Chapter 5 Flashcards
assessment
Collecting information about the person; a step in the nursing process
comprehensive care plan
A written guide about the care a person should receive; developed by the interdisciplinary team (IDT); care plan
evaluation
To determine if goals in the planning step were met; a step in the nursing process
goal
That which is desired for or by a person as a result of nursing care
implementation
To perform or carry out nursing measures in the care plan; a step in the nursing process
interdisciplinary team (IDT)
Members of the departments found in a nursing center: activities, dietary, nursing, social services, rehabilitation, etc.
medical diagnosis
The identification of a disease or condition by a doctor
nursing diagnosis
Describes a health problem that can be treated by nursing measures; a step in the nursing process
nursing intervention
An action or measure taken by the nursing team to help the person reach a goal
nursing process
The method nurses use to plan and deliver nursing care; its five steps are assessment, nursing diagnosis, planning, implementation, and evaluation
objective data
Information that is seen, heard, felt, or smelled by an observer; signs
observation
Using the senses of sight, hearing, touch, and smell to collect information
planning
Setting priorities and goals; a step in the nursing process
signs
“objective data”
skilled care
Daily services provided by an RN and/or therapist for rehabilitation or other complex services; provided in nursing centers for short periods of time
