Nursing Process Essay

1292 Words6 Pages
Wendy Greenspan, MSN, RN, CCRN, CNE
1/18/12 nursing process 1

Steps in the Nursing Process (ADPIE)
• Assessment
– Data collec:on

• Diagnosis
– Analysis of data

• Planning
– Goals priori:zed

• Implementa:on
– Interven:ons

• Evalua:on
– Goals met? – Reassessment
The Nursing Process is the diagnosis and treatment of human responses to actual or potential health problems. A problem solving approach

RCC 7 Needs
ELIMINATION
GAS TRANSFER PSYCH REGS

7 NEEDS
CHEM REGS MOBILITY

NUTRITION

BODY DEFENCE

Wendy Greenspan, MSN, RN, CCRN, CNE

1/18/12

nursing process

3

Cri:cal Thinking
• Metacogni:on= The art of thinking about thinking (Paul & Elder, 2001) • AOtudes • Knowledge based • Skills

Problem Solving

5 Ac:vi:es Needed to Perform a Systema:c Assessment
• • • • • Collect data Verify data Organize data Iden:fy PaUerns Report & Record data

Assessment Plan of care is based on Assessment • Collec:on of data • Comprehensive
– Direct – Indirect

• Methods

– Before you see client – When you see client – AXer you see clients – Interview – Physical exam

• Check labs & diagnos:cs

What is a Nursing Diagnosis?
• Statement describing client’s actual or poten:al response to health problems
– That the nurse is licensed & competent to tx

• Clinical judgment about an individual, family or community response to actual or poten:al health problems & life processes • Provides basis for selec:on of nursing interven:ons to achieve outcomes for which the nurse is accountable

Steps in Formula:ng Nursing Diagnoses
• Iden:fica:on of nursing diagnosis
– Iden:fy client’s response to illness – State a NANDA diagnos:c statement – E:ology treatable by nursing, such as:
• ‘thick, tenacious secre:ons’ as opposed to
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