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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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Formulating and Validating Nursing Diagnosis II01:25

Formulating and Validating Nursing Diagnosis II

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Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
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Data Collection I01:30

Data Collection I

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Data collection gathers information needed to make accurate judgments about a patient's present condition. During a health history interview, subjective data is collected from the patient, their caregivers, or family members, and objective data is collected through observations and physical assessment. Patients are the primary source of subjective data. Thus information gathered from patients through interviews, observations, and physical examination is primary data. Secondary sources of...
5.9K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

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Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
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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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Data Collection III01:05

Data Collection III

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The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
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Use of MRI-ultrasound Fusion to Achieve Targeted Prostate Biopsy
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Updated information on the Diagnosis Procedure Combination data.

Hideo Yasunaga1

  • 1Department of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, Japan.

Annals of Clinical Epidemiology
|December 27, 2024
PubMed
Summary
This summary is machine-generated.

Japan

Keywords:
Diagnosis Procedure Combinationadministrative claims databasereal-world data

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A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
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Area of Science:

  • Health Services Research
  • Clinical Epidemiology
  • Medical Informatics

Background:

  • The Ministry of Health, Labor, and Welfare in Japan introduced the Diagnosis Procedure Combination (DPC) system in 2002.
  • Previous DPC data details were published in 2019, necessitating updated information.
  • DPC data comprises anonymized inpatient discharge abstracts and administrative claims.

Purpose of the Study:

  • To provide updated information on the Japanese Diagnosis Procedure Combination (DPC) data.
  • To highlight the utility of DPC data for clinical epidemiology and health services research.
  • To detail the types of clinical and functional measures available within the DPC system.

Main Methods:

  • Utilizes discharge abstracts and administrative claims data from the DPC system.
  • Incorporates diagnoses coded using the International Classification of Diseases-10th Revision (ICD-10).
  • Includes various clinical measures for specific diseases and functional assessment scores.

Main Results:

  • DPC data offers detailed process and clinical information for inpatient care.
  • The system supports research across multiple disciplines, including medicine, epidemiology, and informatics.
  • Available data includes ICD-10 coded diagnoses, disease-specific clinical measures, and functional scores.

Conclusions:

  • Diagnosis Procedure Combination data is a valuable resource for interdisciplinary health research in Japan.
  • The comprehensive nature of DPC data facilitates detailed clinical epidemiology and health services research.
  • Continued updates and analysis of DPC data are crucial for advancing medical knowledge and healthcare quality.