Nursing Documentation Handbook / Edition 2

Nursing Documentation Handbook / Edition 2

by Tina M. Marrelli, Deborah S. Harper
     
 

ISBN-10: 081516405X

ISBN-13: 9780815164050

Pub. Date: 09/28/1995

Publisher: Elsevier Health Sciences

This practical guide to 50 frequently encountered problems, their diagnosis and management, includes documentation which will fulfill legal, quality assurance and reimbursement requirements. Alphabetically organized, the book helps identify interventions, data, and outcomes appropriate for specific patients. 336 pp. Pub: 10/95.  See more details below

Overview

This practical guide to 50 frequently encountered problems, their diagnosis and management, includes documentation which will fulfill legal, quality assurance and reimbursement requirements. Alphabetically organized, the book helps identify interventions, data, and outcomes appropriate for specific patients. 336 pp. Pub: 10/95.

Product Details

ISBN-13:
9780815164050
Publisher:
Elsevier Health Sciences
Publication date:
09/28/1995
Edition description:
Older Edition
Pages:
355
Product dimensions:
4.78(w) x 7.38(h) x 0.73(d)

Table of Contents

Pt. 1The Principles of Documentation
1Documentation: An Overview3
2The Patient Record9
3Systems of Nursing Documentation15
4The Joint Commission on Accreditation of Healthcare Organizations Standards Related to Documentation20
5American Nurses Association Standards of Care31
Pt. 2Medical-Surgical Care Documentation Guidelines
Acquired Immune Deficiency Syndrome (AIDS)37
Acute Myocardial Infarction46
Alzheimer's Disease and Other Dementias53
Amputation62
Angina67
Asthma74
Brain Tumor80
Cancer Care89
Cardiac Surgical Care98
Cataract Care107
Cerebrovascular Accident112
Chemotherapy121
Chronic Obstructive Pulmonary Disease131
Congestive Heart Failure139
Decubitus Ulcer147
Diabetes Mellitus154
Dialysis (Peritoneal, Hemodialysis)162
Diarrhea170
Enteral Care176
Fracture Care (Orthopedic Care, Lower Extremity, Hip)182
Gastrostomy Tube (G-tube)189
Hypertension195
Immobile Patient200
Impaction208
Intestinal Obstruction212
Intravenous Therapy Care218
Mastectomy Care223
Osteoarthritis231
Ostomy238
Pain Management246
Peripheral Vascular Disease251
Pneumonia257
Sickle Cell Anemia263
Surgical Care270
Tracheostomy Care279
Tuberculosis (TB)287
Urinary Catheter Care294
Wound Care299
Pt. 3Hospice Care Documentation Guidelines
Hospice Care307
App. A: 1995 NANDA-Approved Nursing Diagnoses317
App. B: Services Provided by Other Disciplines321
App. C: Abbreviations326
Bibliography333

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