Priority Setting Flashcards
Maslow’s hierarchy of basic needs
- Self-actualization
- Self-esteen
- Love and belonging
- Safety and security
- Physiological
Six phases of the standards of practice in nursing for critical thinking and diagnostics and movement is back and forth between steps: Assessment, Diagnosis, Outcome identification, Planning, Implementation and Evaluation
(Pg. 3 - Jarvis)
Nursing process (ADOPIE)
Collect Data, review clinical record, health history, physical exam, functional assessment, review the literature
Assessment
Compare findings, Interpret data, validate diagnosis, document diagnosis
Diagnosis
Identify expected outcomes, individualize the person, culturally appropriate, realistic and time lines included
Outcome identification
Establish priorities, develop outcome, set timelines for outcomes, identify interventions, evidence based trends, document plan of care
Planning
implement in a safe and timely manner, collaborate with colleagues, coordinate care and delivery, promote heath and teaching and document modifications
Implementation
Progress toward outcomes, systematic, on-going, include patient and significant others, disseminate to patient and family.
Evaluation
Priority setting framework
1 Maslow’s Hierarchy of needs
- Airway-Breathing-Circulation
- Safety & Risk Reduction
- Nursing Process (ADOPIE)
- Least Restrictive/invasive
- Survival Potential
- Acute before chronic
- Stable vs unstable
Default strategies
- Time elapse
- Pre, Intra, post
- Direction or magnitude
- Early vs late S/S
- Stay with the client
- Use what you know
- Prevent harm to patient
- Safe and effective delegation