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Pharm Terms ch6

Nursing process systematic method of problem solving that forms the foundation of nursing practice
Assessment phase collection of data
Baseline data data gathered that will be compared to information obtained from later interactions
Subjective data data from what pt says or perceives
Objective data data gathered through physical assessment, lab data
Health history most detailed info and tailored to the pt's clinical condition
Nursing diagnoses clinical judgments of a pt's actual or health problem that is within the nurse's scope of practice to address
Planning phase part of nursing process that prioritizes diagnoses, formulates outcomes, and selects interventions
Goals established to focus on what the pt will be able to do or achieve, not what the nurse will do
Outcomes specific criteria used to measure attainment of the selected goals
Implementation phase involves an action specifically identified in the plan of care
Evaluation Phase compares the pt's curent health status with the desired outcome