scholarly journals Standaard verpleegvoorskrifte vir voorgeboorte kliënte

Curationis ◽  
1984 ◽  
Vol 7 (4) ◽  
Author(s):  
S. Venter ◽  
P. Du Plooy
Keyword(s):  
Nursing Care ◽  
Care Plan ◽  
Nursing Process ◽  
Scientific Education

Inspired after attending the course in scientific education for the nursing process, given by Mrs I.M. Miles at the J.G. Strijdom Hospital in February 1984, this standard nursing care plan for antenatal clients was born. It is based on the nursing module.

scholarly journals ІНФОРМАЦІЙНІ МОДЕЛІ ЗАГАЛЬНОГО ДОГЛЯДУ ЗА ХВОРИМИ З ПІДТРИМКОЮ АЛГОРИТМІВ ПРИЙНЯТТЯ РІШЕНЬ НА ОСНОВІ КЛАСИФІКАТОРА ICNP

2018 ◽  
Author(s):  
V. P. Matrtseniuk ◽  
I. Ye. Andrushchak ◽  
I. V. Tsikorska
Keyword(s):  
Decision Trees ◽  
Nursing Care ◽  
Care Plan ◽  
Care Planning ◽  
Nursing Process ◽  
Plan Implementation ◽  
Physical Assessment ◽  
Nursing Diagnosis ◽  
Information Models

The paper presents information models of the nursing process through a conceptual presentation, including assessments of the patient's overall condition (nursing interviews, physical assessment, measurement, documentation analysis), nursing diagnosis, nursing care planning, determination of expected results, nursing manipulation, care plan implementation and care results evaluation. Particular attention is drawn to the possibility of using international terminology in describing nursing practices. Analysis of solutions is carried out using the terminology of decision trees.

scholarly journals Sistem Komputerisasi Untuk Pencatatan Laporan Asuhan Keperawatan Untuk Mahasiswa Ilmu Keperawatan

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

Individualizing nursing care practice

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 ...

scholarly journals Esclerose múltipla: implementação do processo de enfermagem

2019 ◽  
Vol 78 (16) ◽  
Author(s):  
Mariana Melo da Cruz Domingos ◽  
Thatiane Monick de Souza Costa ◽  
Bárbara Coeli Oliveira da Silva ◽  
Francisca Marta de Lima Costa Souza ◽  
Cintia Capistrano Teixeira Rocha ◽  
...  
Keyword(s):  
Nursing Care ◽  
Intervention Study ◽  
Care Plan ◽  
Scientific Language ◽  
Nursing Process ◽  
Plan Evaluation ◽  
Impaired Memory ◽  
Priority Needs ◽  
Nursing Diagnoses ◽  
Expert Validation

Objetivo: Elaborar, validar, implementar e avaliar um plano de cuidados de enfermagem a uma paciente comEsclerose Múltipla. Metodologia: Trata-se de um estudo de intervenção metodológica realizado em uma paciente deum Hospital Escola na capital do Nordeste do Brasil, no período de junho de 2014. Seguiram-se as seguintes etapas:elaboração dos Diagnósticos de Enfermagem; proposta inicial de resultados e intervenções, elaboração de um planode cuidados e validação por especialista, implementação e avaliação do plano. Resultados: Elaborou-se, implementoue avaliou um plano de cuidados contendo cinco diagnósticos (mobilidade física prejudicada; dor crônica; sofrimentoespiritual; memória prejudicada; eliminação urinária prejudicada) cinco metas, cinco intervenções e 21 atividadesde enfermagem. Conclusões: Nota-se que a aplicabilidade do processo de enfermagem direciona as necessidadesprioritárias à paciente, permitindo uma linguagem homogênea e cientifica entre os profissionais de enfermagem.Palavras-chave: Esclerose Múltipla; Processos de Enfermagem; Cuidados de Enfermagem. ABSTRACTObjective: To develop, validate, implement and evaluate a plan of nursing care to a patient with multiple sclerosis.Methodology: This is a methodological intervention study in a patient of a Teaching Hospital in the capital ofNortheast Brazil, from June 2014. This was followed by the following steps: preparation of nursing diagnoses;Initial proposed outcomes and interventions, preparation of a plan of care and expert validation, implementationand plan evaluation. Results: We elaborated, implemented and evaluated a care plan with five diagnoses (impairedphysical mobility, chronic pain, spiritual pain, impaired memory, impaired urinary elimination) five goals, fiveinterventions and 21 nursing activities. Conclusions: It is clear that the application of the nursing process directsthe priority needs the patient, allowing a homogeneous and scientific language among nursing professionals.Keywords: Multiple Sclerosis; Nursing Process; Nursing Care.

Planned Nursing Care - A Main Element of Health Care Management for Ischemic Stroke Patients

2020 ◽  
Vol 13 (1) ◽  
pp. 35-40
Author(s):  
Meglena M. Balaburova ◽  
Makreta T. Draganova
Keyword(s):  
Health Care ◽  
Ischemic Stroke ◽  
Nursing Care ◽  
Care Management ◽  
Care Plan ◽  
Main Element ◽  
Nursing Interventions ◽  
Nursing Process ◽  
The European Union ◽  
Personalized Health Care

Summary Morbidity and mortality rate for stroke and ischemic stroke (IS), in particular, have ranked Bulgaria at a top place in the European Union. In the acute recovery stage of the disease, patients need continuous and personalized health care. The assessment of individual needs and adequate planning for nursing interventions, known as nursing process stages, are the basis of effective care management for patients, surviving ischemic stroke (PSIS). Therefore, the study and application of the nursing process in practice have proved to be an objective prerequisite for improving the quality and development of nursing care for PSIS. The objective of the study was to analyze the opinion of nurses working in clinics/departments of Neurology and Physiotherapy and Rehabilitation in three towns in Northern Bulgaria, on health care (HC) planning for PSIS and the required documentation. A direct anonymous inquiry was carried out, using specially designed questions to investigate the opinion of the respondents on the problems studied. Of the 81 individuals approached, 75 (93%) responded. Of these, 52 (69%) were familiar with the main points of the nursing plan concept, and 34 (65%) had heard about the concept during their basic training in the speciality. According to 67 (89%) of the respondents, a care plan was necessary to increase the health care (HC) efficiency in IS patients. Our results showed that healthcare professionals considered care planning an important tool to ensure continuity, evaluation and control of the care provided. According to the respondents, documenting health care and evaluating the activities performed will contribute to improve the quality of nursing care and promote research into nursing care.

scholarly journals NURSING PROCESS FOR PATIENTS DIAGNOSED WITH ACCIDENTAL TETANUS

2021 ◽  
Vol 6 ◽  
Author(s):  
Cássio Baliza Santos ◽  
Deíze Carvalho Pereira ◽  
Ricardo Bruno Santos Ferreira ◽  
Elaine de Oliveira Souza Fonseca
Keyword(s):  
Infectious Disease ◽  
Nursing Care ◽  
Public Hospital ◽  
Descriptive Study ◽  
Care Plan ◽  
Nursing Interventions ◽  
Nursing Process ◽  
Human Needs ◽  
Human Need ◽  
Basic Human Needs

Introduction: Accidental tetanus is an infectious disease with systemic repercussions and high lethality. Due to the complexity surrounding the care for these patients, nursing care must be conducted in a systematic, scientific and individualized way. Objective: To report the experience of systematization of nursing care to a patient affected by accidental tetanus in the light of the Basic Human Needs theory. Outline: This is a descriptive study, an experience report, developed in March 2019 after nursing care for a patient diagnosed with accidental tetanus, admitted to an intensive care unit (ICU) of a public hospital. Results: The elaboration of the care plan included information about the risk diagnosis and real diagnosis, nursing interventions and expected results, associated with the affected basic human need. Implications: It is well known that the provision of qualified care in the admission of patients with suspected accidental tetanus as well as their proper referral to the ICU contributes to a better prognosis.

scholarly journals Proposta de plano de cuidados de enfermagem para paciente queimado: estudo de caso

2019 ◽  
Vol 80 (18) ◽  
Author(s):  
Richardson Augusto Rosendo da Silva ◽  
Vinicius Lino de Souza Neto ◽  
Olga Alice Alencar Moreira ◽  
Fernanda Rafaela dos Santos ◽  
Rafael Medeiros dos Santos ◽  
...  
Keyword(s):  
Data Collection ◽  
Nursing Care ◽  
Public Hospital ◽  
Technical Assistance ◽  
Northeastern Brazil ◽  
Care Plan ◽  
Nursing Interventions ◽  
Burn Patients ◽  
Nursing Process

A Sistematização da Assistência de Enfermagem é caracterizada por ser uma ferramenta utilizada pelo enfermeiropara aprimorar os saberes da prática, otimizando, aperfeiçoando e aprimorando as técnicas assistenciais a partirdas novas evidências científicas. O estudo teve como objetivo elaborar e validar um plano de cuidados parapaciente queimado. Trata-se de um estudo de caso realizado no Centro de Tratamento de Queimados de umhospital público no nordeste do Brasil, no período de abril a maio de 2016. As etapas metodológicas do estudoforam estas: coleta de dados; elaboração dos diagnósticos, resultados e intervenções de enfermagem; elaboraçãoe validação do plano de cuidados. Após a análise dos dados, foi realizada a elaboração e a validação de umplano de cuidados com quatro diagnósticos, resultados e 24 intervenções de enfermagem. Diante disso, o estudopermitiu identificar os diagnósticos, resultados e intervenções de enfermagem para a aplicação na prática clínica,corroborando para o cuidado científico e direcionado as necessidades prioritárias.Palavras-chave: Processos de Enfermagem; Enfermagem; Queimaduras. ABSTRACTThe Systematization of Nursing Care is characterized by being a tool that nurses use to improve the practicalknowledge, optimizing, enhancing and improving the technical assistance will from the new scientific evidence.The study aimed to develop and validate a plan of care for burn patients. This is a case study in the Burn TreatmentCenter of a public hospital in northeastern Brazil, from April to May 2016. The methodological stages of thestudy were these: data collection; preparation of diagnoses / outcomes and nursing interventions; preparationand care plan validation. After analyzing the data produced and validated a care plan with four diagnostic / 24results and nursing interventions. Thus, the study identified the diagnoses / outcomes and nursing interventionsto implement in clinical practice.Keywords: Nursing process; Nursing; Burns.

PENURUNAN SUHU TUBUH MENGGUNAKAN TEPID WATER SPONGING DENGAN PENDEKATAN KONSERVASI LEVINE

2019 ◽  
Vol 11 (1) ◽  
pp. 33-40
Author(s):  
Muhammad Khabib Burhanuddin Iqomh ◽  
Nani Nurhaeni ◽  
Dessie Wanda
Keyword(s):  
Body Temperature ◽  
Nursing Care ◽  
Human Body ◽  
Model Theory ◽  
Pharmacological Treatment ◽  
Scientific Work ◽  
Pharmacological Therapy ◽  
Nursing Process ◽  
Tepid Water ◽  
Conservation Model

Peningkatan suhu tubuh  menyebabkan rasa tidak nyaman, gelisah pada anak, sehingga waktu untuk istirahat menjadi terganggu.Tatalaksana pada anak dengan demam dapat dilakukan dengan metode farmakologi dan non farmakologi. Tepid water spongingmerupakan tatalaksana non farmakologi. Konservasi adalah serangkaian sistem agar tubuh manusia mampu menjalankan fungsi, beradaptasi untuk melangsungkan kehidupan. Perawat mempunyai peran untuk membantu anak dalam mengatasi gangguan termoregulasi. Karya ilmiah ini bertujuan untuk mengetahui efektifitas penurunan suhu tubuh menggunakan tepid water sponging dengan pendekatanl konservasi Levine di ruang rawat infeksi. Efektifitas diukur dalam pemberian asuhan keperawatan berdasarkan proses keperawatan yang terdapat dalam model konservasi Levine yaitu: pengkajian, menentukan trophicognosis, menentukan hipotesis, intervensi dan evaluasi. Terdapat lima kasus yang dibahas. Hasil penerapan model konservasi Levine mampu meningkatkan kemampuan anak dalam mempertahankan fungsi tubuh dan beradaptasi terhadap perubahan. Kombinasi tepid water sponging dan terapi farmakologi mampu mengatasi demam dengan cepat dibanding terapi farmakologi.   Kata kunci: termoregulasi, tepid water sponging, teori model konservasi Levine   REDUCTION OF BODY TEMPERATURE USING TEPID WATER SPONGINGWITH THE LEVINE CONSERVATION APPROACH   ABSTRACT Increased body temperature causes discomfort, anxiety in children, so that the time to rest becomes disturbed. Management of children with fever can be done by pharmacological and non-pharmacological methods. Tepid water sponging is a non-pharmacological treatment. Conservation is a series of systems so that the human body is able to function, adapt to life. Nurses have a role to help children overcome thermoregulation disorders. This scientific work aims to determine the effectiveness of decreasing body temperature using tepid water sponging with the approach of Levine conservation in the infectious care room. Effectiveness is measured in the provision of nursing care based on the nursing process contained in the Levine conservation model, namely: assessment, determining trophicognosis, determining hypotheses, intervention and evaluation. There are five cases discussed. The results of the application of the Levine conservation model are able to improve the ability of children to maintain body functions and adapt to changes. The combination of tepid water sponging and pharmacological therapy is able to overcome fever quickly compared to pharmacological therapy.   Keywords: thermoregulation, tepid water sponging, Levine conservation model theory  

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