Subjective and Objective Data, Medical vs Nursing Diagnosis, – Flashcards

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Subjective Data
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symptoms
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Subjective Data
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include pt.'s feeling, perception, and description of health status.
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Subjective Data
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Examples: nervous, nauseated, chilly, pain
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Subjective Data
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Data: "I'm beginning to feel better about myself now that I', losing weight."
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Objective Data
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signs
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Objective Data
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observable, measurable data
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Objective Data
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data that can be verified by another person
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Objective Data
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Data: 32-year-old man, Height: 5'8" Weight: 202 lb
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Objective Data
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Data: Posterior, left mid calf is warm and red
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Validation
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is an act of confirming or verifying
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Nursing Diagnosis
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a diagnosis that deals with the human response to actual or potential health problems and life processes.
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Medical Diagnosis
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a diagnosis deal with the disease of medical condition
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