Assessing Health Problems + Nursing Processes Flashcards
What are the 5 parts of the Nursing Process? (ADPIE)
Assessment
Diagnosis
Planning
Implementation
Evaluation
Why is the nursing process important?
Provides a clear structure, for you to demonstrate developing clinical reasoning
What are the 3 assessment components?
Collect (data)
Validate
Communicate
What are 5 types of assessment?
Primary
Triage
Comprehensive
Focused
Functional
What does the DRSABCD acronym mean for Primary Assessment?
Dangers
Responsive
Send for. help
Airway
Breathing
Circulation
Disability
What is Triage Assessment?
Identifies chief complaint
Rapid assessment of clinical urgency
What acronyms are used for Focused Assessment?
OLDCART
Provoking Factors
Quality
Region/Radiation
Severity
Time
What are some limitations of Focused Assessment?
Cognitive Bias
Limited sensitivity of diagnostic tests
Communication Challenges
What is Comprehensive Assessment?
Admission Purpose
Understanding expectations
Health History
What is Functional Assessment?
Ongoing assessment of people’s activities of daily living, particularly in community & rehabilitation settings.
Assisting with showers, toileting, mobilising giving meals offers a chance to observe and assess the patient.
What are the stages of Comprehensive planning?
Initial Planning
Ongoing Planning
Discharge Planning
What are the 5 aspects of Maslows Hierarchy of Human Needs from bottom to top?
What is a Current Health Problem?
A change in health
status that is adversely affecting the
individual.
What is a Potential Health Problem?
When there is a potential for decline in health status that needs further monitoring to prevent
What is the 3 step approach to writing a nursing diagnosis?
What is the issue or concern?
What does it relate to?
Symptoms or what is it evidenced by?
What does SMART Goals stand for?
Specific
Measurable
Achievable
Realistic
Time-bound
What is a nursing intervention?
What can you as a nurse can do for a patient
What is a medical initiated intervention?
An intervention initiated by doctors in response to a medical diagnosis but carried out by a nurse in response to an order.
What are some common problems related to person-centred care?
- Failure to involve patient and whanau in planning process
- Insufficent data collection
- Goals stated were too broad
- Inaccurately identified problems
What are 5 Implementation goals?
- restore health
- promote health
- prevent illness
- prevent harm
- facilitate coping
What are 4 professional standards?
Protocols
Policies
Scope
Code of Conduct
What are 4 nursing skills for effective implementation?
Interpersonal
Cognitive
Technical
What are 6 interpersonal implementation skills?
Rapport
Coaching
Reassurance
Education
Delegation
Teamwork
What are 4 cognitive implementation skills?
Prioritisation
Continuous Assessment
Critical Thinking
Responding to unexpected outcomes
What are 3 technical implementation skills?
Equipment and technology utilisation
Psychomotor tasks
Risk reduction & environmental awareness
What are the 4 evaluation measures?
Physiological
Cognitive (increase in persons knowledge)
Psychomotor (achievements of new skills)
Affective (changes in beliefs/values)
