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Collecting Subjective and Objective data using primary and secondary sources. |
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includes family members, significant others, other health care professionals,health records, and literature review. |
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diagnosing human responses to actual or potential health problems |
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Term
Phase 3: Outcome Identification |
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Formulating and documenting measurable, realstic, and client focused goals. |
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Work with clients to identify goals and intervention strategies that will reduce identified problems |
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The actual initiation of the plan, evaluation of the response to the plan, and recording of nursing actions and client response to these actions. |
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Determine the client's reaction to the intervention and judge whether the goals were achieved. |
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