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SNOMED-CT as a standardized language system model for nursing: an integrative review

Carolina Giordani da Silva1, Edwing Alberto Urrea Vega1, Fernanda Peixoto Cordova1,2

  • 1Universidade Federal do Rio Grande do Sul (UFRGS). Programa de Pós-Graduação em Enfermagem. Porto Alegre, Rio Grande do Sul, Brasil.

Revista Gaucha De Enfermagem
|October 28, 2020
PubMed
Abstract

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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
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