Assessment and Documentation--nursing Theories in Action

Ability activities algorithm anxiety Ask client assessment and documentation assessment guide audit criteria Auscultate behavior body care-planning chart cholelithiasis CLIENT'S RESPONSE clinical cognitive communication conceptual framework cont CV Mosby cyanosis decision edema environment evaluation evidence Examinations example expected outcomes feel flexion flow sheet formulated function GRAND TOUR grand-tour questions HEALTH STANDARDS METHODS hospital husband INFERENCES INSPECTIONS interactions Interactive/Affiliative System interpersonal relationships MEASUREMENT QUESTIONS METHODS OF MEASUREMENT Mobile System narrative notes needs normal norms numbers nurse's nursing assessment Nursing Care Planning nursing diagnosis nursing history NURSING ORDERS nursing practice nursing process nursing theory OBSERVATIONS organization Orthopnea outcome-oriented pain patient perception person physical Physiological System pregnancy Problem-Oriented problems PROGRESS NOTES psychological reference groups relationships role sensory/perceptive situation skin social social/cultural specific St Louis standard care plan status supine position surgery systems theory theory-based tion Uhumm VALIDATION values Verbalizes York