Reporting Forms
Care Plan
Rehab & Restorative
Documentation
Vital Signs
100

A form used for measurements of TPR.

What is a Graphic Sheet?

100

5 steps of the nursing process.

What is assessment, nursing diagnoses, planning, implementation, and evaluation?

100

Aimed at prevents health deterioration and
maintaining or improving a client’s quality of life,
but also aimed at restoring clients to their previous
functional level whenever possible.

What is Restorative Care?

100

Symptoms.

What is subjective data?

100

60 - 100 bpm

What is the normal range for an adult pulse?

200

Used by agencies in community setting to record
provided care and services

What are task sheets?

200

Steps for care planning process in home care.

What is assessment, planning, implementation, and evaluation?

200

The process of restoring a person to the highest
level of functioning.

What is Rehabilitative Care?

200
Data that is gathered by using your senses.

What is objective data?

200

35.9*C - 37.3*C

What is the normal temperature range for an adult?

300

Sometimes called tick sheets

What are ADL sheets?

300

SMART goal

What is a goal that is Specific, Measurable, Attainable, Realistic, and Timeable?

300

Care provided to the person in all dimensions.

What is holistic care?

300

POC

What is Point of Care?

300

Respirations less than 12 bpm.

What is bradypnea?

400

A card file that summarizes information


What is a kardex?

400

describes a health problem
that can be treated by nursing measures.
 

What is a nursing diagnosis?

400

Identifies safety risks and health hazards in a client's home.

What is Home Assessment?

400

Communication
Planning client care
Currency
Accountability
Continuity of care
Quality assurance
Education and research
Funding

What are purposes of documentation?

400

A heart rate above 100 bpm/

What is tachycardia?

500

Written accounts made after an accident, error, or
unexpected event

What are incident reports?

500

measuring whether the
goals in the planning step were met.

What is evaluation?

500

Shorter (or no need for) hospital stays
“Reablement” programs for individuals who do not
need acute care
Independence for clients
Less disruption for families
Cost savings

What are benefits of rehab and restorative care?

500

Describes progress of client.

What are progress notes?

500

A sustained BP above 140/90.

What is hypertension?

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