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Assisting w/ Nursing Process
N/A
18
Medical
Undergraduate 1
11/09/2008

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Cards

Term
Subjective Data
Definition
Things a person tells you about that you cannot observe through your sense; symptoms.
Term
Implementation
Definition
To perform or carry out nursing measures in the care plan; a step in the nursing process.
Term
Nursing Process
Definition
The method RNs use to plan and deliver nusing care.
Term
Symptoms
Definition
Another name for subjective data.
Term
Comprehensive Care Plan
Definition
A written guide about the care a person should receive.
Term
Assessment
Definition
Collecting information about the persons; a step in the nursing process.
Term
Signs
Definition
Another name for objective data
Term
Nursing Diagnosis
Definition
Describes a health problem that can be treated by nursing measures; a step in the nursing process.
Term
Objective Data
Definition
Information that is seen, heard, felt, or smelled
Term
Evaluation
Definition
A step in the nursing process that is used to measure if goals in the planning step were met.
Term
Planning
Definition
Setting priorities and goals; a step in the nursing process.
Term
Nursing Intervention
Definition
An action or measure taken by the nursing team to help the person reach a goal
Term
Goal
Definition
That which is desired in or by the person as a result of nursing care.
Term
Observation
Definition
Using the senses of sight, hearing, tough, and smell to collect information.
Term
Medical Diagnosis
Definition
The identification of a disease or condition by a doctor.
Term
Triggers
Definition
Clues for the resident assessment protocols
Term
RAP's
Definition
Abbreviation for- Resident Assesment Protocols
Term
Minimum Data Set (MDS)
Definition
An assessment and screening tool. Completed when the person is admitted into the center. Information included is memory, communication, hearing and vision, physical function, and activities. Updated before each care conference. Ane one is completed once a year and whenever there is a significant change in the person's health status.
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