Acronyms Flashcards
PIE
problem define particular problem POMR
Intervention
Evaluation
SOLER
Sit squarely. interview techniques Open positive Lean toward other Eye contact Relax
COLDSPA
character illness assessment onset Location Duration Severity Pattern Associated factors
SOAP
Subjective. format narrative documentation
Objective
Assessment
Plan
Focus charting
DAR
Data. format narrative documentation
Action
Response
cbe
Charting normal assessment/ routine care unless otherwise WDL/WNL
By
Exception
PES
P problem (nanda label) writing diagnosis
Etiology (R/T)
Symptoms (AEB)
SBAR
Situation. tool comm among HC providers
Background
Assessment
Recommendation
SURETY
Sit at angle facing pt Uncross legs & arms Relax Eeye conact T ouch (therapeutic "& acceptance tp pt) Y our intuition (know w/out reasoning)
AIDET
Acknowledge. staff comm with pt& families Introduce Duration Explanation Thank u
SACCIA
Suffiecieny help nurses comm effectively Accuracy Clarity Contextualization Interpersonal Adaptation
AAPIE
Assessment Analysis Planning Implementation Evaluation
SMART
SMART expected outcome Measurable Attainable Realistic Timed
PICOT
Population/pt Intervention based on scientific research
Intervention. help choose which int better
Comparison
Outcome
Time
ABCT
Appearance. mental status assess check emotional
Behavior. n cognitive function
Cognition
Thought process
GCs
Glasgow
Coma
scale
PQRST
Provoke. present illness or health conc guidance assess Quality Radiate Severity Time
CAGE
Cut down uncontrolled drinking 2 or more= abuse
Annoyed
Guilty
Eye opener
FICA
Faith does religious play imp role in life
Influence. how does religion influence way think art ur health
Community r u part religion congregation
Address. u want address any religious concern w u
RACE
Rescue n remove pt
Activate alarm
Confine fire
Extinguish fire
PASS
Pull. use fire extinguisher
Aim
Squeeze
Sweep
TUG
Timed get. assess mobility (balance, sit, stand walk)
Up
Go
SPLATT
Symptoms at time fall assess previous fall Previous fall Location fall Activiy fall Time fall Trauma after fall
HEEADSSS
HOME. psychosocial interview for adolescents Education/emplyment Eatng Activities Drugs Sexuality Suicide/depression Safety