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

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By Marjory Gordon PhD RN FAAN

A DAVIS NOTES publication! this convenient, pocket-sized advisor through Marjory Gordon makes use of practical future health styles to assist your scholars collect the main proper overview info to figure out nursing diagnoses, and to choose the main acceptable nursing interventions emphasizing the basic connection among diagnostic judgment and healing judgment.

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

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Identification of patients at risk for pressure ulcers and detection of any break in the skin are important in preventing infection. ■ When there is an interference with cell metabolism, which can result from chemotherapy, protein or vitamin deficiency, and dehydration, repeated skin infections or breakdown can occur. ■ To protect the consumer, communities establish regulations for food processing, handling, and refrigeration in transport, food stores, and restaurants. ■ Safe food handling and preparation in the home are important to prevent infections.

Patients who are on prolonged fasting for tests or surgery are at particular risk. In-Depth Assessment Tools Waist-to-Hip Ratio The waist-to-hip ratio is used to determine a cardiac risk factor. It is a measurement of waist size divided by hip size. ■ Measure the waist at the navel in men and midway between the bottom of the ribs and the top of the hip bone in women. ■ Measure hips at the tip of the hip bone in men and at the widest point between the hips and buttocks in women. 8 or lower; for men 1 or lower.

Sleep aids used? ) ■ Dreams or night awakening? ■ Snoring? Headache when awakening? ■ Ever doze off for a second while driving? When stopped at a light or stopped in traffic? Dozing during the day? ) ■ Usual bedtime? Bedtime routines? ■ Rest-relaxation periods during the day or evening? Examination ■ In hospital: Observe sleep pattern and physical appearance when awake Diagnostic Categories The following nursing diagnoses from the NANDA International Taxonomy II (2007) describe diagnostic judgments.

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