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Digital images of the patient, flowsheets from operations/intensive care units, informed consent forms, EKG tracings, outputs from medical devices (such as pacemakers), chemotherapy protocols, and numerous other important pieces of information form part of the record depending on the patient and his or her set of illnesses/treatments.
The following areas are assessed through questions asked by the nurse and medical examinations to provide an overview of the individual's health status and health practices that are used to reach the current level of health or wellness. [1] [2] Health Perception and Management; Nutritional metabolic
This, in turn, is measured by the nursing staff and recorded prior to its disposal. If the patient is using a bedpan, the nursing staff member who empties the bedpan measures the urine prior to its disposal. Urinals usually contain measuring lines providing easy measurement. Urinals are also useful for measuring urine from other sources.
Nursing assessment is the gathering of information about a patient's physiological, psychological, sociological, and spiritual status by a licensed Registered Nurse. Nursing assessment is the first step in the nursing process. A section of the nursing assessment may be delegated to certified nurses aides.
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A draw sheet is a small bed sheet placed crosswise over the middle of the bottom sheet of a mattress to cover the area between the person's upper back and thighs, often used by medical professionals to move patients. It can be made of plastic, rubber, or cotton, and is about half the size of a regular sheet.
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