 Validation is the act of  “ double checking “ or verifying data to confirm that it is accurate and factual.

 It helps differentiate “cues” from “ inferences”.  Cues : are subjective and objective data  Inferences : are conclusions that nurses withdraw upon cues  E.g; red, swollen lesion (cues) leads to an inference ( infection)

 Data should be verified when there are inconsistencies between assessment data.  Not all data should be verified  Be careful from making wrong assumptions based on asssessments

 Documentation : is recording client data.  E.g. Intake and output  E.g. Quotes from patient own words

 Reflects what the clients needs and problems are.

 NANDA : is an international North America Nursing Diagnosis Association

 Is to : define, refine, and promote taxonomy of nursing diagnostic terminology of general use to professional nurses.  No Arabic version, yet.

 Nursing diagnosis is : a clinical judgement about individual, family, and community responses to actual and potential health problems and life processes.

 Nursing diagnoses are not medical diagnoses

 Medicine deals with disease processes while nursing manages patients responses to illness and health related issues

 1- Actual  2- Potential ( risk for)  3- wellness  4- possible  5- syndrome  Only first two types are used in Jordan.

 1- problem statement  2- Aetiology ( causal relationship between a problem and its related risk factors)  3- Defining characteristics  ( subjective and objective findings)

 1- Anxiety related to surgical management as evidenced by patient own words “ I am anxious about this operation..”

 2- Pain related to surgical incision as manifested by pain score 7/10 and slightly elevated BP and heart rate.

 They are potential complications of disease that nurses and other health team members should be aware of and cooperate to manage in a multidisciplinary approach

 Potential complication of head injury: increased intracranial pressure