NURS 3120 Lecture Notes - Lecture 1: Active Listening, Heart Sounds, Scientific Method
Document Summary
Assessments should incorporate the nursing process (adpie) Comprehensive data about health care or situation: assessment phase, diagnosing phase. Analyze assessment data to determine issues: planning phase. Plan that prescribes strategies and alternatives to attain outcomes: implementation phase. Always trying to get patient back to full health, if impossible then as close as you can. Health promotion: when your patient/client is motivated to change behaviors/lifestyle. Secondary = screening to detect disease early. Tertiary = minimizing disability after diagnosis to lead the most productive life: maybe they want to diet and exercise instead of medication. Health protections: when your patient/client is motivated to avoid illness, detect diseases early & maintain their self care activities and life responsibilities when they are ill. Data collection: history which is the subjective data, physical exam (pe) which is the objective data, documentation of all data from interaction, subjective = what the patient/client tells you. Symptoms that brought them in for the visit.
