Clinical Assessment by professional nurses relies upon appropriate gathering and interpretation of relevant subjective and objective biopsychosocial data. The physical examination provides primary objective data through the use of four techniques: ...

Delirium is an acute decline in attention and cognition. To make a diagnosis, there are two classification systems: the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and the International Classification of Diseases (ICD-10). While the ...

In this article the result of a remittance work for the Dachverband Wiener Sozialeinrichtungen, will be described. The remitter, an association for support, quality assurance, and development for providers of care in Vienna, was interested in three ...

The use of standardised instruments in nursing has rapidly grown and can be seen as a symptom of the necessary comprehensive nursing diagnostics. However, these instruments comprise the risk of misuse, if they are not critically evaluated. Published ...

The use of standardised assessment instruments as part of evidence based practice is the logic result of its scientific foundation. The aim of this article is to show that the quality of assessments depends not only on the instrument itself but also on ...

In the wound documentation of pressure sore and leg ulcer the most important tasks and objectives are the presentation of the outcomes of the diagnostic inspection, planning of therapy and evaluation of wound healing. The aim of the systematic literature ...