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Related Concept Videos

Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

1.2K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
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Nursing Diagnosis01:22

Nursing Diagnosis

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Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
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Planning Nursing Care I01:21

Planning Nursing Care I

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Standards of Care I01:22

Standards of Care I

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Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
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The Availability Heuristic01:08

The Availability Heuristic

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A heuristic is a general problem-solving framework (Tversky & Kahneman, 1974). You can think of these as mental shortcuts that are used to solve problems. Different types of heuristics are used in different types of situations, and the impulse to use a heuristic occurs when one of five conditions is met (Pratkanis, 1989):
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Guidelines and Strategies for Safe Computer Charting01:18

Guidelines and Strategies for Safe Computer Charting

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The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
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Related Experiment Video

Updated: Jun 13, 2025

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

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Avoidable emergency admissions: defining the concept.

Tânia Dos Santos Afonso1, Lurdes Martins1, Manuel Luís Capelas1

  • 1Associate Professor, Universidade Católica Portuguesa, Portugal.

International Journal of Palliative Nursing
|September 14, 2024
PubMed
Summary

Avoidable emergency admissions for palliative patients often stem from insufficient community support and palliative care resources. Defining these admissions clarifies when hospital care is truly necessary, improving end-of-life patient outcomes.

Keywords:
Delphi techniqueavoidableemergency servicehospitalpalliative care

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Area of Science:

  • Palliative Care
  • Health Services Research
  • Gerontology

Background:

  • Emergency department admissions for end-of-life patients frequently occur due to inadequate community support and limited palliative care resources.
  • This highlights a gap in seamless care transitions for patients nearing the end of life.

Purpose of the Study:

  • To establish a clear definition of an "avoidable emergency admission" for patients receiving palliative care.
  • To differentiate between necessary and unnecessary emergency department visits for this vulnerable population.

Main Methods:

  • An integrative literature review was conducted to synthesize existing research.
  • A two-step Delphi process involving palliative care experts was employed to achieve consensus on the definition.

Main Results:

  • High consensus was reached that palliative patients under home care teams should not be admitted to the emergency department.
  • Low consensus was observed regarding the admission of patients in pain without prior community support information.

Conclusions:

  • An "avoidable emergency admission" is defined as a visit for a condition manageable in a home or primary care setting, or one not requiring immediate intervention or improving patient comfort.
  • This definition aims to reduce unnecessary emergency visits and optimize palliative care delivery.