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TRANSLATING EVIDENCE FROM GUIDELINE TO A STANDARDIZED DOCUMENTATION TOOL Debra L. Foster, RN, PHN; Tammy L. Gomez, RN, BAN, Karen A. Monsen, PhD, RN University of Minnesota School of Nursing, Minneapolis, Minnesota, USA.
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TRANSLATING EVIDENCE FROM GUIDELINE TO A STANDARDIZED DOCUMENTATION TOOL Debra L. Foster, RN, PHN; Tammy L. Gomez, RN, BAN, Karen A. Monsen, PhD, RNUniversity of Minnesota School of Nursing, Minneapolis, Minnesota, USA Physical activity intervention for adults with obesity Pain Intervention for infants, non-verbal, and cognitively impaired children Reference: Merkel, S.I., Voepel-Lewis, T., Shayevitz, J.R., & Malviya, S. (1997). The FLACC: A behavioral scale for scoring postoperative pain in young children. Pediatric Nursing, 23 (3), 293-297. Young infants may perceive pain more intensely than children and adults Valid, reliable assessment tools are needed to help nurses and caregivers manage pediatric pain Problem: Pain Category-targets Surveillance-Signs/symptoms physical Treatments and procedures-Sickness/injury care Treatments and procedures-Medication administration Case management-Medical/dental care Teaching, guidance, and counseling-Signs/symptoms physical Teaching, guidance, and counseling-Medication action • Reference: Centers for Disease Control and Prevention Physical Activity Plan http://www.cdc.gov/physicalactivity/ • Weight loss occurs through combining physical activity with a decrease in daily caloric intake • Physical activity contributes to enhanced overall health and well being, enhanced bone health, and improved mood • Problem: Physical activity • Category: Teaching, guidance, and counseling • Targets: • Medical/Dental Care • Physical Therapy Care • Dietary Management • Exercises • Wellness • Support System Standards + Technology + Evidence + Computerized documentation = Opportunity to disseminate evidence-based practice through interface terminology care plans These evidence-based care plans are available on-line at omahasystemmn.org