אבחנה סיעודית והניסוח בפורמט PES

Forms the basis for selecting nursing interventions to achieve positive outcomes.

A structured way to state a nursing diagnosis, including the Problem, Etiology, and Signs/Symptoms.

The patient's condition or response to a situation.

Factors contributing to the patient's condition or response.

Signs and symptoms exhibited by the patient.

Diagnoses focused on patients at risk of developing problems.

Diagnosis used when a patient expresses desire to enhance their health.

A problem doesn't exist yet, but risk factors indicate one could develop.

Describes the need for a cluster of nursing diagnoses that require similar interventions.

Include the problem and its definition, the etiology, and defining characteristics (signs/symptoms).

Identifying patient's strengths and available resources in addition to problems.

Patients are more aware of their weaknesses than their strengths, which poses a diagnostic challenge.

Examples include pain, impaired mucous membranes, and risk for pneumonia.

Ensure the underlying cause connected to the problem is clear and precisely stated.

Removal of the uterus and ovaries.

A type of cancer that can affect the uterus and ovaries.

A chronic metabolic disorder characterized by elevated blood sugar levels.

A condition where blood pressure is consistently too high.

A deficiency in red blood cells or hemoglobin in the blood.

An allergic reaction to penicillin.

Inability to control bladder or bowel function.

A disposable absorbent pad worn to manage incontinence.

90/50 mmHg

50 beats per minute.

38.3 degrees Celsius.

18 breaths per minute.

86% oxygen saturation.

Refusal to consume food or liquids.