Download Assess Notes: Nursing Assessment & Diagnostic Reasoning by Marjory Gordon PhD RN FAAN PDF

By Marjory Gordon PhD RN FAAN

A DAVIS NOTES booklet! this useful, pocket-sized consultant via Marjory Gordon makes use of useful healthiness styles to aid your scholars collect the main appropriate evaluate info to figure out nursing diagnoses, and to choose the main applicable nursing interventions emphasizing the fundamental connection among diagnostic judgment and healing judgment.

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Extra info for Assess Notes: Nursing Assessment & Diagnostic Reasoning (Davis's Notes)

Sample text

Assess in greater depth when identifying these conditions: ACTIVITY/ EXERCISE 06Gordan(F)-06 11/29/07 5:16 PM Page 54 ACTIVITY/ EXERCISE ■ Impaired gas exchange. ■ Decreased cardiac output. ■ Ineffective tissue perfusion. ■ Decreased intracranial adaptive capacity. For example, with decreased cardiac output, nursing assessment may reveal one or more of the following: ■ Activity intolerance. ■ Self-care deficit. ■ Anxiety, fear, or death anxiety. ■ Knowledge deficit. ■ Ineffective management of therapeutic regimen.

When proper and not proper to discuss the subject. Psychologically, privacy and control of elimination become important. Recognize this when assessing an adult who experiences incontinence. The focus for assessment of individuals, families, and communities is on excretion and waste disposal. Why This Pattern Is Important The following are reasons that individuals, families, and communities require assessment of this pattern: ■ Intake and output measurements provide information on fluid balance and may signal fluid retention.

Borg Scale. Med Sci Sports Exerc 14:377–387, with permission. 54 06Gordan(F)-06 11/29/07 5:16 PM Page 55 55 Grading Dyspnea Directions: Use the following table to help the patient describe how various activities, weather patterns, or other factors affect his or her breathing. Keeping a diary between clinic or office visits may be helpful to identify needs for learning energy-conservation methods. Grade Indications 0 1 Not troubled by breathlessness except with strenuous exercise. Troubled by shortness of breath when hurrying on a level path or walking up a slight hill.

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