1. nursing diagnosis: this section lists various possible nursing diagnoses, such as pain, malnutrition and mental health problems, to help nurses determine the health needs of patients.
2. Evaluation criteria: This part stipulates various indicators that need to be considered in evaluating patients' health status, including physical symptoms, lifestyle, social support, etc.
3. Result standard: This part defines the specific goals to achieve the expected therapeutic effect, such as relieving pain, improving nutritional status and improving mental state.
4. Nursing intervention: This part provides a series of nursing intervention programs suitable for patients, including medication, nutrition adjustment, behavioral intervention, etc. To help nurses choose the most suitable treatment plan.
5. Nursing evaluation: This part is used to record and evaluate the effect of nursing intervention to determine whether it is necessary to adjust or change the treatment plan.
Introduction method of Omaha community nursing diagnosis system
1. Be familiar with the background and significance of the system: understand the source, use and application scope of Omaha community nursing diagnosis system, so as to better understand its use methods and skills.
2. Learn the classification and coding rules of nursing diagnosis: Omaha community nursing diagnosis system is the standard classification system of nursing diagnosis, including multi-level diagnosis classification and coding rules. Understanding these rules is helpful to understand the composition and coding of diagnosis.
3. Use tools and resources in the system: Omaha community nursing diagnosis system provides a wealth of tools and resources, such as evaluation forms, diagnosis manuals, reference materials, etc. Using these tools and resources will help to quickly grasp the core content of the system.