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a systemic, dynamic process by which the nurse, through interaction with the patient, significant others, and health care providers, collect and analyze data about the patient |
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assignment of a health care provider to a patient so that the care of the patient is overseen by one individual |
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a multidisciplinary plan that schedules clinical interventions over an anticipated time frame for high risk, high volume and high cost types of cases |
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identify the type and cause of a health condition |
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study of all factors that may be involved in the development of a disease; cause of a disease |
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a determination made about the extent to which the established outcomes have been achieved in a nursing care plan |
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a broad statement that describes the intended or desired change in the patient's condition or behavior |
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the phase of the nursing process that included ongoing activities of data collection, prioritization, and performance of nursing intervention and documentation |
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a health care system whose aim is to enhance specific clinical and financial outcomes within a specific time frame |
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north american nursing diagnosis association |
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a clinical judgement about individual, family, or community responses to actual or potential health problems/life processes |
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activities that promote the achievement of the desired patient outcome |
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organizational framework for the practice of nursing. provides a systematic method by which nurses plan and provide care for patients |
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observable and measurable sign which can be recorded |
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phase where nurse establishes priorities of care, writes desired patient outcomes, selects and converts nursing interventions into nursing orders, and communicates the plan of care |
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an order written in a patients medical record or nursing care plan by a physician or nurse especially for that individual; it is not used for any other patient |
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a standardized intervention written, approved, and signed by a physician that is kept on file within the health care facility to be used in predictable situations or in cirumstances requiring immediate attention |
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verbal statements provided by the patient |
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