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2 Stages to Assessment
- answer--collection and validation of data
-analysis of data
5 Components of Critical Thinking
- answer-1.) knowledge base
2.) experience
3.) nursing process competencies
4.) attitudes
5.) standards
ADL assessment areas
- answer--mobility
-transfer
-toileting
-continence
-bathing
-dressing
-feeding
Assessment: The First Phase
- answer--gathering data
-continuing process
cluster clues
- answer--relate to each other in some way
-nursing diagnosis should be based on clusters, not just one clue
-forces the analysis of relationships between cues
collaborative problems
- answer--monitoring function of nurse
-need to know risks of complications
-potential problems
, -requires both medical and nursing interventions to prevent complications
Communicating the Plan
- answer--Kardex
-standardized care plans (policies, procedures, protocols)
Comprehensive Assessment
- answer--completed our database
-more about them (social)
Critical Pathways Advantages
- answer--outcome focused evidence based approaches
-frequently encountered problems
-predicted care for specific situations
-learn usual treatment course for common
Critical Pathways Disadvantages
- answer--become complacent
-don't pay attention to variances
-people experience other problems not covered by care plan
-human are individuals
Critical Thinking Defined
- answer--an active, organized, cognitive process used to carefully examine ones
thinking and the thinking of others
-recognizing an issue exists, analyzing info, evaluating info, and making
conclusions
-using critical thinking
cues
- answer--what the client says and what you observe
-only document these
cultural considerations
- answer--to conduct and accurate and complete assessment you to need to
considered a patient's cultural background
-when a cultural difference exists between you and a patient, respect the unfamiliar
and be sensitive to the patient