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Diagnoses that focus on the patient's long term health care needs.
3 levels: Domain= Highest level (level 1) using broad terms (safety
and basic physiological) to organize the more specific classes and
interventions, Second Level consists of 30 classes which offer useful
clinical categories to reference when selecting interventions, Third
Level consists of 542 interventions defined to any treatment based on
clinical judgement and knowledge that a nurse performs to enhance
patient outcomes.
A measurable criterion to evaluate goal achievement.
Ordering of nursing diagnosis or patient problems using determinations
of urgency and/or importance to establish a preferential order for
nursing actions.
Also known as independent interventions that are therapies that
require the combined knowledge, skill, and expertise of multiple health
care professionals.
Requires specific nursing responsibilites and technical nursing
knowledge. Physician orders for a medication is classified as physician
initiated but the nurse must know the knowledge of the medication and
how to administer it.
1.Patient-Centered-reflects patients behaviors and responses, 2.
Singular Goal or Outcome-only one behvior or response, 3.
Observable-observable behavior to show change in patient's status, 4.
Measurable-terms describing quality, quanity, frequency, length, or
weight,5. Time-limited- time frame of when nurse expects response from
patient to occur, 6. Mutual factors-mutually set goals and outcomes to
ensure that the patient and nurse agree on the direction and time limits
of care, 7. Realistic- set goals and
Airway status, circulation, safety, pain.
Reflects a patient's highest possible level of wellness and independence in function.
A broad statement that describes a desired change in a patient's condition or behavior.
An obejective behavior or response that you expect a patient to
achieve over a long period, usually over several days, weeks, or months.
Setting priorities identifying patient-centered goals and expected
outcomes, and prescribing individualized nursing interventions.
1. Characteristics of Nursing Diagnosis, 2. Goals and expected
outcomes, 3. Evidence Based(research or proven practice guidelines,4.
Feasibility of the intervention, 5. Acceptability to the patient, 6.
Your own competency.
Published the nursing outcomes classification(NOC) and linked the outcomes to NANDA International nursing diagnosis.
Actions that a nurse initiates. Autonomous actions based on scientific
rationale. EX: elevating edematous extremity, instruct patients in side
effects of medications, or repositioning a patient to achieve pain
relief. Nurse Practice Acts state that independent nursing interventions
pertain to activities of daily living, health education and promotion,
and counseling.
Objective behavior or response that you expect a patient to achieve in a short time, usually less than a week.
A measurable patient, family or communitiy state, behavior, or
perception largely influenced by and sensitive to nursing interventions.
Specific measurable change in a patient's status that you expect to
occur in response to nursing care. Should be wrote sequentially, with
time frames. Sets limits for problem resolution.
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