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Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy
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Nursing Process (ADPIE) recopied from the original author of this ppt jeena.aejy

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The Nursing Process (ADPIE).

The Nursing Process (ADPIE).

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  • 1. NURSING PROCESS
    • Presented by: Dave Jay S. Manriquez RN.
  • 2. THE NURSING PROCESS
    • A systematic problem-solving approach used to identify, prevent and treat actual or potential health problems and promote wellness.
  • 3.
    • Nursing process
    • A systematic way to plan, implement and evaluate care for individuals, families, groups and communities.
  • 4. Characteristics of the Nursing Process
    • Dynamic
    • Client-centered
    • Planned
    • Interpersonal and collaborative
    • Universally applicable
    • Can focus on problems or strengths
  • 5.
    • Open, flexible
    • Humanistic and individualized
    • Cyclical
    • Outcome focused ( results oriented)
    • Emphasizes feedback and validation
  • 6. STEPS IN NURSING PROCESS
    • Assessment
    • Nursing Diagnosis
    • Planning
    • Implementation
    • Evaluation
  • 7. Nursing Process Assessment Nursing Diagnosis Planning Implementation Evaluation
  • 8. Benefits of using the nursing process
    • Continuity of care
    • Prevention of duplication
    • Individualized care
    • Standards of care
    • Increased client participation
    • Collaboration of care
  • 9. EVALUATION IMPLIMENTATION PLANNING ASSESSMENT DIAGNOSIS INTER RELATIONSHIP BETWEEN THE STEPS OF NURSING PROCESS
  • 10.  
  • 11. ASSESSMENT
  • 12. Assessment
    • Assessing is a continuous process carried out during all phases of nursing process. All phases of the nursing process depend on the accurate and complete collection of data.
    • Assessing is the systematic and continuous collection, organization, validation and documentation of data.
    • - Potter and Perry( 2006)
  • 13.
    • Assessment is the deliberate and systematic collection of data to determine a clients current and past health status and to determine the clients present and past coping patterns
    • - Carpenito 2000
    •  
    • Assessment is the systematic and continuous collection, validation and communication of patient data.
      • - Carol Taylor
    •  
  • 14. Types of Assessment
    • 1. Initial Assessment : Performed within specified time after admission to a health care agency
    •  
    • Eg. Nursing Admission Assessment
    •  
    • 2. Problem Focused Assessment : Ongoing process integrated with nursing care to determine specific problem identified in an earlier assessment and to identify new or overlooked problems.
    •  
    • E.g.. Assessment of clients ability to perform self-care while assisting client to bathe.
    •  
    •  
    • 3. Emergency Assessment : Done during psychiatric or physiological crisis of the client to identify life threatening problems
    •  
    • Eg. Rapid assessment of airway, breathing and circulation during cardiac arrest
    •  
    • 4. Time lapsed-Reassessment : Done several months after initial assessment to compare the clients status to baseline data previously obtained.
  • 15. Assessment ASESSMENT Collect data Organize data Validates Data Document data DIAGNOSIS PLANNING IMPLIMENTATION EVALUATION
  • 16. 1.COLLECTION OF DATA Data Collection is the process of gathering information about a clients health status .
  • 17.
    • Collection of Data:
    •  
    • Data base : A data base is all information about a client. It includes the nursing health history, physical assessment, the physician’s history, physical examination, results of laboratory and diagnostic tests and material contributed by other health personnel.
    •  
    •  
    •  
  • 18. Medical vs. Nursing Assessments
    • Medical assessments
      • Target data pointing to pathologic conditions
    • Nursing assessments
      • Focus on the patient’s response to health problems
  • 19. Types of Data:  
    • SUBJECTIVE DATA : Also referred to as symptoms or covert data are apparent only to the person affected and can be described or verified only by that person
    •  
    • Eg. Itching, Pain, Feelings of worry
    • OBJECTIVE DATA : Also referred to as signs or overt data. These are detectable by an observer or can be measured or tested against an accepted standard.
    •  
    • They can be seen, heard, felt or smelled and they are obtained by observation or physical examination
    •  
    • Eg. A Blood Pressure Data
    • Discolouration of the Skin
    •  
  • 20. Objective Data vs. Subjective Data
    • Objective data
      • Observable and measurable data that can be seen, heard, or felt by someone other than the person experiencing them
      • E.g., elevated temperature, skin moisture, vomiting
    • Subjective data
      • Information perceived only by the affected person
      • E.g., pain experience, feeling dizzy, feeling anxious
  • 21. Sources of Data:
    • Primary Source (Direct Source
        • client: Usually BEST source
  • 22. Secondary Source (Indirect Source)
    • Family Members
    • Client’s records
    • 1. Medical Records
    • Eg. Medical History, Physical Examination,
    • Operation notes, Progress notes,
    • Consultation done by Physicians
    • 2. Records of therapies done by other health professionals
    • Eg. Social Workers, Dieticians, Physical Therapist
    • 3. Laboratory Records
    • Other health care professionals Verbal reports
    • Literature
  • 23. Data Collection
    • Consider
      • time
      • needs of patient
      • developmental stage
      • physical surroundings
      • past and present coping patterns
  • 24. Data Characteristics
    • Complete
    • Factual
    • Accurate
    • Relevant
  • 25. Data collection methods
    • OBSERVATION
    • INTERVIEWING
    • PHYSICAL ASSESSMENT
  • 26. Observation
    • To gather data using senses
    • Eg: laboured breathing, pallor or flushing,pain
    • a lowered side rail ,functioning of an equipment , pt environment and people in it etc…
  • 27. Interviewing
    • An interview is a planned communication or a conversation with a purpose
      • Types of questions and
      • Setting
      • Rapport are important
    Collection of Health History
  • 28. Four Phases of a Nursing Interview
    • Preparatory phase
    • Introduction
    • Working phase
    • Termination
  • 29. Interview Phases
    • Preparatory
      • Nurse collects background info from previous charts
      • Ensure environment is conducive
      • Arrange seating
        • 3 – 4 ft apart
        • Interviewer at 45° angle to patient
      • Allow adequate time
  • 30. Phases cont’d.
    • Introduction
      • Nurse introduces self
      • Identifies purpose of interview
      • Ensure confidentiality of information
      • Provide for patient needs before starting
  • 31. Phases cont’d.
    • Working
      • Nurse gathers info for sub jective data
      • Excellent communication skills are needed
        • Active listening
        • Eye contact
        • Open-ended questions
  • 32. Phases cont’d.
    • Termination
      • Inform patient when nearing end of interview
      • Ensure patient knows what will happen with info
      • Offer patient chance to add anything
  • 33. Physical assessment
      • Appraisal of health status
      • Usually by Review of Systems
        • Overview of symptoms
        • Observable, measurable data
  • 34.
    • Objective data
    • Possible approaches—body systems, head to toe, or functional health patterns
  • 35. Methods of physical assessment
    • Inspection
    • Percussion
    • Palpation
    • Auscultation
  • 36. Problems Related to Data Collection
    • Inappropriate organization of the database
    • Omission of pertinent data
    • Inclusion of irrelevant or duplicate data, erroneous or misinterpreted data
    • Failure to establish rapport and partnership
    • Recording an interpretation of data rather than observed behavior
    • Failure to update the database
  • 37. 2.ORGANISING DATA
    • Nurses uses a written or computerized format for arranging he data systematically
  • 38. 3.VALIDATING DATA
    • VALIDATING -THE ACT OF DOUBLE CHECKING
    • Verifies understanding of information
    • Comparison with another source
    • -patient or family member
    • -record
    • -health team member
  • 39. 4. DOCUMENTING DATA
    • Record in permanent record ASAP
    • Use patient’s own words in subjective data – enclose in “ ___” (quotation marks)
    • Avoid generalizations – be specific
    • Don’t make summative statements
  • 40. Thank you

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