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case management tools used to communicate the standardized, interdisciplinary plan of care for a particular group of patients |
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computerized plans of nursing care |
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plans of patient care developed by computer software programs that enable the nurse to call up screens listing causes, goals, and related nursing interventions |
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process in which two or more individuals with varying degrees of experience and expertise deliberate about a problem and its solution |
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sytematic process of preparing the patient to leave the healthcare facility and for maintaining continuity of care |
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specific, measurable criteria used to evaluate whether the patient goal has been met |
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planning that addresses each problem listed in the prioritized nursing diagnoses and identifies appropriate patient goals and the related nursing care |
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a care plan documentation system |
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any treatment, based on clinical judgement and knowledge, that a nurse performs to enhance patient outcomes |
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planning carried out by any nurse who interacts with the patient to keep the paln up to date, to facilitate the resolution of healthcare problems, to manage risk factors and to promote function |
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observation of the patient to demonstrate the resolution of the problems identified by the nursing diagnoses and general problem list, along with the time frame for accomplishing these outcomes |
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a written guide that directs the efforts of the nursing team as the nurses work with patients to meet health goals |
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establishing patient goals to prevent, reduce or resolve the problems identified in the nursing diagnoses and determination of related nursing interventions |
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prepared plans of care that identifies the nursing diagnoses, patient goals and related nursing orders |
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