NURS-B 244 Lecture Notes - Lecture 16: Health Insurance Portability And Accountability Act, Chronic Pain, Lymphadenopathy
Document Summary
Subjective data: information gathered from the patient/reliable source. Objective data: gathered from the patient"s records. Planning: actions to be taken to resolve problems or address patient needs. Examples & sources of objective and subjective data. Objective: derived from assessment, patient records, and reports (vital signs, appearance, what is observed) Subjective: reported by patient or a reliable source (complains of pain, says they"re not breathing well, not getting much sleep, pain, dizziness, nausea, etc. ) Only share what is necessary to provide for the patient, and to people directly involved in case. Chapter 7 interviewing & communication techniques: 5 questions. Attending (giving full attention to verbal and nonverbal messages) Direct leading (directing patient in order to receive specific information or starting conversation) Focusing (helping patient zero in on something to explore their feelings) Reflecting (letting patient know that the nurse empathizes with them) False reassurance (saying there"s a positive outcome without having something to base it on)
