Nurse's Pocket Guide: Diagnoses, Prioritized Interventions, by Marilynn E. Doenges

By Marilynn E. Doenges

Is helping nursing scholars determine interventions most ordinarily linked to nursing diagnoses while taking good care of sufferers. This pocket-sized reference is appropriate for health center and community-based settings.

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Extra resources for Nurse's Pocket Guide: Diagnoses, Prioritized Interventions, and Rationales, 10th Edition

Sample text

Davis. ASSESSMENT TOOLS FOR CHOOSING NURSING DIAGNOSES This is a suggested guide/tool to create a database reflecting a nursing focus. Although the Diagnostic Divisions are alphabetized here for ease of presentation, they can be prioritized or rearranged in any manner to meet individual needs. In addition, the assessment tool can be adapted to meet the needs of specific client populations. Excerpts of assessment tools adapted for psychiatric and obstetric settings are included at the end of this section.

Nausea/Vomiting: 0 Food allergies: none Heartburn/food intolerance: cabbage causes gas, coffee after supper causes heartburn Mastication/swallowing problems: no Dentures: partial upper plate—fits well Usual weight: 175 lb Recent changes: has lost about 5 lb this month Diuretic therapy: no OBJECTIVE (EXHIBITS) Wt: 171 lb Ht: 5 ft 10 in Build: stocky Skin turgor: good/leathery Appearance of tongue: midline, pink Mucous membranes: pink, intact Condition of teeth/gums: good, no irritation/bleeding noted Breath sounds: few wheezes cleared with cough Bowel sounds: active all 4 quads Urine Chemstix: 2% Fingerstick: 356 (Dr.

Depressed: Guilty: Sad: Unreal: Ups/downs: Apathetic: Detached: Separated from the world: Are you a nervous person? Are your feelings easily hurt? A. Davis. A. Davis. A. Davis. A. Davis. A. Davis. A. Davis. A. Davis. SECTION 2 DIAGNOSTIC DIVISIONS: NURSING DIAGNOSES ORGANIZED ACCORDING TO A NURSING FOCUS After data are collected and areas of concern/need identified, the nurse is directed to the Diagnostic Divisions to review the list of nursing diagnoses that fall within the individual categories.

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