Ch.5 key terms
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Ch.5 key terms - Leaderboard
Ch.5 key terms - Details
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Assessment | A systematic, dynamic way collect and analyze data about a client the first step in delivering nursing care |
Biographic data | Provide info about the facts or events in a person’s life |
Case management | Encompasses planning, coordination of care, and patient advocacy in providing quality, cost-effective outcomes for patient. |
Clinical pathway | A multidisciplinary plan that incorporates EBP guidelines for high-risk, high-volume, high-cost types of cases while providing the optimal patient outcome and maximizing clinical efficiency |
Collaborative problems | Health-related problems that the nurse anticipates based on condition or diagnosis of patient |
Cue | A piece or pieces of data that often indicate that an actual or potential problem has occurred or will occur |
Database | A large store or bank of info(for the patient) |
Defining characteristics | The clinical cues, signs, and symptom's that furnish evidence that the problem exists |
Diagnose | To identify the type the type and cause of health condition |
Evaluation | A determination made about the extent to which the established goals have been achieved |
Goal | The purpose to which an effort is directed |
Implementation | Phase of the nursing process, the nurse and other members of the team put the established plan into action to promote goal achievement (fifth phase of nursing process) |
Managed care | Refers to healthcare systems that have control over primary health care services and attempt to trim down health care costs by reducing unnecessary or overlapping services |
Medical diagnosis | Identification of a disease or condition with the evaluation of physical signs, sympr toms, patient interviews, laboratory tests, diagnostic procedures, review of medical records, and patient hise tory |
NANDA-I | To reflect nursing diagnosis terminology used atound the world. |
Nursing diagnosis/patient problem statement | Is a type of health problem that can be identified by the nurse |
Nursing interventions | Are those activities that promote the achievement of the desired patient goal |
Nursing process | A systematic method by which nurses plan and provide care for patients |
Nursing-sensitive patient outcomes | Identification of outcomes that are responsive to nursing care is important work for nursing, especially in connection with efforts to , contain costs and establish best practices |
Objective data | Are observable and measurable signs |
Outcome(goal) | These classification systems, further provide research-based information regarding nursing treatments and judgments |
Planning | Phase of the nursing process, priorities of care are established and nursing interventions are chosen to best address the patient problem statement. |
Potential patient problem statement | Are written as two part statements: (1) the patient problem statement withthe adjective"potential" in front of it, and (2) the risk factor(s). |
Standardize language | Terms that have the same definition and meaning regardless of who uses them |
Subjective data | Are information that is provided by the patient |
Variance | Unexpected event that occurs during the use of a clinical pathway (can be positive or negative) |