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Critical Thinking & Clinical Judgment

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• Once you identify your patient problems, you<br />

can write nursing diagnoses statements using<br />

the PES format:<br />

P:<br />

• Problem - (high risk for injury, pain, constipation,<br />

impaired communication, etc.)<br />

• related to (r/t) use North American Nursing<br />

Diagnosis Association (NANDA) category<br />

E:<br />

• tiology (cause) - (factors that cause the problem)<br />

• manifested by (m/b)<br />

S:<br />

• igns and Symptoms - (the signs and symptoms<br />

that are associated with the problem)

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