Nur 180 Unit 3//220 UNIT 2 Flashcards
The nursing process
Systematic method that direct the nurse and patient
Assessing
Collection validation and communication of patient data.Make a judgment about the patient health status ability to manage his or her own healthcare and need for nursing plan individualize holistic care that draws on patient strength and is responsive to change in the patient condition.
Diagnosing
Analyze a patient data to identify patients strength and health problems that independent nursing intervention Can prevent or resolve.develope a prioritize list of nursing diagnosis
outcome identification and planning
Specifications OfPatient outcome to prevent reduce or resolve the problems identified in the nursing diagnosis and related nursing intervention.Develop an individualized plan of nursing care identify patient strength that can be tapped to facilitate achievement of desire outcomes.
Implementing
Clearing out the plan of care.Assess patient to achieve desired outcome promote wellness prevent disease and illness Restore health and facilitate coping with altered function
Evaluating
Measuring the extent to which the patient has achieved the outcome specified in the plan of care identifying factor that positively or negatively influence outcome achievement revising the plan of care if necessary.
Example of assessing
You are checking on a patient who had abdominal surgery yesterday and hear that the patient has considerable Pain the patient has been reluctant to ask for any pain medication fearing effects of the drug the patient blood pressure and pulse rate or slightly elevated.
Example of diagnosing nursing process
You analyze the data just described and write the nursing diagnoses: Unrelieved Pain related to a fear of taking pain relieving medication the patient agrees that this is becoming a problem.
Example of outcome identification and planning nursing process
You decide to work with the patient to achieve the outcome: My 3 PM patient reports significant relief of pain to enable him to rest and to get out of bed and go to the bathroom. The patient wants to accomplish the outcome.You identify teaching as the primary nursing intervention
Example of implementing nursing process
After asking the patient about his experience with pain relieving medication you were explained that although many of those drugs are addictive when abuse there is no harm if they are taken as prescribed post operatively.You also explained that it is important for him to experience enough pain relief to be able to cough and deep breathe ambulate And do other things Important to his recovery. Do you suggest that the medication will be most effective if taken before his pain peak and becomes intense you administer and prescribe medication for pain when the patient indicates that he is willing to give it a try
Example of evaluating nursing process
After enough time has elapsed for the medication to take either you check back with the patient to evaluate whether he has obtained relief and met his outcome if the patient is satisfied and you both feel that comfort is no longer a problem you terminate the plan of care for this diagnose if the patient still feel pain or is dissatisfied with the medication each of the preceding steps of the nursing process is re-evaluated and necessary changes are made in the plan of care
The problem-solving process
Identification of the problem analyze of the problem objectively exploration of alternative solution selection of the most desirable alternative consider the consequences Implementation of solution and evaluation of the solution
Identification of the problem
Ask yourself does a problem really exist ,what factors indicate something is wrong, A problem generally Arise when I need is not met or fulfilled.
Analyze of the problem objectively
Look at the facts are they relevant
Exploration of alternative solution
Do not belittle the way the problem was handled before consider all the different ways to solve the problem work methodically if there is an existing policy can it be used as a guideline or can it be added to cover this need to get input from all those involved
Selection of the most desirable alternative
After thorough investigation choose the alternative which appeared to be most satisfactory and test it
Consider the consequences
Remember there is no perfect solution and not every problem is solvable you may have to compromise
Implementation of the solution
It is important to listen to the fears and concerns that our voice apprehensive is a major block to progress and could still make it take a few per caution. Involve the group that is affected by introducing the solution to them in formed them verbally and in writing before the solution is implemented set a time for implementation Consider plotting the project in a limited way before extending it to all or all area involved wait for feedback it will be negative or positive and represent valuable input to modify the solution
Step of the problem-solving process summary
Identify the problem analyze the problem explore solution select the best alternative consider the consequences implement the plan evaluate the plan
Person Center practice
The person,The professional nurse, reflective practice leading to personal learning, clinical reasoning and judgment and decision making, person center nursing process, the nurse action in response to individual clinical needs.
The person
Each person is unique and has one’s own set of believes values memories hope and history. People are holistic being with emotional physical social and spiritual dimension and needs that are all meldTogether to create a whole individual person. The fact that a person has a disease is only one aspect of the hole in the same way as having red hair is only one aspect of the whole person. Therefore each person’s Health journey and personal care our individual. Clinical care is an interaction between the carer and he cared for.Each of the individuals within this relationship is unique, so theRespect and valuing of the individual applies to both. Relationships based on this principle can become therapeutic.
The professional nurse
Professional nursing requires cultivated Personal attributes mastery of the science of nursing and reflective clinical experience in which nurses develop the blended competence and QSEN confidence that promotes thoughtful and effective person center practice.
