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相关概念视频

Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

1.3K
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...
1.3K
Nursing Diagnosis01:22

Nursing Diagnosis

2.7K
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...
2.7K
Formulating and Validating Nursing Diagnosis II01:25

Formulating and Validating Nursing Diagnosis II

2.8K
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...
2.8K
Formulating and Validating Nursing Diagnosis I01:26

Formulating and Validating Nursing Diagnosis I

2.7K
A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing interventions. The standardized terminologies of a nursing diagnosis help nurses identify and treat patients' problems. Every electronic health record that uses nursing diagnosis must employ standard diagnostic terminology. Developing an efficient, individualized care plan begins with accurate nursing diagnoses.
There are thirteen domains...
2.7K
Strategies for Assessing and Addressing Confounding01:25

Strategies for Assessing and Addressing Confounding

119
Confounding is a critical issue in epidemiological studies, often leading to misleading conclusions about associations between exposures and outcomes. It occurs when the relationship between the exposure and the outcome is mixed with the effects of other factors that influence the outcome. Given that, addressing confounding is of high importance for drawing accurate inferences in research.
Confounding can be addressed at both the design phase of a study and through analytical methods after data...
119
Diagnostic and Statistical Manual of Mental Disorders (DSM)01:27

Diagnostic and Statistical Manual of Mental Disorders (DSM)

80
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
80

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Troubleshooting FoCUS Image Acquisition: Patient Positioning, Transducer Manipulation, and Image Optimization
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当未知是不可知的时:面对诊断的不确定性

Giulia Faison1,2,3, Fu-Sheng Chou4, Chris Feudtner5,6

  • 1Loma Linda University School of Medicine, Department of Pediatrics, Loma Linda, California.

Pediatrics
|September 14, 2023
PubMed
概括

新生儿学中的医疗不确定性通常集中在早产婴儿的预后上. 这个案例表明,当诊断不可能时,将重点转移到预后和支持上可以改善沟通和婴儿护理.

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科学领域:

  • 新生儿科学 新生儿科学
  • 医学伦理 医学伦理
  • 临床交流 临床沟通

背景情况:

  • 新生儿文献经常讨论医疗不确定性在预测极度早产婴儿的发病率.
  • 对未知或无法诊断的病例给予了有限的关注.
  • 这凸显了由于缺乏对患者病情的了解而产生的沟通挑战.

研究的目的:

  • 探索新生儿学诊断和预后不确定性之间的关系.
  • 挑战诊断不确定性不可避免地导致预后不确定性的假设.
  • 强调将重点从诊断转移到预后的重要性,并在诊断工作变得不利时提供支持.

主要方法:

  • 案例研究分析 案例研究分析
  • 应用流行病学和临床推理.
  • 探索医生在沟通和支持方面的作用.

主要成果:

  • 诊断不确定性并不一定等同于预后不确定性.
  • 放弃对诊断的繁追求,转而选择预后,可以改善婴儿的生活质量.
  • 医生的角色转向支持和创造意义至关重要.

结论:

  • 新生儿科的有效沟通需要承认和管理不确定性.
  • 专注于预后和提供支持可以提高清晰度,理解和同理心.
  • 当必要时,医生应该优先考虑婴儿的生活质量,而不是确定诊断.