PROCESSO DE ENFERMAGEM APLICADO À IDOSOS COM ALZHEIMER QUE PARTICIPAM DO PROJETO ESTRATÉGIAS DE REABILITAÇÃO

Introdução: O aumento da população idosa em todo o mundo exige a capacitação de profissionais para o atendimento nesta área. Metodologia: Este é um estudo qualiquantitativo do tipo exploratório-descritivo realizado através da entrevista e exame físico feito nos idosos. Objetivos: O objetivo geral deste trabalho foi aplicar o processo de enfermagem nos idosos com alzheimer participantes do projeto da UNICRUZ. Os objetivos específicos foram: Realizar a avaliação do estado de saúde atual destes idosos; Levantar os principais diagnósticos de enfermagem encontrados; Proporcionar aos sujeitos cuidados de enfermagem integral através da realiazação das prescrições de enfermagem. Resultados: Após a coleta de dados foram levantadas as informações em comum obtidas na entrevista e exame físico que apontam idade média dos sujeitos de 76 anos, 4 idosos têm o diagnóstico de alzheimer há 5 anos; 3 deles são hipertensos; 5 deles têm distúrbios do sono; 3 têm irmãos com alzheimer e todos têm falha de memória e limitação de amplitude de movivento. Dos diagnósticos de enfermagem, pode-se destacar - tensão do papel do cuidador e risco para o trauma. Dentre as principais prescrições de enfermagem estão - estimular cognição e memória, atividade física e participação social. Conclusão: Foi possível aplicar o processo de enfermagem nos idosos e com isso obter um maior conhecimento do estado de saúde deles, descrever os diagnósticos de enfermagem e levantar pontos de intervenção através da prescrição de enfermagem para promover cuidados como o estímulo à participação em grupos e encaminhamento ao odontólogo que poderão auxiliar no tratamento dos indivíduos e previnir complicações, oferecendo-os assistência e orientações de enfermagem e transdiciplinar. palavras chave Processo de enfermagem. Cuidado de enfermagem. Assistência à idosos. Doença de Alzheimer.abstract Introduction: The aging population in the world requires the training of professionals providing care in this area. Methodology: This qualitative-quantitative study is of the exploratory-descriptive type conducted by interview and physical examination in the elderly. Objectives: The aim of this work was to apply the nursing process in the elderly with Alzheimer's UNICRUZ project participants. The specific objectives were to perform the evaluation of current health status of elderly; Raise the main nursing diagnoses found; subject providing comprehensive nursing care through nursing realization prescriptions. Results: After data collection, it was raised together the information obtained in the interview and physical examination suggest that the average age of subjects 76 years, has four seniors diagnosed with Alzheimer's five years, three of them are hypertensive, five of them have disorders sleep, have three siblings with Alzheimer's and all have memory impairment and limitation of range of movivento. Of nursing diagnoses, can be highlighted - the role of caregiver stress and risk for trauma. The main requirements are nursing - stimulate cognition and memory, physical activity and social participation. Conclusion: It was possible to apply the nursing process in the elderly and therefore gain a greater understanding of their health status, describing nursing diagnoses and raise points of intervention through the prescription of nursing care and to promote the stimulation of participation in groups and referral to a dentist that can help treat and prevent complications of individuals, offering them assistance and guidance to nursing and transdisciplinary. Key wordsNursing Process. Nursing care. Assistance to the elderly. Alzheimer's disease.

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Nursing diagnoses about aging in nursing care plans of the elderly clients undergoing surgery

European Geriatric Medicine ◽

10.1016/j.eurger.2012.07.247 ◽

2012 ◽

Vol 3 ◽

pp. S106-S107

Author(s):

S. Senol Celik

Keyword(s):

Nursing Care ◽

The Elderly ◽

Care Plans ◽

Nursing Diagnoses

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Integralidade da assistência na visita domiciliar: relato de experiência

Revista Recien - Revista Científica de Enfermagem ◽

10.24276/rrecien2020.10.32.324-331 ◽

2020 ◽

Vol 10 (32) ◽

pp. 324-331

Author(s):

Anna Rebeka Oliveira Ferreira ◽

Wanderson Rocha Oliveira ◽

Brenda Melissa Barros Mota dos Santos ◽

Claudia Regina Marchiori Antunes Araújo

Keyword(s):

Nursing Care ◽

Home Visit ◽

Nursing Process ◽

Health Unit ◽

Unified Health System ◽

Primary Health ◽

History Of ◽

Nursing Diagnoses ◽

Care Nursing

Este relato possui como objetivo realizar a elaboração e aplicação de um instrumento para concretização do Processo de Enfermagem durante as visitas domiciliares. O relato foi realizado em uma Unidade Básica de Saúde de Maringá. Primeiramente foi realizado um aprofundamento teórico e observação da realidade para a construção de roteiros com histórico de enfermagem, diagnósticos e intervenções de acordo com a Classificação Internacional de Práticas em Saúde Coletiva (CIPESC), articulada à Sistematização da Assistência de Enfermagem específica para cada fase do ciclo da vida, para posterior aplicação e avaliação. O instrumento possibilitou a efetivação do princípio da integralidade do Sistema Único de Saúde por parte dos discentes e enfermeiros, o que facilitou a identificação das necessidades do paciente e família de uma forma holística, e contribuiu para uma maior autonomia do enfermeiro durante o processo do cuidar.Descritores: Visita Domiciliar, Educação em Saúde, Atenção Primaria a Saúde, Processo de Enfermagem. Integrality of assistance in home visit: experience reportAbstract: This report aims to carry out the elaboration and application of an instrument for implementation of the Nursing Process during home visits. This report was carried out in a Basic Health Unit at Maringá. First of all, we carried out a theoretical deepening and observation of reality, for the construction of scripts with a history of nursing, diagnoses and interventions according to the International Classification of Public Health Practices (CIPESC) linked to the Systematization of Nursing Care specific to each phase of the life cycle, and later, application and evaluation. The instrument enabled the implementation of the principle of integrality of the Unified Health System by students and nurses, making easier the identification of the needs of patient and family in a holistic way and adding to the greater autonomy of nurses during the care process.Descriptors: Home Visit, Health Education, Primary Health Care, Nursing Process. Integralidad de la asistencia durante las visitas domiciliares: informe de experienciaResumen: Este informe tiene como objetivo llevar a cabo la elaboración y aplicación de un instrumento para implementación del Proceso de Enfermería durante las visitas domiciliarias. Este informe se realizó en una Unidad Básica de Salud en Maringá, en primer realizamos una profundización teórica y observación de la realidad, para la construcción de guiones con antecedentes de enfermería, diagnósticos e intervenciones según la Clasificación Internacional de Prácticas en Salud Colectiva (CIPESC), vinculado a la Sistematización de la Asistencia de Enfermería, específica para cada fase del ciclo de vida, para su posterior aplicación y evaluación. El instrumento permitió la aplicación del principio de integración del Sistema Único de Salud por parte de estudiantes y enfermeros, facilitando la identificación de las necesidades del paciente y la familia de manera integral y contribuyendo a una mayor autonomía de las enfermeras durante el proceso de atención.Descriptores: Visita Domiciliaria, Educación Sanitária, Atención Primaria de Salud, Proceso de Enfermería.

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Nursing process applied to a client post-angioplasty: assistential convergent study

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.1262-12560-1-le.0509201120 ◽

2011 ◽

Vol 5 (9) ◽

pp. 2220

Author(s):

Joselany Áfio Caetano ◽

Hérica Alves Vasconcelos ◽

Marli Teresinha Gimeniz Galvão

Keyword(s):

Nursing Care ◽

Goal Attainment ◽

Self Care ◽

Nursing Process ◽

Nursing Theory ◽

Adequate Diet ◽

Disturbed Sleep ◽

Implementation Time ◽

Care Deficit ◽

Nursing Diagnoses

ABSTRACT Objective: to apply nursing care systemization to a client submitted to angioplasty with placement of coronary stents in the light of King’s Theory of Goal Attainment. Method: convergent care research, carried out at the patient’s home. The following Nursing Diagnoses were elaborated and the interventions are proposed according to the connection between NANDA, NIC and NOC. The project was previously approved by the Research Ethics committee from University Federal do Ceará, under no protocol 61/08. Results: the nursing diagnoses: imbalanced nutrition: less than body requirements, impaired physical mobility, activity intolerance, chronic sadness, disturbed sleep patterns, self-care deficit control and ineffective family therapeutic regimen. the goals were: To obtain an adequate diet and fluid intake; Perform physical exercise safely and social interaction activities; Try and decrease dependence on the medication and adjust sleep times; Facilitate the accomplishment of self-care activities. The nursing plan attained a majority of the established goals, even if partially, which was expected in view of the proposed goals and implementation time. Conclusion: the use of Nursing Diagnoses is a technology needed for daily nursing care, as it permits comprehensive care and is relevant in home treatment, with an emphasis on health promotion.Descriptors: nursing process; nursing theory; coronary disease; care.RESUMO Objetivo: implementar a sistematização da assistência de enfermagem a um cliente submetido à angioplastia com colocação de stents coronarianos à luz da Teoria de Alcance de Metas de King. Método: pesquisa convergente-assistencial, realizada em um domicílio de Fortaleza, em 2010. Elaboraram-se os Diagnósticos de Enfermagem e propôs intervenções, segundo a ligação entre NANDA, NIC e NOC. O projeto foi previamente aprovado pelo Comitê de Ética em Pesquisa da Universidade Federal do Ceará, sob nº de protocolo 61/08. Resultados: os diagnósticos de enfermagem: nutrição desequilibrada: menos do que as necessidades corporais, mobilidade física prejudicada, intolerância à atividade, tristeza crônica, padrão do sono perturbado, déficit no autocuidado e controle familiar ineficaz do regime terapêutico. As metas foram: Obter dieta e ingesta hídrica adequada; Realizar as atividades físicas e atividades de interação social; Tentar diminuir a dependência do medicamento e ajustar os horários de sono; Facilitar a realização das atividades de autocuidado. O plano de enfermagem alcançou a maioria das metas estabelecidas, mesmo que de forma parcial, fato esperado diante das metas propostas e o tempo de implementação. Conclusão: o uso dos Diagnósticos de Enfermagem é tecnologia necessária ao cotidiano de enfermagem, pois possibilita o cuidado integral e se mostra relevante no tratamento domiciliar, com ênfase na promoção da saúde. Descritores: processo de enfermagem; teoria de enfermagem; coronariopatia; cuidado.RESUMEN Objetivo: implementar la sistematización de la asistencia de enfermería a un cliente sometido a la angioplastia con la colocación de stents coronarianos a la luz de la Teoría de Alcance de Metas de King. Método: investigación convergente asistencial, realizada en un domicilio de Fortaleza, en 2010. Se elaboraron los Diagnósticos de Enfermería y se propuso intervenciones, según la conexión entre NANDA, NIC y NOC. El proyecto fue previamente aprobado por el Comité de Ética en Investigación de la Universidad Federal do Ceará, bajo protocolo 61/08. Resultados: los diagnósticos de enfermería: nutrición desequilibrada: menos que las necesidades corporales, movilidad física perjudicada, intolerancia a la actividad, tristeza crónica, trastornos del sueño, déficit en el autocuidado y control familiar ineficaz del régimen terapéutico. Las metas fueron: Obtener una dieta e ingesta hídrica adecuada; Realizar las actividades físicas y actividades de interacción social; Intentar disminuir la dependencia del medicamento y ajustar los horarios de sueño; Facilitar la realización de las actividades de autocuidado. El plan de enfermería alcanzó la mayoría de las metas establecidas, aunque de forma parcial, hecho esperado delante de las metas propuestas y el tiempo de implementación. Conclusión: el uso del Diagnóstico de Enfermería es tecnología necesaria al cotidiano de enfermería, pues posibilita el cuidado integral y se muestra relevante en el tratamiento domiciliario, con énfasis en la promoción de la salud. Descriptores: proceso de enfermería; teoría de enfermería; coronariopatía; cuidado.

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THERAPEUTIC TOY IN PRIMARY CARE: CONTRIBUTIONS FOR THE SYSTEMATIZATION OF NURSING CARE

Texto & Contexto - Enfermagem ◽

10.1590/1980-265x-tce-2020-0616 ◽

2021 ◽

Vol 30 ◽

Author(s):

Letícia Roberta Pedrinho ◽

Bianca Machado Cruz Shibukawa ◽

Gabrieli Patrício Rissi ◽

Roberta Tognollo Borotta Uema ◽

Maria de Fátima Garcia Lopes Merino ◽

...

Keyword(s):

Nursing Care ◽

Multiple Case Study ◽

The North ◽

Coping Process ◽

Nursing Diagnosis ◽

Multiple Case ◽

Nursing Diagnoses

ABSTRACT Objective: to analyze the role of the therapeutic toy as a tool for the nursing diagnosis in the setting of care for the child with diabetes. Method: a qualitative multiple-case study conducted with children diagnosed with Type 1 Diabetes mellitus and living in the inland of Paraná. The data were collected in 2018 through interviews, field diary and sessions using the therapeutic toy. Nursing diagnoses were elaborated according to the North American Nursing Diagnosis Association Taxonomy I and a targeted content analysis was performed, resulting in four categories. Results: using the dramatic therapeutic toy allows the child to show their perception of the disease and of the care provided. The sessions with the dramatic therapeutic toy made it possible to identify five nursing diagnoses, which were later worked on by means of an instructional therapeutic toy. Conclusion: systematization of assistance mediated by the use of the toy allows nurses to establish bonds with the child with diabetes and their family, revealing their perceptions of the disease and treatment, thereby stimulating a more active participation of the binomial in the management of this coping process.

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Sistem Komputerisasi Untuk Pencatatan Laporan Asuhan Keperawatan Untuk Mahasiswa Ilmu Keperawatan

Creative Information Technology Journal ◽

10.24076/citec.2017v4i4.117 ◽

2019 ◽

Vol 4 (4) ◽

pp. 245

Author(s):

Novan Aries Tuharea ◽

Darpianto Sampe Payung ◽

I Gede Purnawinadi ◽

Reymon Rotikan

Keyword(s):

Information Technology ◽

Nursing Students ◽

Health Services ◽

Nursing Care ◽

Computer Application ◽

Care Plan ◽

Nursing Process ◽

Application Development ◽

Computer Based

Proses keperawatan tidak terlepas dari peran seorang perawat dalam menjalankan tugas dan tanggungjawabnya dalam memberikan layanan kesehatan terhadap pasien. Salah satu hal yang penting dalam proses keperawatan adalah membuat dokumentasi. Hal ini menjadi penting oleh karena dokumentasi asuhan keperawatan atau proses keperawatan merupakan dokumen yang mencatat tindakan yang dilakukan oleh perawat terhadap pasien. Namun dengan beban kerja yang cukup tinggi membuat banyak perawat tidak dapat menyusun dokumentasi asuhan keperawatan dengan baik. Penelitian ini bertujuan untuk membuat sebuah metode pencatatan asuhan keperawatan dengan memanfaatkan teknologi informasi dengan membuat sebuah aplikasi komputer. Adapun dalam penelitian ini menggunakan mahasiswa Fakultas Ilmu Keperawatan, Universitas Klabat sebagai objek penelitian, dengan pertimbangan kemudahan dalam melakukan observasi dan wawancara untuk mengetahui kebutuhan dalam pengembangan aplikasi. Aplikasi yang dikembangkan mengikuti standar asuhan keperawatan dari NANDAInternational. Adapun hasil penelitian menunjukkan penggunaan aplikasi dalam membuat dokumentasi dan laporan asuhan keperawatan memberikan kemudahan bagi mahasiswa, dimana dapat mempersingkat waktu penyusunan laporan. Dan walaupun penelitian ini menggunakan mahasiswa sebagai objek penelitian, namun hasil penelitian juga dapat digunakan oleh perawat yang bekerja di Rumah Sakit.Kata Kunci — laporan, asuhan keperawatan, sistem terkomputerisasiThe nursing process is inseparable from the role of a nurse in carrying out its duties and responsibilities in providing health services to patients. One of the things that are important in the nursing process is to make the documentation or the nursing care plan. This is important because this documentation is a document that records the actions taken by nurses to patients. However, the workload is high enough for a nurse to be able to make the documentation.Therefore, in this study an attempt has been made to create a reporting tools for nursing care plan by utilizing information technology with creating a computer application. As in this study, the students at the Faculty of Nursing, Universitas Klabat are becoming the research object, with consideration of ease of observation and interviews to assess the needs in application development. The developed application follows the standards of nursing care documentation of NANDA-International. The research results indicate, that the use of applications in creating nursing care plan report provides convenience for students, which can shorten the time ofpreparation of the report. And although in this study using nursing students as research the object, but the computer application can also be used by nurses who are working at the hospital.Keywords — reporting, nursing care plan, computer-based system

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The Most Commonly Determined Nursing Diagnoses According to NANDA-I Taxonomy and Difficulties Using the Nursing Process in COVID-19 Outbreak

Clinical Nursing Research ◽

10.1177/10547738211051565 ◽

2021 ◽

pp. 105477382110515

Author(s):

Hale Tosun ◽

Ayşe Tosun ◽

Birgül Ödül Özkaya ◽

Asiye Gül

Keyword(s):

High School ◽

Nursing Care ◽

High School Graduates ◽

Cross Sectional Study ◽

Nursing Process ◽

Sectional Study ◽

Cross Sectional ◽

Nursing Diagnosis ◽

Acute Confusion ◽

Nursing Diagnoses

The study was planned to determine the most common nursing diagnoses according to NANDA International (NANDA-I) taxonomy and difficulties experienced in using of nursing process in COVID-19 outbreak. The sample of the descriptive cross-sectional study consisted of nurses cared for patients with COVID-19 ( n = 114). Average age of nurses is 26.86 ± 6.68. Commonly determined nursing diagnoses according to NANDA-I taxonomy in patients with COVID-19 were imbalanced nutrition (66.7%), impaired gas exchange (40.4%), insomnia (21.1%), acute confusion (31.6%), hopelessness (96.5%), difficulty playing caregiver (84.2%), anxiety (38.6%) willingness to strengthen religious bond (71.9%), risk for infection (64.9%), nausea (49.1%). Twenty-four-years old and younger, high school graduates, caring for intubated patients, and those who stated that they did not use nursing diagnosis had more difficulty in using nursing process (<0.05). The use of nursing diagnoses and process for patients with COVID-19 is extremely important in ensuring individual and qualified nursing care.

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A importância da assistência do enfermeiro ao idoso institucionalizado em instituição de longa permanência

Revista Recien - Revista Científica de Enfermagem ◽

10.24276/rrecien2358-3088.2015.5.14.12-18 ◽

2015 ◽

Vol 5 (14) ◽

pp. 12 ◽

Cited By ~ 2

Author(s):

Marcelo José Cirilo Gonçalves ◽

Sildemar Alves Azevedo Júnior ◽

Janete Da Silva ◽

Lígia Do Nascimento Souza

Keyword(s):

Nursing Care ◽

Self Care ◽

The Elderly ◽

Functional Evaluation ◽

Institutionalized Elderly ◽

Revisión Sistemática ◽

Effectiveness And Efficiency ◽

Aging Health ◽

Care Capacity

O envelhecimento da população vem crescendo, o que acarretará no aumento das demandas sociais e econômicas. Outra questão que merece atenção diz respeito á Instituição de Longa Permanência para Idosos que também crescem de forma desordenada. Verificar, a relevância da atuação do Enfermeiro quanto aos cuidados prestados aos idosos institucionalizados. A revisão bibliográfica sistemática utilizando artigos publicados no período entre 2007 a 2013. É a principal alternativa para quem perdeu a capacidade do autocuidado deve proporcionar moradia especializada e coletiva. A avaliação funcional avalia o grau de dependência dos idosos, dentro de uma função específica como a capacidade de autocuidado, esta prática associada aos índices de morbimortalidade podem determinar a eficácia e eficiência do cuidado de enfermagem. O enfermeiro ainda não se apropriou dos seus conhecimentos, sendo comum encontrarmos nestas instituições idosos sendo tratado dentro do mesmo formato, independente de ter ou não uma doença crônica degenerativa.Descritores: Saúde do Idoso, Idoso Institucionalizado, Instituição de Longa Permanência. The importance of nursing care institutionalized elderly long stay in institutionsAbstract: The aging population is growing, which will result in increasing social and economic demands. Another issue that deserves attention concerns the long-stay institution for the elderly that also grow in a disorganized way. Check the relevance of the role of the nurse as care for the institutionalized elderly. A systematic literature review using articles published between 2007 to 2013. It is the main alternative for those who lost the self-care capacity should provide specialized and collective. A house functional evaluation assesses the degree of dependence of the elderly, within a specific function such as self-care ability, this practice associated with morbidity and mortality rates can determine the effectiveness and efficiency of nursing care. The nurse has not appropriated their knowledge, being common to find these older institutions be treated in the same format, regardless of whether or not a degenerative chronic disease. Descriptors: Aging Health, Institutionalized Elderly, Institution for the Aged. La importancia de la atención de enfermería institucionalizó larga estancia en instituciones ancianosResumen: El envejecimiento de la población es cada vez mayor, lo que se traducirá en el aumento de las demandas sociales y económicas. Otro tema que merece atención se refiere a la institución de larga estadía para las personas mayores que también crecen de manera desorganizada. Compruebe la relevancia del papel de la enfermera como el cuidado de los ancianos institucionalizados. Una revisión sistemática de la literatura el uso de artículos publicados entre 2007 y 2013. Es la principal alternativa para aquellos que perdieron la capacidad de autocuidado debe proporcionar una evaluación funcional especializada y la casa colectiva. A evalúa el grado de dependencia de las personas mayores, dentro de una función específica, como capacidad de autocuidado, esta práctica asociada con tasas de morbilidad y de mortalidad puede determinar la eficacia y eficiencia de la atención de enfermería. La enfermera no se ha apropiado de sus conocimientos, siendo común encontrar estas instituciones mayores serán tratados en el mismo formato, independientemente de si es o no una enfermedad degenerativa crónica. Descriptores: Salud del Anciano, Ancianos Institucionalizados, Institución para la Edad.

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Processo de enfermagem fundamentado na teoria do autocuidado de Orem a um paciente submetido à cirurgia bariátrica

Revista de Enfermagem UFPE on line ◽

10.5205/reuol.581-3802-1-rv.0304200904 ◽

2009 ◽

Vol 3 (4) ◽

pp. 814 ◽

Cited By ~ 1

Author(s):

Lidiany Galdino Felix ◽

Maria Miriam Lima da Nóbrega ◽

Maria Júlia Guimarães de Oliveira Soares

Keyword(s):

Bariatric Surgery ◽

Nursing Care ◽

Clinical Case ◽

Self Care ◽

Nursing Interventions ◽

Nursing Process ◽

Qualified Individual ◽

Case Type ◽

Nursing Diagnoses

Objective: to apply the nursing process fundament on the Theory of Orem’ Self-care, through the conduct of a report of clinical case, with a patient submitted to bariatric surgery. Methods: this is about a descriptive study, from qualitative approach, report of clinical case type, performed in a patient with morbid obesity, included in Bariatric Surgery Group of a teaching hospital in João Pessoa-PB city. For data collection was used a script adapted to Theory of Orem’ Self-care, which led to the identification of deficits of self-care and therefore to nursing diagnoses. It was then developed the plan of nursing care, with the determination of goals, objectives, method of assistance, type of system and nursing interventions. This study has been approved by the Research Ethics Committee of the Hospital of the Federal University of Paraiba (054/07). Results: from the identification of nursing diagnoses was established and implemented the plan of nursing care with the aim of restoring the patient to prevent postoperative complications, promote recovery and prepare you for the self-care. Conclusion: it is considered that the application of the nursing process, based on Theory of Orem’ Self-care, enabled the provision of assistance and qualified individual, encouraging the patient to participate actively in their treatment, but also to increase their responsibility in the outcome of care. Descriptors: nursing; nursing process; self care; bariatric surgery.

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Individualizing nursing care practice

Oxford Handbook of Adult Nursing ◽

10.1093/med/9780199231355.003.0003 ◽

2009 ◽

pp. 27-72

Keyword(s):

Physical Examination ◽

Communication Skills ◽

Mental Status ◽

Nursing Care ◽

Care Plan ◽

Care Practice ◽

Nursing Process ◽

Nursing History ◽

Examination Procedure ◽

Status Assessment

The nursing process 28 Implementing the nursing care plan (or pathway) 30 The nursing history 32 Interviewing tips and communication skills 34 General mental/psychological assessment 36 Mental status assessment 38 Performing a nursing physical examination: overview 40 Performing a nursing physical examination: procedure 44 Assessing spirituality ...

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