Nursing Documentation Handbook / Edition 3

Nursing Documentation Handbook / Edition 3

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by Tina M. Marrelli
     
 

ISBN-10: 0323010970

ISBN-13: 9780323010979

Pub. Date: 04/26/2000

Publisher: Elsevier Health Sciences

This pocket-size guide saves nurses precious time while ensuring that a complete patient record is created and that legal, quality assurance, and reimbursement requirements are met. This handbook provides specific verbiage for charting patient progress, change or tasks accomplished for approximately 50 common problems. The new third edition has been completely

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Overview

This pocket-size guide saves nurses precious time while ensuring that a complete patient record is created and that legal, quality assurance, and reimbursement requirements are met. This handbook provides specific verbiage for charting patient progress, change or tasks accomplished for approximately 50 common problems. The new third edition has been completely updated to include Critical Assessment Findings, Subjective Findings for Documentation, Resources for Care and Practice, Legal Considerations, Time Saving Tips, and new Managed Care information. Plus, roughly 15 additional common problems and diagnoses have been added making this practical resource more valuable than ever. Diagnoses are in alphabetical order allowing for fast and easy access.

Product Details

ISBN-13:
9780323010979
Publisher:
Elsevier Health Sciences
Publication date:
04/26/2000
Pages:
391
Product dimensions:
5.07(w) x 7.35(h) x 1.16(d)

Table of Contents

PART ONE: The Principles of Documentation · Documentation: An Overview · The Patient Record · Systems of Nursing Documentation · The Joint Commission on Accreditation of Healthcare Organizations Standards Related to Documentation · American Nurses' Association Standards of Care · PART TWO: Medical-Surgical Care Documentation Guidelines · Acquired Immune Deficiency Syndrome (AIDS) · Acute Myocardial Infarction · Alzheimer's Disease and Other Dementias · Amputation · Angina · Asthma · Brain Tumor · Cancer Care · Cardiac Surgical Care · Cataract Care · Cerebrovascular Accident · Chemotherapy · Chronic Obstructive Pulmonary Disease · Congestive Heart Failure · Decubitus Ulcer · Diabetes Mellitus · Dialysis · Diarrhea · Enteral Care · Fracture Care · Gastrostomy Tube · Hypertension · Immobile Patient · Impaction · Intestinal Obstruction · Intravenous Therapy Care · Mastectomy Care · Osteoarthritis · Ostomy · Pain Management · Peripheral Vascular Disease · Pneumonia · Sickle Cell Anemia · Surgical Care · Tracheostomy Care · Tuberculosis · Urinary Catheter Care · Wound Care · PART THREE: Specialty Care Documentation Guidelines · Hospice Care · Maternal-Child Care · APPENDIXES: A) NANDA-Approved Nursing Diagnoses B) Services Provided by Other Disciplines C) Abbreviations D) Resources · BIBLIOGRAPHY

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Nursing Documentation Handbook 1 out of 5 based on 0 ratings. 1 reviews.
Anonymous More than 1 year ago