CNUR 103 Lecture Notes - Lecture 3: Nursing Care Plan, Patient Participation, Health Informatics

• School: University of Regina
• Department: Collaborative Nursing Program
• Course: CNUR 103
• Professor: Shauna Davies

Document Summary

Identify subjective comments: read what you submit, date, time, signature, designation, document all aspects of nursing process, from assessment to evaluation what was the pt. "s outcomes from my interventions, anything clinically significant. Important tests and treatments: ensure confidentiality, oral report, taped report. Includes both cognitive and effective domains of reasoning: makes you questions your assumptions and usual actions, changes how you act, skills, critical analysis. Intellectual courage, humility: theoretical and experiential knowledge, intellectual skills/competencies, knowledge from text and from experience, technical skills/competencies. Identify how we are going to achieve our goal: prevent, reduce, resolve, client centered. Implement nursing interventions assist pt. to achieve their goals, needs a rationale (reason for interventions) Organized, necessary data: creating a nursing diagnosis, characteristics, diagnostic label, etiology, responsible to come up with nursing diagnoses, judgment made after collection of data and assessed, how does it look, one-part statement, two-part statement, three-part statement, prioritizing: Identify your priorities potentials are risk for"s (falls, anxiety) and actuals.