nursing process

1. I.
NURSING PROCESS
GRACIELA LOU F. MANA-AY, RN, MAN
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2. I. NURSING
PROCESS
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3. NURSING PROCESS
◆ Nursing is the diagnosis and treatment of human
responses to actual or potential health problems.
◆ Diagnosis and treatment are achieved through a
process, called the nursing process, that guides
nursing practice.
◆ The nursing process is a systematic problem-
solving method that has five steps (ADPIE)
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4. NURSING PROCESS
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5. NURSING PROCESS: ASSESSMENT
◆ Assessment is the process of collecting,
validating, and clustering data.
◆ It is the first and most important step in the
nursing process.
◆ The assessment phase sets the tone for the rest
of the process, and the rest of the process flows
from it.
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6. NURSING PROCESS: NURSING DIAGNOSIS
◆ Formulating a nursing diagnosis involves identifying
and prioritizing actual or potential health problems or
responses.
◆ Once you have identified the diagnoses, you need to
prioritize them in order to develop a plan of care.
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7. NURSING PROCESS: NURSING DIAGNOSIS
◆ ACTUAL NURSING DIAGNOSIS
• identifies an occurring health problem for your patient.
◆ POTENTIAL NURSING DIAGNOSIS
• identifies a high-risk health problem that most likely will
occur unless preventive measures are taken.
◆ POSSIBLE NURSING DIAGNOSIS
• is one that needs further data to support it.
◆ COLLABORATIVE PROBLEM
• is a potential medical complication that warrants both
medical and nursing interventions.7 HA|GLFM

8. NURSING PROCESS: PLANNING
◆ The planning phase involves setting goals and
outcomes:
1. Establish goals and determine measurable
outcomes.
2. Identify nursing interventions needed to meet the
goals and outcomes.
3. Communicate your plan to both the patient and all
members involved in the plan of care.
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9. NURSING PROCESS: IMPLEMENTATION
◆ It involves carrying out your plan to achieve goals and
outcomes.
◆ This is the “doing” phase of the nursing process, in
which you actually implement the nursing interventions
in the plan.
◆ Continue to assess your patient’s responses and modify
the plan as needed.
◆ Be sure to document your care.
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10. NURSING PROCESS: EVALUATION
◆ It involves determining the effectiveness of your plan.
◆ Once again, assess your patient’s response based on
the criteria you set for the outcome.
◆ If the goals and outcomes have not been met, you’ll
need to rethink the plan and work through the process
again to develop a more effective plan of care for your
patient.
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