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Janie Shared "Fundamentals: Unit 1" - 11 Picmonics

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Fundamentals: Unit 1

Assessment
Health History
Objective Data
Subjective Data
TEST-TAKING STRATEGY: KEY WORDS
Identify
Determine
Obtain Information
CONSIDERATIONS
Assessment Always Done Before Treatments
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3 mins
Diagnosis
A COMPARISON
Medical Diagnosis
Nursing Diagnosis
Collaborative Problem
Data Interpretation and Analysis
Significant Data
Patterns or Clusters
Parts of Nursing Diagnosis Statement
Problem
Etiology
Defining Characteristics
TEST-TAKING STRATEGY: KEY WORDS
Maslow’s Pyramid
Patient’s Concerns
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2 mins
Documentation Guidelines
Factual
Objective Information
Subjective Information from Patient
Objective Supports Subjective
Accurate
Avoid Unnecessary Words and Details
Exact Measurements
Current
Assessments
Document ASAP
Treatment and Response
Change in Status
Admission, Transfer, Discharge or Death
Organized
Document in a Logical Order
Ensure Information Recorded is Complete
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4 mins
Evaluation
Consider the Effectiveness of Care
Reassess
Make Necessary Modifications
Continuously Ensure Favorable Patient Outcome
TEST-TAKING STRATEGY: KEY WORDS
Evaluate
Outcome
Consider the Degree of Effectiveness
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2 mins
HIPPA
exposure of personal health information 
Shred Documents
Ask the parent for permission before sharring information
You 
Criminal Charges & Imprisonment
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39 secs
How to Write a NANDA Nursing Diagnosis
Nursing Diagnosis
Nursing Diagnosis Components
Problem Statement
Etiology
Defining Characteristics or Risk factors
4 Types of Nursing Diagnoses
Problem-Focused
Risk
Health Promotion
Syndrome
Steps For Writing a Problem-Focused Diagnosis
(Problem-Focused Diagnosis) related to________(Related Factors) as evidenced by _____________ (Defining Characteristics).
Steps For Writing a Risk Diagnosis
Risk for_____as evidenced by_____(Risk Factors).
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3 mins
Implementation
Types of Nursing Interventions
Direct Care Interventions
Indirect Care Interventions
A Community (Public Health) Intervention
Implementing the Care Plan
Partnership with the Patient/Family
Performing the Nursing Action
Documenting Nursing Care
Delegating Nursing Care
TEST-TAKING STRATEGY: KEY WORDS
Intervene
Priority Action
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3 mins
Patient’s Rights
Patient’s Rights When Hospitalized
Respectful Care
Information
Consent or Refuse Treatment
Continuity of Care
Privacy and Confidentiality
Medical Record Review
Consent or Refuse Part in Research
Health Alternatives
Explanation of Charges and Bills
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3 mins
Planning
Nursing Care Plan
Tailored to Patient
Short-and-Long-Term Goals
SMART GOALS
Specific
Measurable
Attainable
Realistic
Time-Oriented
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2 mins
Safety and Security
Safety and Security Needs
Second Basic Needs
Safety and Security Needs
Physical Safety
Physiological Safety
Financial Security
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2 mins
The Nursing Process
ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
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2 mins

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