Parts of a nursing diagnosis
A problem related to cause as evidence by symptoms
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the “p” will guide
- The outcome and goals
- can be actual or potential
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the “e” will guide
Nursing interventions
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“s”
- Pt statements
- physical findings
- lab tests
- vitals
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