第７章
看護プロセス II
看護評価
The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the ...
データ収集 I
Data collection gathers information needed to make accurate judgments about a patient's present condition. During a health history interview, ...
データ収集 II
The nursing history captures and records the patient's health status, so that a care plan evolves to meet the patient's individual needs. The ...
データ収集 III
The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. ...
データ検証
Data validation is an essential part of a comprehensive assessment. Validation is confirming or verifying and opening the door to gathering more ...
データのレポート作成と記録
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient ...
看護診断
Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. ...
看護診断の策定と検証I.
A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing ...
看護診断の策定と検証II
Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, ...
看護診断の文書化
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a ...
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