The initial comprehensive nursing assessment results in baseline data that enable the
nurse to:
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, -Make a judgment about a person's health status, ability to manage his or
her own need for self-care, and the need for nursing care.
-Plan and deliver thoughtful, person-centered nursing care that draws on
the person's strengths and promotes optimum functioning, independence,
and well-being.
-Refer the patient to a provider or other health care professional, if
indicated.
Assessing: Activities
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1. Establish the data base: Nursing history, Physical assessment, Review of
patient record and nursing literature, Consultation with the patients support
people and health care professionals.
2. Continuously update the database.
3. Validate data.
4. Communicate data.
Diagnosing: Purpose
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Develop a prioritized list of the nursing diagnoses/ problems/issues.
Assessing
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nurse to:
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, -Make a judgment about a person's health status, ability to manage his or
her own need for self-care, and the need for nursing care.
-Plan and deliver thoughtful, person-centered nursing care that draws on
the person's strengths and promotes optimum functioning, independence,
and well-being.
-Refer the patient to a provider or other health care professional, if
indicated.
Assessing: Activities
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1. Establish the data base: Nursing history, Physical assessment, Review of
patient record and nursing literature, Consultation with the patients support
people and health care professionals.
2. Continuously update the database.
3. Validate data.
4. Communicate data.
Diagnosing: Purpose
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Develop a prioritized list of the nursing diagnoses/ problems/issues.
Assessing
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