Subjective data can be called symptoms. Objective data is information collected by using the sense. Objective data can be called signs. Assessment Format 1 . Nursing interventions to achieve outcomes for which the nurse is accountable.
Alterations cause problems and untoward changes in the patient's ability to function.
The defining characteristics are a cluster of subjective and objective signs and symptoms that represent a nursing diagnosis. The defining characteristics, gathered during the assessment phase, provide evidence that a health problem exists. There are no defining characteristics for a high risk diagnosis. Identify the problem, related factors, and defining characteristics pertinent to the patient. The ranking of nursing diagnoses permits the nurse to arrange the patient's problems in order of their importance and urgency.