
By Marilynn E. Doenges APRN BC-retired, Mary Frances Moorhouse RN MSN CRRN, Alice C. Murr BSN RN-retired
Updated with NANDA-I 2012-2014 Diagnoses
Here’s the 4th version of the source you’ll flip to many times to choose the ideal analysis and to plot, individualize, and rfile deal with greater than 800 illnesses and problems. a brand new, streamlined layout makes reference more straightforward than ever.
Only within the Doenges’ Manual will you discover for every diagnosis…defining features provided subjectively and objectively • pattern medical functions to make sure you have chosen the proper diagnoses • prioritized action/interventions with rationales • a documentation part, and masses extra!
And, Davis’s Nursing analysis and Care making plans source middle online incorporates a searchable database of over 800 diagnoses, plus a wealth of scientific instruments and invaluable information.
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Extra info for Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care
Example text
Summary The assessment step of the nursing process emphasizes and should provide a holistic view of the client. The generalized assessment done during the overall datagathering creates a profile of the client. A focused, or more detailed, assessment may be warranted given the client’s condition or emergent time constraints, or it may be done to obtain more information about a specific issue that needs expansion or clarification. Both types of assessments provide important data that complement each other.
Having an SNL entered into international-coded terminology allows nurses to describe the care received by the client and to document the effects of that care on client outcomes, and it facilitates the comparison of nursing care across worldwide settings and diverse databases. In addition, it supports research by comparing client care delivered by nurses with that delivered by other providers, which is essential if nursing’s contribution is to be recognized and nurses are to be reimbursed for the care they provide.
30 4. Gordon, M. (2008). Assess Notes: Nursing Assessment and Diagnostic Reasoning. Philadelphia: F. A. Davis. 5. Guzzetta, C. , et al. (1989). Clinical Assessment Tools for Use with Nursing Diagnoses. St. Louis, MO: Mosby. 6. American Nurses Association. (1995). Nursing’s Social Policy Statement. Washington, DC: Author. Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care pg 30 # 10 Name /bks_52095_doenges_ndm/52095_ch04 CHAPTER 12/26/2012 08:23AM Plate # 0-Composite pg 31 # 1 4 Concept or Mind Mapping to Create and Document the Plan of Care T he plan of care may be recorded on a single page or in a multiple-page format, with one page for each nursing diagnosis or client diagnostic statement.