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  2. Nursing assessment - Wikipedia

    en.wikipedia.org/wiki/Nursing_assessment

    Assessment of a patient's experience of pain is a crucial component in providing effective pain management. Pain is not a simple sensation that can be easily assessed and measured. Nurses should be aware of the many factors that can influence the patient's overall experience and expression of pain, and these should be considered during the ...

  3. Health assessment - Wikipedia

    en.wikipedia.org/wiki/Health_assessment

    Health assessment has been separated by authors from physical assessment to include the focus on health occurring on a continuum as a fundamental teaching. [8] In the healthcare industry it is understood health occurs on a continuum, so the term used is assessment but may be preference by the speciality's focus such as nursing, physical therapy, etc.

  4. Nursing documentation - Wikipedia

    en.wikipedia.org/wiki/Nursing_documentation

    The Omaha System: The Omaha System is a standardized health care terminology consisting of an assessment component (Problem Classification Scheme), a care plan/services component (Intervention Scheme), and an evaluation component (Problem Rating Scale for Outcomes). International Classification for Nursing Practice (ICNP):

  5. Omaha System - Wikipedia

    en.wikipedia.org/wiki/Omaha_System

    The Omaha System is a standardized health care terminology consisting of an assessment component (Problem Classification Scheme), a care plan/services component (Intervention Scheme), and an evaluation component (Problem Rating Scale for Outcomes).

  6. Monitoring (medicine) - Wikipedia

    en.wikipedia.org/wiki/Monitoring_(medicine)

    Multimodal monitors that simultaneously measure and display the relevant vital parameters are commonly integrated into the bedside monitors in critical care units, and the anesthetic machines in operating rooms. These allow for continuous monitoring of a patient, with medical staff being continuously informed of the changes in general condition ...

  7. Vital signs - Wikipedia

    en.wikipedia.org/wiki/Vital_signs

    Vital signs (also known as vitals) are a group of the four to six most crucial medical signs that indicate the status of the body's vital (life-sustaining) functions. These measurements are taken to help assess the general physical health of a person, give clues to possible diseases, and show progress toward recovery.

  8. Clinical decision support system - Wikipedia

    en.wikipedia.org/wiki/Clinical_decision_support...

    A clinical decision support system (CDSS) is a health information technology that provides clinicians, staff, patients, and other individuals with knowledge and person-specific information to help health and health care. CDSS encompasses a variety of tools to enhance decision-making in the clinical workflow.

  9. Health information management - Wikipedia

    en.wikipedia.org/wiki/Health_information_management

    The patient health record is the primary legal record documenting the health care services provided to a person in any aspect of the health care system. The term includes routine clinical or office records, records of care in any health related setting, preventive care, lifestyle evaluation, research protocols and various clinical databases.