Extra evolve nursing notes
Order the nurse would use to modify the patients plan of care
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Revise assessment data
Add new nursing diagnoses
Select new goals and outcomes
Select interventions according to new diagnosis
Determine evaluation
Scientific Method
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Identify the problem
Data is collected
Formulate questions
Test questions or hypothesis
Data is evaluated and a conclusion is made
Diagnostic reasoning- the analytical process for determining a patient’s health problem.
Implementing interventions
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Review all possible interventions
Review all possible consequences associated with each intervention
Determine the probability of possible consequences
Judge the value of the consequences to the patient
Steps of the nursing process
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ADPIE
Assessment
Diagnosis
Planning
Implementation
Evaluation
Steps of consultations
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Identify the problem
Direct the consultation to the right professional
Provide the consultant with relevant information about the problem area
Be available to discuss the consultants’ findings and recommendations
Incorporate the consultant’s recommendation in the care plan
Nursing diagnosis
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Review assessment data, noting objective and subjective information
Clusters clinical criteria that form a pattern
Choose the diagnostic label
Consider the context of the patients health problem and select a related factor
Steps when a patient does not meet a goal stated in the care plan
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Reassess the patient
Determine the accuracy of the nursing diagnosis
Establish new goals and expected outcomes
Select a new intervention