Poyss A S
University of Scranton, Pennsylvania.
Nurs Clin North Am. 1987 Dec;22(4):773-83.
Disorders of fluid and electrolyte balance are common considerations in adult medical-surgical clients with underlying pathologic conditions. The assessment framework presented in an integrated approach is an attempt to provide the clinician with a nursing model to be used in gaining pertinent clinical information from clients with existing or suspected fluid and electrolyte disorders. The use of health patterns facilitates the collection and organization of information gained by the nurse through assessment. This framework assists the nurse in processing subjective and objective assessment data to obtain an accurate nursing diagnosis. Nursing diagnosis is the keystone of the nursing process--without an organized framework for the collection of assessment data, the nursing diagnosis may not be valid and, therefore, nursing care will not be client-centered.
体液和电解质平衡紊乱是患有基础病理状况的成年内科-外科患者常见的考量因素。以综合方法呈现的评估框架旨在为临床医生提供一种护理模式,用于从患有现有或疑似体液和电解质紊乱的患者那里获取相关临床信息。采用健康模式有助于护士通过评估收集和整理所获得的信息。该框架协助护士处理主观和客观评估数据,以得出准确的护理诊断。护理诊断是护理程序的基石——没有一个用于收集评估数据的有条理的框架,护理诊断可能无效,因此护理就不会以患者为中心。