6 Characteristics• Cyclic and dynamic rather than static• Client centered – nurse organizes plan of care according to client problems rather that nursing goals• Interpersonal and collaborative – depends on open and meaningful communication between client and the nurse
• Universally applicable – can be used with clients of any age at any point of the wellness – illness continuum and useful in a variety of settings• Adaptation of problem solving techniques and system theory based on the scientific method• It can be viewed as parallel to but separate from the medical process
• Health perception – health management pattern – describes clients perceived pattern of health and well being and how health is managed.• Nutritional – metabolic pattern – describes pattern of food and fluid consumption relative to metabolic need and pattern indicators of local nutrient supply.
• Elimination – describes pattern of excretory function (bowel, bladder and skin).• Activity – exercise – describes pattern of exercise, activity, leisure and recreation• Cognitive perceptual – describes sensory perceptual and cognitive system
• Sleep rest – describes pattern of sleep, rest and recreation.• Self perception – self concept – self concept pattern and perceptions of self (body comfort, body image, feeling state).• Role relationship – describes pattern of role engagements and relationships
• Sexual reproductive – client patterns of satisfaction and dissatisfaction with sexuality: describes reproductive pattern• Coping stress tolerance – general coping pattern and effectiveness of the pattern in terms of stress tolerance.• Value belief – patterns of values, beliefs (including spiritual) or goals that guide choices of decisions.
NURSING DIAGNOSIS- Clinical judgment about an individual, family or community responses to actual and potential health problems- Professional nurses are responsible for making nursing diagnosis.- Nursing diagnosis describe a continuum of health states.
NURSING MEDICAL DIAGNOSIS DIAGNOSIS- Focus on identifying - Identifies diseasehuman responses to - Describe problems forhealth and illness which the physician- Describe problems directs the primarytreated by nurses treatmentwithin the scope ofindependent nursing - Remains the same forpractice as long as the disease is- Changes from day to presentday as client responseschange