Model of Nursing Documentation

Source Oriented Record (SOR)

Everyone is a traditional Notes / sections / resource has its own record or separately. Consisting of five components:

1. Admission sheet
2. Doctor's instruction sheet
3. Medical history sheet
4. Note nurses
5. Notes and special reports
6. Graphics card / records

Problem Oriented Record (POR)

Is an effective tool to assist health care teams (Introduced by Dr. Lawrence Weed, USA). Identify patient problems, plan therapy, diagnosis and counseling and evaluating and reviewing progress.

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Family nursing diagnoses

Family nursing diagnosis is formulated based on data obtained in the assessment of nursing problems that will be associated with the etiology stemming from the assessment of the family care function. Nursing diagnosis refers to the PES which can be used for problem formulation NANDA. Typology of family nursing diagnoses consisted of: 1. Actual (deficit) 2. Risks (health threat) 3. Welfare state (wellness) Example family nursing diagnoses: Family Actual Nursing Diagnoses 1. Nutritional deficiencies: lack of demand in toddlers (Child M), Mr R family in touch with the family knowing ignorance nutritional deficiency problem. 2. Nutritional deficiencies: lack of demand in toddlers (Child M), Mr R family in touch with family unwillingness to take decisions / actions to address the problem of nutritional deficiencies. 3. Nutritional deficiencies: lack of demand in toddlers (Child M), Mr R family associated with the inability of families caring for family membe...

Professional Nursing Practice Model

NursingNetwork --Values Professional as Primary Nurse (PP) and the Nurses Association (PA) Build Contract with the Client / Family since Client / Family ENTRY Into A patient room which is a tribute Beginning Of dignity and human differences. The relationship will Continue Built for clients treated in the ambulatory space, so that the client / partner Become hearts Family Giving nursing care. On Implementing And renpra Evaluation, PP have autonomy and accountability for the review accountable care that was provided including actions What do PA under its responsibility. In other words, the PP has a responsibility to review the performance of the PA in order to foster action based on professional values. The management approach: primary Nurses have a responsibility Against Nurses Association. To Kewajban guiding PA hearts Gives nursing care so that according to the procedure Became hearts standards provide Services For Clients. In this case our PP Is Also A manager Should eq...

6 Causes of Breast Cancer

The cause of breast cancer is still difficult to predict. Many women who live a healthy lifestyle but can still develop the disease, whereas on the other hand many women who smoke, consume alcohol and live with unhealthy patterns of even fine and away from cancer. A statistic shows that one in eight women suffering from breast cancer, the very large and should make all women to be careful. Based on research by Cancer Research UK, a Cancer Research Foundation in the UK, there are a number of causes of breast cancer. But this list is merely an indicator and not absolute. 1. Family history A woman with a sister, mother or daughter had breast cancer have twice the risk than those with no family history. Some medical experts refer to transmitted hereditary breast cancer. 2. Obesity Overweight or obese increases the risk of breast cancer in postmenopausal women by 30%, because excess body fat increases levels of estrogen and insulin, which became the most common causes...

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