Nursing Process Flashcards
Cornerstone of the Nursing Profession
Nursing Process
incorporates an interactive/interpersonal approach with a problem-solving and decision-making process that serves as an framework for the delivery of nursing care.
Nursing Process
directs nursing activities for health promotion, health protection, and disease prevention and is used by nurses in every practice setting and specialty.
quality nursing care
Phases of the Nursing Process
ADOPIE
Collecting, validating, recording data
Establish a data base
Assessment
Interview, physical exam, research, review of records, observation.
Assessment
Types of Data:
Subjective Data
Objective Data
Subjective Data (Symptoms):
What the Client Says
Objective Data (Signs):
What the nurse Observes
clinical judgment about individual, family, or community responses to actual or potential health problems/life processes.
Diagnosis
provide the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable.
Diagnosis
Analysis and synthesis are part of what phase of NP
Diagnosis
Statement of client’s potential or actual alteration of health status.
Nursing Diagnosis
NANDA means
North American Nursing Diagnosis Association
Formulating and documenting achievable Goals
Outcome Identification
Goal -AIE
Aim
Intent
End
broad or globally written statement describing the intended or desired change in the client’s behavior, response, or outcome
Goal
detailed, specific statement that describes the methods through which the goal will be achieved
Outcome Criteria
SMART
Specific
Measurable
Attainable
Realistic
Time-bounded
formulation of guidelines that establish the proposed course of nursing action in the resolution of nursing diagnoses and the development of the client’s plan of care.
Planning
Identifies nursing actions for preventing, correcting, or relieving health problems and developing specific interventions
Planning
Planning purposes
Detects, prevents, and manages health problems
Promote well-being and anticipate potential problems
Allocate and utilize possible resources in achieving outcomes
execution of the nursing plan of care derived during the planning phase of the nursing process.
Implementation
Actual performance of the plan
Implementation