Nursing Process Flashcards
Nursing process serves as
An organisational framework for the practice of nursing through assessment, diagnosis, planning, implanting and evaluation.
Purpose of the nursing process
What does it aim for?
Improves efficiency
Promotes critical thinking
Serves as an educational tool and provides systematic method for nursing practice.
Advantages of nursing process
Provides individual care
Promotes continuity of care
Professional growth from evaluating effectiveness
Effective communication between health care professionals
ADPIE
Assessment Diagnosis Planning Implement Evaluation
What Is adpie
Detailed phases with their own set of actions designed to streamline parent care used as a framework for building care plans for each pt specific needs
What happens in ASSMENT
nurse has initial contact with pt
health needs are established
ASSESMENT psychological physiological sociological spiritual records
- Hallucinations/ measure of level consciousness
- Vital signs
- Living conditions diet medications
- Religious beliefs/ requirements
SUBJECTIVE DATA
A patient interview to ascertain medical history
Objective Data
physical examinations to check vital signs
Physical examinations
Inspection
Palpation
Percussion
Auscultation
Head to toe approach
Vital signs
Weight
Urinalysis
Bowels
Mobility
Diagnosis
Following pt assessment to make a clinical judgement based on the objective and subjective facts.
Discussing findings with the patient and addressing problems identified in diagnosis stage. Each problem has an outcome goal
Functions of care plans
Teach skill of accurate documentation
What observations to make
To ascertain which instruction to give family
Indicate nursing procedure to take
Implemention
Individual care plan tailored to needs of patient done direct and indirect.
