The Nursing process Flashcards
what is the self care deficit statement
inability to + synthesis statement/ action demand statement + related to (power component)
Is Self care deficit a nursing diagnosis?
NO
What is Orem’s 4 phases of the nursing process?
assessment + diagnosis
planning
implement
evaluation
What are the steps for assessment and diagnosis?
collect data organize data validate data document analyze
What is a synthesis statement?
Verb + USCR + in a + age + sex + story + by + list actions for synthesis statement
what are the 10 power components?
knowledge motivation attention span control of physical energy control of body movement ability to reason decision making skills repertoire of skills ability to order self care actions integrate SCA into patterns of living
What does planning consist of?
finding a goal (not action demand statement)
have expected outcomes –> realistic, observable, timely
write nursing orders –>based on scientific evidence
write patient actions
What are expected outcomes?
specific criteria used to evaluate if goals have been met
what are the 4 types of outcomes?
cognitive outcomes ex: increase pt knowledge
psychomotor: new skill
Affective outcomes: change pt attitude
Physiological outcomes: change in physical state
what are the 4 criteria for selecting nursing interventions?
relate to nursing diagnosis
based on evidence and reaserch
realistic
compatible with patient and family values and planned therapies
What do Nursing orders describe?
What is to be done who will carry out the order when/ how often it is to be done how it is to be done where it is to be done
what is the action phase of the nursing process?
implementation
in which phase do you determine whether to continue, modify or terminate the plan?
Evaluation