Folder Nursing History Form
Place where you collect the data considered relevant to the identification of needs and residual abilities. Almost impossible to practice in some hectic work environments, it is also the most difficult to design. In order not to turn the investigation into a mere exercise, then not being able to use it on the field, you must decide very clearly what we really need.
The conceptual model helps us a lot, but it can distract from the real issue, shifting the focus of the compiler on issues of little importance. It is likely that the draft requires two or more printed pages. This is different from the medical history; however, like the latter, may be recorded in an "unstructured," i.e. by writing their observations on a simple sheet of paper (perhaps using a lookup table in which to choose data collection).
If the resulting score is an indication for any influence on the care process, well, otherwise they are the only further loss of time. Instead, they can be very useful planning tools that allow you to calculate the workload.
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