Documentation
Endmatter - Nursing Documentation in Aged Care
 
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National Standards for Volunteers
This session will discuss national standards for recruitment and management of volunteers.
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Nursing Assessments in Aged Care
Persons admitted to aged‐care facilities require thorough assessment which allows them to be placed in suitable facilities. This chapter provides essential
methods and guidelines for assessors as they begin to determine care provision for the aged...
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Political Imperative: Nurses' Work Visible by Documentation
What nurses document in their work conveys to others what nurses do. It is only by documenting what was done and how this was received that the quality of nursing care will improve and what nurses do will be recognised as worthwhile...
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Diabetes (APP3) & Nausea (APP4)
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Social Assessment Documentation: Genograms and Ecomaps
This chapter explores the use of genograms and ecological maps (commonly called ecomaps) in acquiring a better understanding of patients, allowing nurses to provide them with a better standard of care...
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Documenting Evaluative Criteria
Evaluative criteria are measurement parameters that are based upon an accepted rule, standard, or principle. This chapter guides nurses on how to accurately use the parameters of evaluation, and correctly document it...
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Clinical Nurse Consultation: Documenting Diabetes Education, The
Documentation by DEs must meet the requirements of good documentation specified by nursing bodies and the law. This chapter explains these requirements and addresses specific issues relevant to the practice of diabetes education...
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Care Plan
Contains 82 PowerPoint Slides prepared FOR YOU TO TEACH. Also includes lecture notes, a handy resources guide, quiz & evaluation form. An invaluable guide to teach nurses about the importance and practicalities of care plans.
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Clinical Reasoning
Clinical reasoning is the process of reaching clinical conclusions through professional judgement, knowledge and experience.This chapter instructs nurses on how to understand Clinical Reasoning, its politics and its conflicts with documentation...
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Physical Care (Palliative)
This chapter discusses the common physical signs and symptoms of older persons who are dying. It looks at various types of patients and how they should be cared for...
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Documenting Behaviour and Emotion
All nurses experience and observe the behaviour and emotion of those in their care throughout their work day. This chapter guides nurses on how to accurately assess and document emotion and behaviour...
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The Right Volunteer for the Right Job
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Writing It Down in the Bush
The demands of documentation may seem never-ending and almost impossible to manage at a small rural centre. This chapter provides useful suggestions for ensuring documentation standards are as good as those of any city’s multistorey hospitals...
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Solving Problems within Volunteer Programs
This session discusses how to respond to adverse reports about a volunteer. It also outlines how to carry out an assessment of the problematic situation and find the most constructive outcome.
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Wandering Behaviour in Aged Care Settings
Nurses who work with the elderly are familiar with those in residential care who are described as 'wanderers'. Episodes of wandering can cause significant stress to staff and families. This chapter provides a basic insight into this complex phenomenon...
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Health Records in the Home
This chapter explains the advantages and potential conflicts of using home health records. It shows that the aim of community nursing is to establish a partnership between nurse and client which empowers clients to participate fully in their own care...
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Writing a Nursing Care Plan
This guideline help people to generate an accurate problem list, identify the appropriate nursing diagnosis, set attainable goals, develop appropriate nursing interventions, and evaluate the efficacy of those interventions. These elements are combined int
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Designing a Form for Your Needs
This chapter offers some tips to help you design a better form; one that will do exactly what you want. Follow simple steps in order ensure that your forms are well-designed and easy to fill out...
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Documenting Restraint
It is important to correctly document any form of restraint, both physical and chemical. This chapter discusses the use of restraint in an aged care facility and its correct documentation.
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