Assisting with the Nursing Process
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| Collecting information about the person; a step in the nursing process | assessment
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| A written guide about the care a person should receive | comprehensive care plan
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| to measure if goals in the planning step were met; a step in the nursing process | evaluation
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| that which is desired in or by the person as a result of nursing care | goal
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| To perform or carry out nursing measures in the care plan; a step in the nursing process | implementation
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| The identification of a disease or condition by a doctor | medical diagnosis
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| Describes a health problem that can be treated by nursing measures; a step in the nursing process | nursing diagnosis
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| An action or measure taken by the nursing team to help the person reach a goall | nursing intervention
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| the method nurses us to plan and deliver nursing care; its five steps are assessment, nursing diagnosis, planning, implementation, and evaluation | nursing process
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| Information that is seen, heard, felt, or smelled; signs | objective data
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| Using the senses of sight, hearing, touch and smell to collect information | observation
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| Setting priorities and goals; a step in the nursing process | planning
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| Objective data | signs
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| things a person tells you about that you cannot observe through your senses; symptoms | subjective data
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| subjective data | symptoms
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| Clues for the resident assessment protocols (RAPs) | triggers
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