NSG 2317 Lecture Notes - Lecture 1: Nursing Process, Asthma, Social History
10 Oct 2018
School
Department
Course
Professor
Document Summary
Page 809- critical values (x-x bar / n-1) Assessment: soap (subjective, objective, assessment, plan, subjective: it is the self-report (ex: pain, objective is what you see and part of your physical examination (ex: tenderness, assessment: what is your conclusion, plan: recommendation. Sbar (situation, background, assessment, recommendation: situation: back pain due, background: from starting lawn mower, assessment: all normal vital signs, assessments you perform, recommendation: here is what i recommend you to do. Cc: chief complain: hpi: history of presenting illness, ros: review of systems (key systems, heent: head, eyes, ears, nose, mouth, neck, triad of ocular emergency: painful red eye causing visual discrepancy. Tightness or tender: review of systems, gi, gu, msk, neuro . Ros examples: cc: sore throat, hpi: examine, pick 2 related systems (respiratory & gi, cc: cough, hpi: examine, pick 2 related systems (respiratory & cardiac, past medical history, family history, social history.
