Term
| Outcome Identification and Planning |
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Definition
Steps of the nursing process, the nurse works in partnership with the patientand family to:
- Establish priorities
- Identify and write expected patient outcomes
- Select evidence-based nursing interventions
- Communicate the plan of nursing care
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Term
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Definition
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Term
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Definition
| Is an expected conclusion to a patient health problem, or in the event of a wellness diagnosis, an expected conclusion to a patients health expectation. |
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Term
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Definition
| is used to refer to the more specific , measurable criteria. |
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Term
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Definition
| measurable criteria is used to evaluate the extent to which a goal has been met. |
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Term
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Definition
| Is developed by the nurse who performs the admission nursing history and the physical assessment. This comprehensive plan addresses each problem listed in the prioritized nursing diagnoses and identifies appropriate patient goals and the related nursing care. |
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Term
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Definition
| Are prepared plans of care that identify the nursing diagnoses, outcomes, and related nursing interventions common to a specific population or health problem. |
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| Is carried out by any nurse who interacts with the patient. Purpose is to keep the plan up to date. |
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Term
Nursing Outcomes Classification
(NOC) |
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Definition
| Developed by the Iowa Outcomes Project presents the first comprehensive standardized language used to describe the patient outcomes that are responsive to nursing intervention. |
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Term
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Definition
| Is any treatment, based on clinical judgement and knowledge, that a nurse performs to enhance patient outcomes. |
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Term
Nursing Intervention Classification
(NIC) |
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Definition
| The first comprehensive, validated list of nursing interventions applicable to all settings that can be used by nurses in multiple specialities. |
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Term
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Definition
| A process by which two or more individuals with varying degrees if experience and expertise discuss a problem and its solution, often proves helpful. |
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Term
Plan of Nursing Care
(patient care plan)
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Definition
| Is the written guide that directs the efforts of the nursing team as nurses work with patients to meet their health goals. |
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Term
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Definition
| in which the plan of nursing care for each patient is concisely recorded on a folded card and placed in a centeral kardex file, where it is easily accessible. |
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Term
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Definition
| as part of the electronic medical record. |
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Term
Clinical Pathways
(critical pathways, Caremaps) |
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Definition
| are tools used in case management to communicate the standarized, interdisciplinary plan of care for patients. |
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