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| Practice Activities and Work Pages | |
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| The Nursing Process: Delivering Quality Care | |
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| The Nursing Profession | |
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| Definition of Nursing | |
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| The Nursing Process | |
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| How the Nursing Process Works | |
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| Practice Advantages of the Nursing Process | |
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| Summary | |
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| Bibliography | |
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| Suggested Readings | |
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| Classical Publications | |
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| Current Publications | |
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| The Assessment Step: Developing the Client Database | |
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| The Client Database | |
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| Framework for Data Collection | |
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| The Interview Process | |
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| The Nursing Interview: Questioning and Listening | |
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| The Client History | |
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| Guidelines for History-Taking | |
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| Listen Carefully | |
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| Active Listening | |
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| Objectivity | |
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| Manageable Detail | |
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| Sequence Information | |
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| Document Clearly | |
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| Record Data in a Timely Way | |
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| Physical Examination: The Hands-On Phase | |
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| Focus and Preparation | |
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| Assessment Methods | |
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| Equipment Needs | |
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| Follow-Up Considerations | |
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| Laboratory Tests and Diagnostic Procedures: Supporting Evidence | |
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| Organizing Information Elements | |
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| Clustering the Collected Data | |
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| Reviewing and Validating Findings | |
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| Summary | |
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| Bibliography | |
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| Suggested Readings | |
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| Genogram References | |
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| The Diagnosis Step: Analyzing the Data | |
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| Defining Nursing Diagnosis | |
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| The Use of Nursing Diagnoses | |
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| Identifying Client Needs | |
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| Diagnostic Reasoning: Analyzing the Client Database | |
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| Step 1: Problem Sensing | |
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| Step 2: Rule-Out Process | |
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| Step 3: Synthesizing the Data | |
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| Step 4: Evaluating or Confirming the Hypothesis | |
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| Step 5: List the Client's Needs | |
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| Step 6: Reevaluate the Client Problem List | |
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| Other Considerations for Need/Problem Identification | |
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| Writing a Client Diagnostic Statement: Using Pes Format | |
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| Summary | |
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| Bibliography | |
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| Suggested Readings | |
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| Nursing Language, Classification, Theory, and Taxonomy | |
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| Texts | |
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| Validation of Nursing Diagnoses | |
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| Accuracy of Nursing Diagnoses | |
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| Health Promotion | |
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| Omaha System | |
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| Clinical Care Classification (Home Healthcare Classification) | |
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| Perioperative Nursing Data Set | |
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| The Planning Step: Creating the Plan of Care | |
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| Setting Priorities for Client Care | |
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| Establishing Client Goals | |
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| Identifying Desired Outcomes | |
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| Selecting Appropriate Nursing Interventions | |
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| The Client Plan of Care | |
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| Discharge Planning | |
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| Documenting the Plan of Care | |
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| Validating the Plan of Care | |
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| Professional Concerns Related to the Plan of Care | |
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| Putting it All Together | |
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| A Complementary Approach-Concept or Mind Mapping | |
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| Summary | |
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| Bibliography | |
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| Suggested Readings | |
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| Nursing Outcomes | |
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| Nursing Interventions | |
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| Nursing Language | |
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| The Implementation Step: Putting the Plan of Care Into Action | |
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| Identifying Caregiving Priorities | |
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| Ethical and Legal Concerns | |
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| Delivering Nursing Care | |
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| Ongoing Data Collection | |
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| Documentation | |
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| Verbal Communication With the Healthcare Team | |
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| Summary | |
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| Bibliography | |
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| Suggested Readings | |
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| Advance Directives, Ethics, and Legal Aspects | |
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| Change-of-Shift Report | |
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| The Evaluation Step: Determining Whether Desired Outcomes Have Been Met | |
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| Reassessment | |
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| Modification of the Plan of Care | |
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| Termination of Services | |
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| Enhancing Delivery of Quality Care | |
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| Summary | |
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| Bibliography | |
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| Suggested Readings | |
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| Documenting the Nursing Process | |
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| Role of Documentation | |
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| Progress Notes | |
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| Staff Communication | |
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| Evaluation | |
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| Relationship Monitoring | |
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| Reimbursement | |
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| Legal Documentation | |
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| Accreditation | |
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| Training and Supervision | |
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| Techniques for Descriptive Note Writing | |
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| Judgmental Language | |
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| Undefined Periods of Time | |
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| Undefined Quantities | |
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| Unsupported Qualities | |
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| Objective Basis for Judgments | |
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| Descriptive Language | |
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| Content of Note/Entry | |
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| Format of Note/Entry | |
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| Summary | |
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| Bibliography | |
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| Suggested Readings | |
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| Interactive Care Planning: From Assessment to Client Response | |
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| Instructions for Case Study | |
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| Case Study Care-Planning Worksheet | |
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| Care-Planning Evaluation Checklist | |
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| Practicing Critical Thinking | |
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| Conclusion | |
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| Putting Together What You Have Learned About the Nursing Process | |
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| Code of Ethics for Nurses | |
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| General Assessment Tool | |
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| Self-Monitoring of Accuracy Using the Integrated Model: A Guide | |
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| Clinical (Critical) Pathways: A Sample | |
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| Glossary | |
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| NANDA-I Taxonomy II: Definitions of Axes | |
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| NANDA-I Nursing Diagnoses Organized According to Maslow's Hierarchy of Needs and Nursing Framework: A Health Outcome Classification for Nursing Diagnosis | |
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| NANDA International Nursing Diagnoses With Definitions, Related/Risk Factors, and Defining Characteristics | |
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| Index | |