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- https://med.libretexts.org/Courses/University_of_South_Carolina_Upstate/Nursing_Fundamentals_(OpenRN)/04%3A_Nursing_Process/4.03%3A_AssessmentThis standard is defined as, “The registered nurse collects pertinent data and information relative to the health care consumer’s health or the situation.” This includes collecting “pertinent data rel...This standard is defined as, “The registered nurse collects pertinent data and information relative to the health care consumer’s health or the situation.” This includes collecting “pertinent data related to the health and quality of life in a systematic, ongoing manner, with compassion and respect for the wholeness, inherent dignity, worth, and unique attributes of every person, including but not limited to, demographics, environmental and occupational exposures, social determinants of health,…
- https://med.libretexts.org/Bookshelves/Nursing/Nursing_Skills_(OpenRN)/02%3A_Health_History/2.02%3A_Health_History_Basic_ConceptsWhen documenting subjective data in a progress note, it should be included in quotation marks and start with verbiage such as, “The patient reports…” or “The patient’s wife states…” An example of subj...When documenting subjective data in a progress note, it should be included in quotation marks and start with verbiage such as, “The patient reports…” or “The patient’s wife states…” An example of subjective data is when the patient reports, “I feel dizzy.” For example, the symptom the patient reports, “I feel itchy all over,” is documented in association with the sign of an observed raised red rash located on the upper back and chest.
- https://med.libretexts.org/Bookshelves/Nursing/Nursing_Skills_(OpenRN)/01%3A_General_Survey/1.01%3A_General_Survey_IntroductionWhen documenting subjective data, it should be in quotation marks and start with verbiage such as, “The patient reports…” or “The patient’s wife states…” It is vital for the nurse to establish rapport...When documenting subjective data, it should be in quotation marks and start with verbiage such as, “The patient reports…” or “The patient’s wife states…” It is vital for the nurse to establish rapport with a patient to obtain accurate, valuable subjective data regarding the mental, emotional, and spiritual aspects of their condition.
- https://med.libretexts.org/Bookshelves/Nursing/Nursing_Fundamentals_(OpenRN)/04%3A_Nursing_Process/4.03%3A_AssessmentThis standard is defined as, “The registered nurse collects pertinent data and information relative to the health care consumer’s health or the situation.” This includes collecting “pertinent data rel...This standard is defined as, “The registered nurse collects pertinent data and information relative to the health care consumer’s health or the situation.” This includes collecting “pertinent data related to the health and quality of life in a systematic, ongoing manner, with compassion and respect for the wholeness, inherent dignity, worth, and unique attributes of every person, including but not limited to, demographics, environmental and occupational exposures, social determinants of health,…
- https://med.libretexts.org/Courses/University_of_South_Carolina_Upstate/Nursing_Skills_(OpenRN)/01%3A_General_Survey/1.01%3A_General_Survey_IntroductionWhen documenting subjective data, it should be in quotation marks and start with verbiage such as, “The patient reports…” or “The patient’s wife states…” It is vital for the nurse to establish rapport...When documenting subjective data, it should be in quotation marks and start with verbiage such as, “The patient reports…” or “The patient’s wife states…” It is vital for the nurse to establish rapport with a patient to obtain accurate, valuable subjective data regarding the mental, emotional, and spiritual aspects of their condition.
- https://med.libretexts.org/Bookshelves/Nursing/Medical-Surgical_Nursing_(OpenStax)/04%3A_Clinical_Judgment_in_the_Nursing_Process/4.03%3A_Recognizing_and_Analyzing_CuesThis section focuses on the integral role of recognizing and analyzing cues in nursing assessments, which are foundational for patient care. It emphasizes the comprehensive nature of nursing assessmen...This section focuses on the integral role of recognizing and analyzing cues in nursing assessments, which are foundational for patient care. It emphasizes the comprehensive nature of nursing assessments, involving both subjective and objective data collection, incorporating cultural awareness, and addressing psychological, sociocultural, and environmental factors.
