4
Facilitates documentation of care Provider a unity af language for the nursing professional Is economical Stresses the independent function af nurses In creases care quality through the use of deliberate actions Characteristics of nursing process 1. Withi the legal scope of nursing 2. Based on knowledge-requiring critical thinking 3. Planned-organized and systematic 4. Client-centered 5. Goal-directed 6. Prioritized 7. Dynamic Benefit of using the nursing process 1. Continuity of care 2. Prevention of duplication 3. Individualized care 4. Standar client participation 5. Collaboration of care Holistic 1. Physical 2. Emotionl 3. Psychosocial 4. Develomental 5. Spiritual being 5 components of thr nursing process: 1. Assessment 2. Diagnosis 3. Planning 4. Implementing

Nursing Process Art

Embed Size (px)

DESCRIPTION

NS

Citation preview

Facilitates documentation of care Provider a unity af language for the nursing professional Is economicalStresses the independent function af nurses In creases care quality through the use of deliberate actions

Characteristics of nursing process1. Withi the legal scope of nursing 2. Based on knowledge-requiring critical thinking3. Planned-organized and systematic4. Client-centered5. Goal-directed6. Prioritized7. DynamicBenefit of using the nursing process1. Continuity of care 2. Prevention of duplication 3. Individualized care4. Standar client participation5. Collaboration of care

Holistic 1. Physical2. Emotionl3. Psychosocial4. Develomental5. Spiritual being5 components of thr nursing process:1. Assessment2. Diagnosis3. Planning 4. Implementing 5. EvaluatingThe nursing process1. Assessing (gather data)2. Analyzing (i.D problem. Formulate nursing diagnosa)3. Planning ( write care plan meet goals)4. Implementing (carry out plan )5. Evaluating (collect objective data to determine the extent to which goals were achived revise plan as needed Component of the nursing process Assessment 1. The first phase of the nursing process, called assesment, is the collection of data for nursing purposes2. Information is the collected using the skills of the skills of observation, interviewing, physical examination, and intuition 3. From many sources, incluiding clients, their family members or significant others, health records, other health team members

Assessing :1. Identify assessment priorities determined by the purpose of the assessment and the patients conditition 2. Organize or cluster the data to ensure systematic collection 3. Establish the database ( nursing history, nursing examination, review of the patient record and nursing literatur , consultation with the patiens support persons and healthcare professionals )4. Continuously uptudate the database 5. Validate data 6. Communicate dataDiagnosingOutcame identification and planningImplementingEvaluating

Componen of the nursing process Assessment :1. Data collection a. Assesment involves taking vital signs ( TPR BP & pain assesment )b. Performing a head to toe assessmentc. Listening to the patients comments and questions about his health statusd. Observing his reactions and interactions with others. It invalves asking pertinent questions about his signs (observable ) and symtoms (non-observable), and listening carefully to the answersDuring assessment, the care provider:a. Establishes a Data base b. Continuously updates the data basec. Validates datad. Communicates data

Preparing for assessment Type, aim, time frame 1. Initial assessment ( initial identification of normal function, funtional status , and collection of date concerining actual or potential dysfunction. Baseline for reference and furture comparison). (within the sfecified time frame after admission to a hospital, nursing home, ambulatory healthcare center.2. Focus assessment ( status determination of a spesific problem identified during previos assessment) . ( ongoing process, integrated with nursing care, a few minutes to a few bours between assessments).3. Time lapsed reassessment ( comparison of clients current status to baseline obtained previonsly, detection of changes in all fungtional health patterns after an extended period of time has passed ). ( several months (3,6,9, months or more) between assessment)4. Emergency assessment ( identification of life threatening situation) . ( AT anytime )

Setting and enviromentAssessment can take place in naysetting where nurses care for clients and their family members : in the clients home , at a clinic, an a hospital room,Assessment skills 1. Observation a. Comprises more than the nurses ability to see the client, nurses also use that senses of smell, hearing, touch, and, rarely, the sense of taste.b. Observation includes looking, wathching, examinitingc. Observation begiens the moment the nurses meets the client. It is conscious, deliberate skill that is developed through efforts and with an organized approach.d. Observation has two aspects: Noticing the data and Selecting, organizing, and interpreting the data.

Observation done in the following order ;1. Clinical signs of clients distress2. Threats to the clients safety, real or anticipated 3. The presence and functioning of associated equipment 4. The immediate enviroment, including the people in it