NSG 2317 Lecture Notes - Lecture 1: Nursing Process, Physical Examination, Lifesaving
22 Jan 2018
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Assessment - collection of data about an individual"s health state: subjective data - what the person says, objective data - observations or measures, laboratory and diagnostic results. Together this forms the data base, where you can make clinical judgements and diagnoses about overall levels of wellness. Envision long term goals for the patient and how today"s nursing actions apply to achieving these goals in a specific timeframe: expert; appear to vault over the steps and arrive at a clinical judgement in one leap. Identifying assumptions- recognizing that you can take information for granted or see it as fact when actually there is no evidence for it. Validation - checking the accuracy and reliability of data. Distinguishing normal from abnormal - when signs and symptoms are identified (eg. murmurs, wheezing, increased bp etc. ) Making inferences or hypotheses - interpreting data and deriving a correct conclusion about health status. Clustering related cues - helps you see relationships among the data.
