NURS 3400 Chapter Notes - Chapter 3: Auscultation, Palpation, Joint Commission
Document Summary
Definition-the systematic gathering of information related to the physical, mental, spiritual, socioeconomic and cultural status of an individual, group, or community. Purpose- obtain enough information to allow you to help the patient. Outcome- information becomes part of the patient database. Diagnosis: provides the data needed for identifying the clients health problems. Planning outcomes: patient"s motivation, family, and available resources help to create realistic results. Planning interventions: shows interventions most likely to be accepted my the client. Implementation: observe the clients reactions to nursing practices. Nurses aids can perform tasks but it is the nurses job to assign those tasks. Each state specifics which portions of the assessment can legally be completed by different credential levels. Stat which caregivers can collect and document specified data. Provides guidelines on who can perform and document assessments. Information communicated to the nurse by the client, family, or community. Gathered through a physical assessment or from laboratory or diagnostic tests.
