| A | B |
|---|
| actual nursing diagnosis | statement of a health problem that a nurse is licensed and competent to treat |
| assessment | evaluation or appraisal of a condition; includes observing, gathering, verifying, and communicating pertinent data, usually information pertaining to the patient. |
| biographic data | relating to the facts and events of a person's life |
| case management | the assignment of a health care provider to oversee the case of an individual patient. |
| clinical pathway | multidisciplinary plan that schedules clinical interventions over an anticipated time frame for high-risk, high-volume, high-cost types of cases |
| collaborative problems | actual or potential health problem (complication) that focuses on the pathophysiologic response of the body of which nurses are responsible and accountable for identification and treatment in collaboration with the physician |
| cue | word, phrase, or symptom that indicates the nature of something perceived. Cues are grouped to assist the nurse in interpretation of data, as in formulating the patient's plan of care. |
| database | large store or bank of information, as in forming the patient's nursing diagnosis |
| defining characteristics | clinical signs and symptoms that a problem exists. |
| diagnose | to identify a disease or condition by a scientific evaluation of physical signs, symptoms, and history, laboratory tests, and procedures |
| evaluation | the determination made about the extent to which the established outcomes have been achieved in the nursing care plan. |
| goal | the purpose to which an effort is directed |
| implementation | the phase of the nursing process that includes ongoing activities of data collection, prioritization, and performance of nursing intervention and documentation |
| managed care | a ahealth care system that involves administrative control over primary health care services in a medical group practice. Redundant facilities and services are eliminated, and costs are reduced. Health education and preventive medicine are emphasized |
| medical diagnosis | the identification of a disease or condition by scientific evaluation of physical signs, sysmptoms, history, laboratory tests, and procedures |
