NURS 3234 Lecture Notes - Lecture 1: Nursing Diagnosis, Nanda, Perfusion

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Nurse speak: the language you must know to provide good care, and to work with other nurses. Nursing diagnoses , actual/potential health issues that you can: list problems, and strengths, look for clusters and patterns, use nursing diagnoses, not medical, pain/comfort, activity, tissue integrity and perfusion issues prevent/resolve with independent nursing intervention. Gives signs & symptoms: 3 part pes system: problem (or diagnosis), etiology (or cause), and symptoms (or manifestations, or as evidenced by (cid:524). Compare to normal: list those symptoms, cluster similar symptoms, ask yourself, why is the patient here, in the or ideal. Intermediate: non-life-threatening, long term: high: if untreated, result in immediate harm, usually airway, circulation, pain, safety, low priority: more future related, constantly shifting as you work on them! Set goals with your patient: begins with setting goals, always with your patient, also called (cid:498)objectives(cid:499), or (cid:498)outcomes(cid:499, have a vision where is your patient going, must be specific!!!

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