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Data Collection II

Data Collection II

The nursing history captures and records the patient's health status, so that a care plan evolves to meet the patient's individual needs. The nursing health history is a part of the initial assessment. A comprehensive history covers all health dimensions and plays a significant role in the assessment process. A comprehensive history includes the patient's biographical information, reasons for seeking health care, expectations, present and past health history, medications, and...

Purpose of Health Records I

Purpose of Health Records I

The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:

Methods of Documentation II: POMR

Methods of Documentation II: POMR

The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.

Methods of Documentation III: PIE

Methods of Documentation III: PIE

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:

Methods of Documentation VI: Case Management Model

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...

Endocarditis IV: Nursing Management

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...

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The interminable patient: a case history.

Silvia W Olarte¹

¹swolarte@aol.com

The Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry

|March 26, 2011

Summary

This summary is machine-generated.

This study explores psychodynamic treatment, focusing on a rare case of therapy lasting over ten years. It details the psychoanalyst's approach and theoretical underpinnings for extended psychodynamic therapy.

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Area of Science:

Psychology
Psychiatry
Psychoanalysis

Background:

The author, a psychoanalyst with 30+ years of experience, typically practices short-term psychodynamic therapy (under 3 years, weekly sessions).
This case represents an exception, involving a long-term psychodynamic treatment exceeding ten years.

Observation:

A detailed case report is presented, focusing on a prolonged psychodynamic treatment.
The case highlights the complexities and nuances of extended therapeutic relationships.

Findings:

The author outlines her specific treatment approach for long-term psychodynamic therapy.
Theoretical principles guiding prolonged psychodynamic encounters are discussed.

Implications:

This work offers insights into the practice and theory of extended psychodynamic treatments.
It contributes to understanding the management and efficacy of long-duration psychoanalytic therapy.