Notes au dossier: Guide de rédaction pour l'infirmière
- ISBN-10
- 2804138089
- ISBN-13
- 9782804138080
- Category
- Medical
- Pages
- 472
- Language
- French
- Published
- 2001-11-30
- Publisher
- De Boeck Superieur
- Authors
- Diane Saint-Germain, Diane St-Germain
Description
Ce guide pratique et complet a pour objectif de faciliter la consignation de notes et de favoriser la transmission de l'information entre professionnels de la santé. Après un exposé sur le dossier du patient et la mission des notes de l'infirmière, il propose 178 fiches aide-mémoire indiquant les éléments à consigner au dossier dans des situations de soins courants (en médecine, chirurgie, gériatrie, santé mentale...) mais aussi en périnatalité pour les sages-femmes, les puéricultrices et les infirmières de pédiatrie. Ces notes peuvent concerner un symptôme présenté par le client, une intervention infirmière de soins directs ou indirects. Ce guide propose enfin une liste des termes à employer (un vocabulaire de 118 entrées en ordre alphabétique et soigneusement indexées) pour décrire avec précision les diverses manifestations physiologiques, psychologiques et comportementales.
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