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Évaluation des besoins en soins infirmiers ×
- Routine documentation (26)
- EHR (6)
- Hospital Information Systems (3)
- General Surgery (2)
- Vital Signs (2)
- Gynaecology (2)
- Pruritus (1)
- Tremor (1)
- Vomiting (1)
- Wound Healing (1)
- Wounds and Injuries (1)
- Drug Resistance, Multiple (1)
- Surgical Stomas (1)
- Vascular Access Devices (1)
- Patient Discharge Summaries (1)
- Scores & Instruments (1)
- Pressure Ulcer (1)
- Defecation (1)
- Delirium (1)
- Dermatology (1)
- Diuresis (1)
- Enuresis (1)
- Movement (1)
- Neonatology (1)
- Nursing Diagnosis (1)
- Patient Admission (1)
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26 Sökresultat.
Item-grupper: Treatment goals, Treatment plan, Equipment and Resources, Healing and therapy process, Hygiene activity, Wound protection, Therapy, causal, Education of patient and relatives, Treatment results, preliminary
Body - Anamnese (medical history)
11 Item-grupper 36 DataelementBody - Diagnose (diagnosis)
2 Item-grupper 6 DataelementHeader
3 Item-grupper 18 Dataelement Item-grupper: Nursing Assessment, Neurological status, GLASGOW COMA SCALE, PUPILS, ORIENTATION, Cardiovascular, Eyes Ear Nose & Throat, EYES, EARS, NOSE, THROAT, Respiratory, Gastrointestinal, Genitourinary, Musculoskeletal, Skin, PRESSURE ULCER ASSESSMENT, Wound(s), INCISION(S), Nutrition, IV Therapy, Safety, Hendrich II Fall Risk Assessment, INTERVENTIONS, IMPAIRED MOBILITY RISK, ALTERED ELIMINATION, HIGH RISK FALL MEDICATIONS (ANTIEPILEPTICS & BENZODIAZEPINES), INTERVENTIONS (FOR ONCOLOGY USE ONLY), ONN Unit specific, Antepartum specific, Post partum specific, Post Surgical, ADOLESCENT INTERACTION, GERIATRIC INTERVENTION (65+), Hendrich Fall Risk, SUGGESTED INTERVENTIONS
Item-grupp: BRADEN SCALE
Item-grupper: Resting; Sleeping, moving, Getting washed or dressed, Eating and Drinking, Elimination, communication, conscious, meaning of life, Examinations, Miscellaneous
Item-grupper: Delir-Symptomatik, Resultat
Item-grupper: Diagnosis, Last Examinations, Physician's Documentation, Nursing Documentation, Comments
Item-grupper: Child Nursing Assessment, Neurological status, GLASGOW COMA SCALE ADULT, PUPILS, GLASGOW COMA SCALE CHILD, ORIENTATION, Cardiovascular, Eyes Ear Nose and Throat, EYES, EARS, NOSE, THROAT, Respiratory, Gastrointestinal, Genitourinary, Musculoskeletal, Skin, INCISION(S), Wound(s), Nutrition, IV Therapy, Safety, Pediatric Fall Risk Assessment, INTERVENTIONS, IMPAIRED MOBILITY RISK, ALTERED ELIMINATION, HIGH RISK FALL MEDICATIONS (ANTIEPILEPTICS & BENZODIAZEPINES), Hendrich II Fall Risk Assessment, ONN Unit specific, Post Surgical, ADOLESCENT INTERACTION, GERIATRIC INTERVENTION (65+)
Item-grupper: Hospital Stay, Stoma, Stoma self-sufficiency, Patient Education and Compliance
Item-grupper: Psychosocial Assessment, THERAPIES, Time, Patient Status, Living Situation, FINANCIAL INFORMATION, SUPPORT SYSTEM, CAREGIVER, SKILLED NEEDS, CURRENT ASSISTIVE DEVICES EQUIPMENT NEEDS, DAILY LIVING ACTIVITY, PSYCHOSOCIAL ASSESSMENT, RELIGIOUS/CULTURAL PREFERENCE, POSSIBLE NEEDS
Item-grupper: Patient demographics, Birth, Special nursing, Nutrition, Medication, Skin care, Breast care, Diagnostic therapy, Footer module
Item-grupper: Nursing report: Patient data, Nursing report: General information, Nursing report: Communication, Nursing report: Vital signs, Nursing report: Nutrition, Nursing report: Skin, Nursing report: Excretion, Nursing report: Movement, Nursing report: Rest, Nursing report: Special information
Item-grupper: Documentation of expenditure of time with treatment of patients with multiresistant pathogens, Basics module, Patient module, Additional module