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Description
Flashcards by shanice.simmons8, updated more than 1 year ago
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Created by shanice.simmons8
over 10 years ago
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| Question | Answer |
| 4 DOCAP facts | -recording of home visits in the Bahamas -recorded after home visit -must b written in past tense -factual, confidential, legible, signed and date |
| 6 pts explanation of DOCAP (problem oriented-method of recording) POMR | -only DPH has it -places emphasis on client's identified problem -written data in an easily accessible manner -incoprarates ongoing plan of care into daily documentation -subjective, objective, assessment, plan -problem solving |
| DOCAP-D | discussion -write about topic spoken recording is made by use of key words -Apects relative to the client or family -Subjective and objective data |
| DOCAP-5 Observation | seen, heard, or assessed during the visit -People ( age, well being) visitors Place-internal & external environment Social Systems(economic, coping Nursing Process Approach - |
| DOCAP-Changes | occurred since the last visit -no changes indicate -people -place -eniroment |
| DOCAP-Actions | Nurse client/family verb written in the same order as observation Education |
| DOCAP-Plan | client, family, nurse mutual agrred -activities that will occur next visit -referrals |
| 5 Characteristics of family | -small social system -it's own cultural values and rules -has a structure -certain basic functions -moves thru the stages in it's life cycle |
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