Rekord LOINC: 64295-9
Tylko wersja angielska ACTIVE
Szczegóły rekordu LOINC
Informacje podstawowe
| Kod LOINC: |
64295-9
FHIR
|
| Long Common Name: | Nurse Plan of care note |
| Short Name: | Nurse Plan of care note |
| Status: | ACTIVE |
| Class Type: | 2 |
Fully Specified Name (FSN)
EN
Oryginalna wersja angielska
Plan of care note
:
Find
:
Pt
:
{Setting}
:
Doc
:
Nurse
Klasyfikacja
| Class: |
ENDOC.ONTOLOGY
|
| Consumer Name: | - |
| Order/Observation: | Both |
| Panel Type: | - |
Informacje dodatkowe
| Units Required: | N |
| Example Units: | - |
| UCUM Units: | - |
| Version Last Changed: | 2.67 |
Definicja i opis
EN
A nursing plan of care is a document that outlines the nursing care to be provided to an individual/family/community. It is a set of actions the nurse will implement to resolve/support nursing diagnoses identified by nursing assessment. The creation of the plan is an intermediate stage of the nursing process. It guides in the ongoing provision of nursing care and assists in the evaluation of that care. It includes a) nursing diagnosis including related and risk factors, b) expected outcomes (e.g. goals), and c) nursing interventions.
Powiązane nazwy
Care plan; DOC.ONT; Document; Encounter; Evaluation and management; Evaluation and management note; Finding; Findings; notes; nursing; Point in time; Random; Treatment plan; Visit note