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CNA Unit 8
Observation, reporting, and documentation
4
Nursing
Not Applicable
07/01/2012
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Term
Nursing Process
 Definition
Mechanism used to carry out actions : collect (by observation)  and communicate (by documentating and reporting) information about patients.
Term
Nursing process consists of five steps :
 Definition
  • Assessment : collection of data (information) about the patient
  • Problem identification : identifies the patient's problems and formulates nursing diagnoses.
  • Planning
  • Implementation
  • Evaluation
Term
Nursing diagnosis
 Definition

Statement of a patient  problem and the cause of the problem.

 
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