NURS 3120 Chapter Notes - Chapter 1-6: Hand Sanitizer, Gastrostomy, Superior Vena Cava
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I(cid:374)(cid:272)o(cid:396)po(cid:396)ate patie(cid:374)t(cid:859)s k(cid:374)o(cid:449)ledge, (cid:373)oti(cid:448)atio(cid:374), suppo(cid:396)t s(cid:455)ste(cid:373)s, (cid:272)opi(cid:374)g a(cid:271)ilit(cid:455) and preferences to develop plan of care. Institute of medicine core competencies: provide patient-centered care, work in interdisciplinary teams, use evidenced-based practice, apply quality improvements, use informatics. Components of health assessment: health history, subjective data. Interview: current state of health, medications, previous illnesses or surgeries, family history, review of systems, feelings/experiences with health problems = symptoms, perceived or reported by patient, ex. Patient need: patie(cid:374)t(cid:859)s age, general level of health, presenting problems, knowledge level, support systems, varying needs determine level of assessment performed. Nurse expertise: gained through experience and specialization within a given area of practice. Problem based/focused assessment: history and exam are limited to specific problem or complaint, walk-in clinic or ed, pote(cid:374)tial i(cid:373)pa(cid:272)t of patie(cid:374)t(cid:859)s u(cid:374)de(cid:396)l(cid:455)i(cid:374)g health status (cid:373)ust (cid:271)e (cid:272)o(cid:374)side(cid:396)ed. Episodic/follow up assessment: patient is following up with health care provider for previously identified problem, ex. Patient treated for pneumonia, asked to return for follow-up after completing antibiotics: ex.
