Nursing Process
a way of thinking and acting based on scientific method
Nursing Process
a tool for identifying patients problems or potential problems and an organized method for meeting patients needs
The Five Components of the Nursing Process
assessment (data collection), nursing diagnosis, planning, implementation, evaluation
Outcomes
results of actions
What results in greater success with the care plan?
Patient Input
Who is officially responsible for the initiation of nrsing care plans?
Registere Nurses (RN's)
Assessment (data collection)
Collecting, organizing, documenting, and validating data about a patients health status. Can be obtained from the patient, the family, the physician, diagnostic tests, and information about the patient from other health professionals
Nursing Diagnosis
The process by which the assessment data are sorted and analyzed so that specific actual and potential health problems are identified.
Planning
A series of steps by which the nurse and the patient set priorities and goals to eliminate or diminish the identified problems
In what stage does the nurse and the patient collaborate and choose specific interventions for each nursing diagnosis?
Planning
Implementation
Carrying out the nursing interventions in a systematic way
In what stage is a nurse delegating interventions?
Implementation
Evaluation
Assessing the patients response to the nursing interventions
In what stage are responses compared with the expected outcomes to determine whether they have been achieved?
Evaluation
Planning
identifying health goals
Priority
placing nursing diagnoses or nursing interventions in order of importance
Assessment
consist of gathering information about patients and their needs using variety of methods
Assessment for the LPN is guided by which group?
National Federation of Licensed Practical Nurses (NFLPN)
What aspects of the patient assessment must be covered?
physical, psychosocial, and spiritual
Subjective Data
Data obtained from the patient verbally
Objective Data
Information obtained through the senses and hands-on physical examination
Who conducts the physical examination?
Registered Nurse (RN)
Auscultation
Listening
Palpation
Touching
Nursing Diagnosis
indicates the patients actual health status or the risk of a problem developing, the causative or related factors, and specific defining characteristics (signs and symptoms)
Planning
the identification of health goals
Implementation
giving care, when the nursing interventions or nursing orders are put into action
Time-flexible
can be done at anytime
Time-Fixed
must be done at a set time
Independent Nursing Action
does not require a physicians order, but does require critical thinking and nursing judgment
What type of action is teaching a patient about the side effects of a medication?
Independent
Dependent Nursing Action
requires a physicians order
What type of action is administering a medication?
Dependent
Interdependent Action
actions that come from collaborative care planning
What type of action is assisting the speech therapist by helping a patient practice speech exorcises?
Interdependent