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Nurse Process
NURSING PROCESS APPLICATION TO NURSING PROCESS RHIO ANNE FLORES FELICIAN COLLEGE Felician College Honor Code:I
pledge on my honor that I have neither given nor received inappropriate help on this paper. Signature:_________________________________
ABSTRACT Nursing Process is a method in professional nursing to identify, diagnose, and treat human responses to health illness. It has a series of
steps which are assessment, diagnosis, planning, implementation and evaluation. A respiratory infection called Pneumonia was applied to each step of
the nursing process. It is an illustration of how to apply the condition in each step by collecting the information, diagnosing the signs and symptoms,
planning the...show more content...
Gathering information is needed for assessment so the nurse has to communicate with the patient (primary source), the family (secondary source) and
reading files or records of the patient. The nurse also has to observe the client or patient if they are having pain (from facial expressions) or for any
behaviors or taking the patient's vital signs. These observations should be combined with the data that have been collected from the primary and
secondary sources. Facts should be prГ©cised in order formulate a correct diagnosis which is the second step of the nursing process. Diagnosis is the
phase where the health status of the patient is distinguished. The information that has been gathered about the patient has to be grouped, classified and
analyzed. Performing these task will lead to recognition of the current health status of the patient. Issues regarding the current health status of a patient
should be illustrated accurately in the nurse's statement. Associate all the grouped data that had been brought together. The nurse has to determine
which diagnoses corresponds with all the research from the information. With the correct diagnosis, the nurse can carry on the third step which is
called Planning goals and desired outcomes of the patient. Planning is the where the nurse assists a patient on deciding what kind of outcomes do they
want to
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The Nursing Process
1.0 INTRODUCTION The nursing process, upon introduction by North American Nurses Diagnosis Association[NANDA] has proved to be a means
of standardizing nursing care and in maintaining professional autonomy. However, despite its benefits, many nurses are yet to fully understand and
put to practice the nursing process in care of patients. The nursing process was originally adopted by the North American nursing profession from the
general systems theory (GST) and quickly became a symbol of contemporary nursing as well as a professionalism nurse ideology [G. M. C. Mason
and M. Attree, 2010].
In Brazil, the Federal Council of Nursing (COFEN) recommends the use of systematic nursing care in care of patients using nursing process, which
includes the history, physical examination, diagnosis, intervention, and nursing evaluation (COFEN, 2010). In 1967, the nursing process was
introduced in Brazil based on Maslow's Human Motivation Theory (Horta, 2011). This is a scientific method and strategy for the identification of health
and disease...show more content...
75% of the nurses said that the nurse to patient ratio was not optimal to apply the nursing process.The nursing process is not yet applied and knowledge
of nurses on the nursing process is not adequate to put it in to practice and high patient nurse ratio affects its application. The government consider the
application of the nursing process critically by motivating nurses and monitor and evaluate its progress and also educating students in different
educational status at school level based on the nursing curriculum. But the application of this knowledge in practical setup is not well known
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Essay on Nursing Care Plan
Introduction: A nursing diagnosis identifies an actual or potential response of a patient to a health problem (Jones 2009). Nursing diagnoses are
important because they provide the foundation for the selection of nursing interventions (Walton 2008). This care plan is the concluding half to the
initial care plan that identified nursing diagnoses and goals with the aim of promoting the holistic wellbeing, mental health, and independence of a 68
year old Mr. Bertoli who has returned home from hospital after experiencing a stroke. Particular emphasis will be placed on proposed interventions to
achieve Mr. Bertoli's healthcare goals and the provision of rationales. This is important to justify the significance of the interventions and indicate
...show more content...
However collaboration between a professional interpreter and a family member can be beneficial when dealing with the older person. This is because
family member can assist in the provision of physician–to–patient information after the conclusion of the encounter (Rosenberg, Seller & Leanza 2008).
Intervention 1b: The provision of written information in the patient's primary language containing the purpose and side effects of the patient's
medications (Aboul–Enein & Ahmed 2006). Rationale 1b: The provision of written medication information given to the patient helps significantly in
cases of medication non compliance (McGraw & Drennan 2004). This is because it aids in memory retention and presents patients with access to a
reliable source of concise medication information, particularly if the patient needs to be reminded of certain aspects (Gorgos 2006). These written
medication information sheets need to be provided in the patients primary, dominant language because it reduces the difficulty and limits barriers to
patient understanding (Gorgos 2006).This is important because this intervention aims to increase a patient's understanding of their medications, and
when a patient feels more competent with the use of their medications, reduced
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This assignment will critically discuss the nurse's role in assessment and care planning for a patient in a case study. Confidentiality which is
required by the NMC (Nursing Midwifery Council, 2008) and the Data protection Act (1998) will not be broken through out the assignment
because the case study used is a scenario not a fictional character. The care plan will focus on Jean's incontinence needs using The Roper, Logan
and Tierney model (2000). Jean Rogers is a 69 year old grandmother who has been married to husband Tom for 44 years. They both live in a
bungalow with an adapted bathroom. Jean has been diagnosed with dementia which the patient began to show symptoms 3 years ago however, Jean's
dementia is progressing with time and has a short term memory loss. Tom is struggling to support her mentally and physically as well as himself and
realises that the time is coming where he must accept more help. Jean takes medication for memory loss and blood pressure. The patient has their
bowels open regularly however, is urinary incontinent and wears PAD's. Jean was having recurrent urinary tract infection (UTI). According to Dobrina,
Tenze and Palese (2014) nursing models guide quality nursing practice in developing and improving the nurse–patient relationship in caring for patients
and families. Pridmore, Murphy and Williams (2010) state models of nursing are important as they offer a range of belief and values to guide nurses
through the stages of the problem solving
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Nursing Decision-Making Essay
As a student nurse, the rationale for choosing this case scenario in the decision–making process is to develop the knowledge and skills of
decision–making theory as this situation might come across in the near future while working in the hospital. Decision making is one of the Nursing
Midwifery Council (NMC) (2010) standards for pre– registration education under " The competency framework Domain 3: Nursing Practice and
Decision Making" that all the pre– registration must achieve before qualifying as a nurse.
This essay will consider the care of Mr. Devi using the Tanner's (2006) model of clinical judgement as a decision–making framework. Tanner (2006 p.
204) defined clinical judgement is "an interpretation of a patient's needs, concerns or
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Questions On The Nursing Process Essay
October 29, 2016.Preceptor: Tiffany SheppardLocation: 3 North Unity Level Objective/Core value: #9 Nursing process Definition: According to the
UACCB level 4 grading tool (2016) p. 1; Nursing Process: Initiate, evaluate, and update plan of care used to guide patient care. Incorporate knowledge
of population health risks and health promotion strategies. Plan and provide mental health care on the primary, secondary, and tertiary level. Plan and
provide physiologic care on the primary, secondary, and tertiary level. The nursing process is "a systematic problem–solving approach toward giving
individualized nursing care" (Craven, 2013. P. 174). It is made up of six phases, number one is the assessment phase. In this phase the nurse gathers
information by observing and examining the patient as well as interpreting diagnostic tests and lab values (Craven, 2013. P. 175). The next phase of
the nursing process is the diagnosis phase, this phase is the "clinical act of identifying problems" (Craven, 2013. P. 175). He third phase is outcome and
planning phase, the purpose of this phase is to formulate realistic measureable goals that are specific to the patient. Implementation is the fourth phase.
This is where the planning is put into action, it can include delegating or coordinating interventions. The final phase is evaluation, this is where the
nurse determines if her interventions were appropriate and moved the patient toward their goal (Craven, 2013. P. 176–177). My patient
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Nursing Process
Associate Degree Nursing Program
Nursing Process Paper
|Maslow's Needs and |Assessment: Subjective |Nursing Diagnosis |Outcome Criteria/Goals |Nursing Interventions/ Nursing |Rationale plus |Evaluation/ |
|Rationale for Need |Data and Objective Data |(Include the related |(Needs to be |Orders |Reference |Actual Outcome |
| |(Designate Which) |to reason) |measureable) |(Individualize to patient/family)| | |
| | | |...show more content...
Change pads often and teach |1. Use of correct cleaning technique and |Outcome met. Mother |
|Mother need. |direct contact with a bloody |related to |the site of her |perineal cleansing technique to avoid|dry pads decreases the chances of
spreading|demonstrated good |
| |pad at all times. (o) |disruption of tissue|episiotomy repair will |infection during my shift. |germs from anal area and deprives them of a|hand–washing
technique, |
|Maslow need: | |integrity of |remain free of infection| |moist environment to reproduce in. |good peri care during |
|Physiological |2. mother has been observed |perineum secondary |during my shift, and |2. Instruct mother on the importance | |bathroom breaks, and |
| |not to wash hands during |to interventions at |mother will voice |of hand washing for her own health as|2. Frequent hand washing with correct |ordered
a good meal and |
|Rationale: |trips to the bathroom (o) |time of delivery. |understanding of |well as that of her baby during my |technique reduces the spread of germs.
|plenty of fluids during |
|This is a basic need | | |rationale for and
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Examples Of Nursing Process Paper
NURSING PROCESS PAPER Nursing Process Paper Abstract This process paper will evaluate the complex relationship between disease
pathophysiology and how it has progressed to the patient's current state of health. It will include a comprehensive discussion of chronic and acute
problems leading to the patient's hospital admission, a complete description of interrelationships and pathophysiology for all medical diagnoses, a
comprehensive discussion of the client's signs and symptoms and results of all diagnostic studies to the underlying pathophysiology, and a
comprehensive listing of all medications ordered at the time of admission with explanations of why each was ordered and identification of the most
common side effects which may...show more content...
Emphysema is the most common cause of death from respiratory disease in the United States and is generally caused by several years of heavy
cigarette smoking (Olendorf, 2000). When a person smokes, the body's immune system tries to fight off the invading smoke by using certain
substances. These substances can also attack the cells of the lungs, but normally the body is able to release other substances to prevent this. In the
case of people who are smokers, this doesn't happen and the original substances that were released to fight off the smoke also end up injuring the cells
of the lungs as well. Eventually, the lungs will not be able to supply enough oxygen to the blood and a host of problems can occur with this. Risk
factors that have been identified for emphysema include exposure to tobacco smoke either through active or passive smoking (2nd hand smoke),
occupational exposure such as dust or chemicals, ambient air pollution, or genetic abnormalities, including a deficiency of alpha–antitrypsin, an
enzyme inhibitor that normally counteracts the destruction of lung tissue by certain other enzymes (Smeltzer, 2010). The symptoms of emphysema
develop gradually over many years. It is generally characterized by three primary symptoms: chronic cough, sputum production, and dyspnea on
exertion. Other signs and symptoms include weight loss and the development of a
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The nursing process Essay
The standards of practice describe a competent level of nursing care as exhibited by the critical thinking model known as the nursing process. This
practice includes the areas of assessment, diagnosis, outcome identification, planning, implementation, and evaluation. The nursing process includes
significant actions taken by registered nurses (RN) and forms the foundation of the nurse's decision–making ("American Nurses Association," 2010).
Assessment is the accurate collection of comprehensive data pertinent to the patient's health or the situation ("American Nurses Association," 2010).
Assessment is the first step in the nursing process and the most important. Assessment is the accurate collection of the patient's health date...show more
content...
It is during the second phase that the nurse must establish a nursing diagnosis. Only diagnosis approved and listed through The North American
Nursing Diagnosis Association (NANDA) may be used. Ineffective airway clearance, risk for impaired skin integrity, risk for infection and ineffective
coping are just a few examples of NANDA approved diagnosis. A nursing diagnosis is a clinical judgment about actual or potential individual, family, or
community experiences/responses to health problems/life processes. A nursing diagnosis provides the basis for selection of nursing interventions to
achieve outcomes for which the nurse has accountability (Defining the Knowledge," 2012). The third standard of practice is outcomes identification.
During this phase, the registered nurse identifies expected outcomes for a plan individualized to the patient or the situation ("American Nurses
Association," 2010). During this step outcomes must be derived from the nursing diagnosis and must be measurable, realistic and attainable by the
patient. The registered nurse involves the patient, family, heath care providers, and others in formulating expected outcomes when possible and
appropriate. The registered nurse must also consider associated risks, benefits, costs, current scientific evidence, expected trajectory of the condition,
and clinical expertise when formulating outcomes ("American Nurses Association," 2010). Example of an
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Nursing Process Analysis
The first of the five steps of the Nursing Process is assessment. Assessment is the step where the nurse collects information regarding the client's
previous and current health (Potter, Wood, & Ross–Kerr, 2010a, p. 159). When assessing an individual, there are several factors that need to be
considered. For this paper, I subjectively and objectively collected information from R. Subjective data is made up of what the client tells the nurse
(Potter, Wood, & Ross–Kerr, 2010a, p. 162). Objective data is composed of interpretations of other aspects of the client (Potter, Wood, & Ross–Kerr,
2010a, p. 162). During my interview with R, I asked her multiple questions regarding the determinants of health, which is subjective data, as well as
assessed...show more content...
Finally, while R was speaking in English, it was clear that she had a heavy accent, but did not have an accent when speaking Spanish (see
Appendix A). When asking about her life, it became evident that she has a happy home in a safe neighbourhood (see Appendix B). She has a full
time job that is very demanding and stressful. R deals with her work stress by spending time with her family and eating (see Appendix B). Her job
provides adequate income for her and her family (see Appendix B). R was born and raised in Argentina, where she had a happy childhood and
received her education, before moving to Canada in 2001 (see Appendix B). During my assessment, I asked about her family and how she typically
spends her time (see Appendix B). With that information, I was able to draw a Genomap that is "a sketch of the family structure and relevant
information about the family members", as well as an Ecomap, which is the "family's contact with the persons outside the family" (Wright, Leahey
& Loos, 2010, p. 283) (see Appendix C and D). For this paper, my Ecomap is focused on R and the activities she does and how they affect her (see
Appendix
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Nursing Process
The nursing process is described as being an individualised problem solving approach in which patients receive nursing care. The nursing process
consists of four distinct phases, each having a discreet role in the process, theses phases of the process are: assessment, planning, intervention and
evaluation. (Oxford Dictionary of Nursing 2003) It is important that the four stages of the process from assessment to evaluation are carried out
sequentially because each phase follows logically from one to the other. As a result the maximum well–being of the patient is always the key issue and
the nurse is aware and confident of action to be taken during intervention. This essay will describe the nursing process and the importance each of the
...show more content...
However this may lead to conflict as the nurse and the patient may have different priorities from each other, for example, if the patient requires a
blood transfusion but they are a Jehovah witness. It has been accepted that planning is a process which offers patient 's active involvement in deciding,
agreeing and knowing how their health will be managed, thus allowing the patient 's ethical belief to stay intact. (Department of Health 2006 (DH)).
Once the planning stage of the nursing process is completed the next stage is intervention. The intervention phase of the nursing process is the
beginning of the practical nursing care to the patient. Details of treatment are clearly given to and are acknowledged by the patient. Thus goals laid
out in planning will be achieved by the patient and nursing staff. Throughout this phase the nurse will continually review the patient to ensure that the
interventions are successful (Jyoti Beck 2011). It has been suggested that the early phase of intervention is time consuming. However as soon as the
procedures are integrated into daily standard care they become more manageable even when they are in addition to the current workloads as long as
the goals are in suitable practice (Maria Dunckley et al 2005). This suggests that the nurse must ensure that they never undermine the care of a patient
's everyday needs as these are as important as the action
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The Nursing Process Essay
The Nursing Process The nursing process is a very important tool that nurses have in to make sure that they give adequate care to all their patients. It
helps them not only evaluate each patients' needs individually but also allows the nurse to prioritize which patient's needs are more important to
attend to first. Just like doctors have a way of diagnosing patients, nurses also use this process to give their own form of diagnosis. The significance
of having the nursing process is to have a set way in which each nurse gets a care plan for the patient. Every nurse is taught the way the nursing
process go is to assess, diagnose, plan both outcomes and interventions, implement, and evaluate. By doing these steps a nurse can not only find...show
more content...
For instance was a specific case in Columbus Hospital where the oncoming nurse failed to assess a patient and take vitals due to the patient being
asleep, little did the nurse know that the medication being prescribed to the patient was altering his state of mind. The patient had shown signs earlier
of being altered by asking to be secluded and didn't want any nursing care even though he was under postoperative care. Ultimately the patient ended
up dying from a fall out a 3rd floor window. Had the nurse communicated to the doctor the changes she notice and also reassessed him then his death
possibly could've been avoided. Expert testimony opined that the nurse was negligent in failing to adequately monitor Mr. Busta (patient) on the
evening and night before he died, and in failing to report the constellation of signs and symptoms to the surgeon; and that the hospital was negligent in
failing to maintain a safe environment (Croke, 2003). This incident cost the hospital a lot of money due to one nurses negligence, had the nurse just
followed the nursing process and assess him then this is something that could've been avoided. The process doesn't stop at evaluate, it keeps going, you
constantly reassess and diagnose and intervene because a patient's needs are constantly changing. References Ackley, B. J., &
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The Nursing Process Paper
The Nursing Process: Framework for the Development of Clinical Judgment and Reasoning Utilizing the circular nursing process of assessment,
diagnosis, planning, implementation, and evaluation, the nurse and client work together to create dynamic, interactive interventions to support the
client's wellbeing. The nursing process acts as both foundation and scaffolding upon which nurses may build their knowledge and skills. As a
foundation, the nursing process creates an organized, solid knowledge base on which the nurse may develop a plan of care. As scaffolding, it allows the
nurse to create the customized care plan required by each unique client. For the student nurse, the nursing process offers an organized framework that
guides the development of clinical reasoning and clinical judgment abilities. The Nursing Process, Clinical Reasoning & Clinical Judgment According
to study authors Papathanasiou, Kleisiaris, Fradelos, Kakou, and Kourkouta (2014), "Critical thinking is an essential process for the safe, efficient and
skillful nursing practice" (p. 283). In her 2014 study that examined pre–licensure nursing students' perceived readiness for professional practice,
Bowdoin identified four attributes that...show more content...
The use of evaluative measures enables the nurse to determine the success or failure of the interventions based on whether the desired outcomes have
been met. Critical reasoning allows the nurse to select the most appropriate evaluative measures, and helps guide the process of care plan revision, if
necessary. Nurses "apply critical thinking as they mature, acquire knowledge and experiences, and examine their beliefs under new evidence"
(Papathanasiou et al., 2014, p. 284). By evaluating the success of the nursing process, the nursing student gains critical
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Essay on The Five Phases of the Nursing Process
Effective nursing care plays a very important role in health care as it safeguards the patients and helps them recover as soon as possible. There are
many processes that contribute to effective nursing care, nursing process is one of them. Nursing process consists of 5 main phases; Assessment phase,
Diagnosing phase, Planning phase, Implementing phase and Evaluation phase. All the phases work hand in hand together and one links to another with
every phase having its important role. This process helps to improve the effectiveness of the care as it is directed to every patient individually. The first
and one of the most important phases is the Assessment phase where the nurse has to gather as much information as possible in order to...show more
content...
This phase should be finalized by identifying the patient's complications and problems, Roper et al (2000) stresses on the importance that there could
be a complication where either the nurse or the patient is not aware of and so It is crucial to be alert to these The Diagnosing phase is a reasoning
process where the nurse breaks down the patient's assessment into parts in order to judge the actual/potential health problems the patient could be
facing. There are three types of diagnosis; (i) Actual diagnosis: this is based on the presence of signs and symptoms on the patient. (ii) Risk diagnosis:
which is a clinical judgement where the nurse notice the presence of risk factore which could lead to other probles if untreated. (iii) Wellness diagnosis.
Diagnosing phase is split up into three parts; analyzing the information, identifying the health risks and strengths, and formulating diagnostic
statements. When analyzing the information, it should be compared to other standard information in order to detect any abnormal situations. The
identification of health risks and strengths consists of the nurse and the patient joining together to discuss the patient's strengths as well as his
problems. This will later lead to the identification of risks and the type of diagnosis. For the diagnosis to help the nursing care to be effective it is very
important that all judgments,
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The Importance Of The Nursing Process
Nursing is a complicated profession requiring a broad knowledge base, discipline, and a deep desire to understand and interpret scientific data with a
goal of obtaining the best possible patient outcomes. This can be very difficult to achieve, requiring the nurse to process a variety of information,
prioritize, and problem solve at a critical level (Wilkinson, Treas, Barnett, Smith, 2016). The nursing process is a scientific approach, utilized by
nurses to systematically improve patient care by following five steps: assessment, diagnosis, planning, implementation, and evaluation (Wilkinson et
al., 2016). A good nurse is someone who understands these phases, continues to build on them, and uses the information to create the best possible,
individualized, healthcare plan for the patient. It is a mastery of art to find a way to include all of these concepts with so many diverse medical
diagnoses. Having a structural way, such as the nursing process, paves a strong foundation for the nurse to maintain a patient centered approach to
implement exceptional nursing care (Goncalves, Spiri, Ortolan, 2017). The nursing process is a method that combines both the science and art aspects
of nursing. Nursing is a science because every action that a nurse partakes in is evidence based. This means that only methods that have been proven
effective are practiced, improving patient outcomes. While nursing is a science it is also an art, in the since, that every nurse develops their own way
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Nursing Process
NURSING NOTES http://www.nursingnotes.info/ FIVE (5) PHASES OF NURSING CARE (American Nurses Association (ANA) Standards of
Clinical Nursing Practice) I.ASSESING – is the systematic and continuous collection, organizing, validation, and documentation of data. PURPOSE:
To establish a database about client's response to health concerns or illness and the ability to manage health care needs. TYPES OF ASSESSMENT:
TYPE TIME PERFORMEDPURPOSEEXAMPLE Initial AssessmentWithin specified time after admissionTo establish a complete data base for
problem identification, reference and future comparisonNursing admission assessment Problem–focused assessmentOngoing process integrated with
nursing careTo determine...show more content...
c.Seating arrangement. Two parties are seated on two chairs placed at right angles to a desk or table / few feet apart without table between. A
horseshoe or circular chair arrangements When a client in bed, sit at a 45 degrees angle to bed, not standing and looking down the client who is in
bed. d.Distance. Maintaining a distance of 2 to 3 feet. PROXEMICS – term for the study of human use and perception of social and personal space.
INTIMATE ZONE (0–18 inches) –use for comforting, protecting, counseling and preserved for people who feel close. PERSONAL ZONE (18 inches
to 3 feet) – maintained with friends or in some counseling interactions SOCIAL/PUBLIC ZONE (3 – 6 feet) – used when impersonal business is
conducted or with people who are working together. e.Language. Failure to communicate is a form of discrimination. Translate medical terminologies
into common English understandable to both client and family members. STAGES OF INTERVIEW 1.The Opening– most important part. Purpose: to
establish rapport (process of creating a goodwill and trust) and orient the interviewee. begin with a greeting, self intro accompanied by smile or
handshake Explain the purpose and nature of interview Tell the client how the info will be used and usually states the client's right not to provide the
info. 2.The Body – the client communicates what he feels or thinks. Knows, and perceives in response to questions from the nurse. 3.The
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Nursing Process Analysis
The five steps of the nursing process are: assessment, diagnosis, outcome identification and planning, implementation, and evaluation. The nursing
process has been around since the late 1950's and was developed by Ida Jean Orlando, however this process was not institutionalized until 1973 when
the American Nurses Association Congress for Nursing Practice established Standards of Practice for direct nursing performance. The assessment
process is the first of 5 steps in the nursing process and is very important and significant. Not only does assessment give you a baseline for your patient,
it also helps you to understand any underlying issues that the patient may be having. Assessment provides an introduction into the next step of the
nursing process: planning and diagnosing, without assessing a patient first we would not be able to plan and organize concepts to come up with a
diagnosis.
Assessment, physical assessment, health history, and psychosocial assessment are not separated from other nursing assessment task. They all seem to
go together when doing an assessment. Assessment, which also includes physical assessment, is a very significant part of the nursing process. During
assessment you collect important patient data using skills such as...show more content...
Medical ;diagnosis deals with the disease or medical condition whereas nursing diagnosis deals with human response to actual or potential health
problems and life processes. During a medical diagnosis, assessment is used to supply an underlying cause for the patient's signs and symptoms. In
comparison, a nursing diagnosis provides an accurate representation of the patient's present condition for the purpose of establishing a baseline of
information so that provision of care may be holistic. Therefore, a medical diagnosis and a nursing diagnosis are well–defined processes that may lead
to the advancement of two distinctive cognitive
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The Nursing Process Paper
The nursing process is defined as "The common thread uniting different types of nurses who work in varied areas is the nursing process–the essential
core of practice for the registered nurse to deliver holistic, patient–focused care" (American Nurses Association, 2015). It involves several steps, the first
being an assessment by the RN to collect and analyze data about the client. This data is all encompassing about the client, looking at everything from
their physical, psychological, spiritual, economic, sociocultural and individual lifestyle that may factor in. Secondly, the nurse with regard to the clients
clinical status forms nursing diagnosis that reflect the client's needs or conditions, this diagnosis is the basis for the nurses plan of care. The next step,
is the planning/outcome portion, where measurable goals that are achievable and short and long–term are set. These goals are part of the plan of care
for the client and all health professionals working with the client should have access to them. Taking action and implementing the plan of care is the
next step. The final step in the nursing process is the evaluation of the plan...show more content...
It is an objective data gathering process that involves the collection of information so that a researcher can come to a conclusion (Blankenship,
2010). The first step is to identify the problem or to develop the research question, this is the focus of what the research will be on. Step two is to
review available literature on the topic that has been chosen. This allows a foundation regarding the topic to be built and to develop an
understanding of the topic. The third step, is to narrow down the topic if needed. Sometimes a research topic is chosen and it is then discovered to
be very broad and large in scope, so in order to be able to do a study the research has to narrow down the focus to a smaller more manageable problem,
this is known as clarifying the
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Care Planning Research Paper
Advantages of the Nursing Process in Care Planning
By Iain S Surman | Submitted On March 29, 2011
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The nurse care planning process is an important aid in the treatment of patients. In turn it creates a systematic care plan approach which with the
inclusion of other health care professionals allows the patients the best route to full fitness. When used effectively, the nurse planning process offers
many advantages to the health care environment:
It's patient–centred,...show more content...
It promotes the patient's participation in their care, encourages independence and concordance and gives the patient a greater sense of control –
important factors in a positive health outcome. (See Putting the 'P' in planning.)
It improves communication by providing you and other nurses with a summary of the patient's recognised problems or needs so you all work towards
the same goals.
It promotes accountability for nursing activities, which in turn promotes quality assurance and quality health care provision.
It promotes critical thinking, decision–making and problem–solving for the benefits of health care provision.
It's outcome–focused and encourages the evaluation of results.
It minimises errors and omissions in care planning.
Basis for the nursing care planning process The nurse care planning process is based on the scientific method of problem–solving, which involves:
stating the problem you observed forming a hypothesis about the solution to the problem ('if... then' statements) developing a method to test the
hypothesis collecting the test data analysing the data drawing conclusions about the
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Nurse Process

  • 1. Nurse Process NURSING PROCESS APPLICATION TO NURSING PROCESS RHIO ANNE FLORES FELICIAN COLLEGE Felician College Honor Code:I pledge on my honor that I have neither given nor received inappropriate help on this paper. Signature:_________________________________ ABSTRACT Nursing Process is a method in professional nursing to identify, diagnose, and treat human responses to health illness. It has a series of steps which are assessment, diagnosis, planning, implementation and evaluation. A respiratory infection called Pneumonia was applied to each step of the nursing process. It is an illustration of how to apply the condition in each step by collecting the information, diagnosing the signs and symptoms, planning the...show more content... Gathering information is needed for assessment so the nurse has to communicate with the patient (primary source), the family (secondary source) and reading files or records of the patient. The nurse also has to observe the client or patient if they are having pain (from facial expressions) or for any behaviors or taking the patient's vital signs. These observations should be combined with the data that have been collected from the primary and secondary sources. Facts should be prГ©cised in order formulate a correct diagnosis which is the second step of the nursing process. Diagnosis is the phase where the health status of the patient is distinguished. The information that has been gathered about the patient has to be grouped, classified and analyzed. Performing these task will lead to recognition of the current health status of the patient. Issues regarding the current health status of a patient should be illustrated accurately in the nurse's statement. Associate all the grouped data that had been brought together. The nurse has to determine which diagnoses corresponds with all the research from the information. With the correct diagnosis, the nurse can carry on the third step which is called Planning goals and desired outcomes of the patient. Planning is the where the nurse assists a patient on deciding what kind of outcomes do they want to Get more content on HelpWriting.net
  • 2. The Nursing Process 1.0 INTRODUCTION The nursing process, upon introduction by North American Nurses Diagnosis Association[NANDA] has proved to be a means of standardizing nursing care and in maintaining professional autonomy. However, despite its benefits, many nurses are yet to fully understand and put to practice the nursing process in care of patients. The nursing process was originally adopted by the North American nursing profession from the general systems theory (GST) and quickly became a symbol of contemporary nursing as well as a professionalism nurse ideology [G. M. C. Mason and M. Attree, 2010]. In Brazil, the Federal Council of Nursing (COFEN) recommends the use of systematic nursing care in care of patients using nursing process, which includes the history, physical examination, diagnosis, intervention, and nursing evaluation (COFEN, 2010). In 1967, the nursing process was introduced in Brazil based on Maslow's Human Motivation Theory (Horta, 2011). This is a scientific method and strategy for the identification of health and disease...show more content... 75% of the nurses said that the nurse to patient ratio was not optimal to apply the nursing process.The nursing process is not yet applied and knowledge of nurses on the nursing process is not adequate to put it in to practice and high patient nurse ratio affects its application. The government consider the application of the nursing process critically by motivating nurses and monitor and evaluate its progress and also educating students in different educational status at school level based on the nursing curriculum. But the application of this knowledge in practical setup is not well known Get more content on HelpWriting.net
  • 3. Essay on Nursing Care Plan Introduction: A nursing diagnosis identifies an actual or potential response of a patient to a health problem (Jones 2009). Nursing diagnoses are important because they provide the foundation for the selection of nursing interventions (Walton 2008). This care plan is the concluding half to the initial care plan that identified nursing diagnoses and goals with the aim of promoting the holistic wellbeing, mental health, and independence of a 68 year old Mr. Bertoli who has returned home from hospital after experiencing a stroke. Particular emphasis will be placed on proposed interventions to achieve Mr. Bertoli's healthcare goals and the provision of rationales. This is important to justify the significance of the interventions and indicate ...show more content... However collaboration between a professional interpreter and a family member can be beneficial when dealing with the older person. This is because family member can assist in the provision of physician–to–patient information after the conclusion of the encounter (Rosenberg, Seller & Leanza 2008). Intervention 1b: The provision of written information in the patient's primary language containing the purpose and side effects of the patient's medications (Aboul–Enein & Ahmed 2006). Rationale 1b: The provision of written medication information given to the patient helps significantly in cases of medication non compliance (McGraw & Drennan 2004). This is because it aids in memory retention and presents patients with access to a reliable source of concise medication information, particularly if the patient needs to be reminded of certain aspects (Gorgos 2006). These written medication information sheets need to be provided in the patients primary, dominant language because it reduces the difficulty and limits barriers to patient understanding (Gorgos 2006).This is important because this intervention aims to increase a patient's understanding of their medications, and when a patient feels more competent with the use of their medications, reduced Get more content on HelpWriting.net
  • 4. This assignment will critically discuss the nurse's role in assessment and care planning for a patient in a case study. Confidentiality which is required by the NMC (Nursing Midwifery Council, 2008) and the Data protection Act (1998) will not be broken through out the assignment because the case study used is a scenario not a fictional character. The care plan will focus on Jean's incontinence needs using The Roper, Logan and Tierney model (2000). Jean Rogers is a 69 year old grandmother who has been married to husband Tom for 44 years. They both live in a bungalow with an adapted bathroom. Jean has been diagnosed with dementia which the patient began to show symptoms 3 years ago however, Jean's dementia is progressing with time and has a short term memory loss. Tom is struggling to support her mentally and physically as well as himself and realises that the time is coming where he must accept more help. Jean takes medication for memory loss and blood pressure. The patient has their bowels open regularly however, is urinary incontinent and wears PAD's. Jean was having recurrent urinary tract infection (UTI). According to Dobrina, Tenze and Palese (2014) nursing models guide quality nursing practice in developing and improving the nurse–patient relationship in caring for patients and families. Pridmore, Murphy and Williams (2010) state models of nursing are important as they offer a range of belief and values to guide nurses through the stages of the problem solving Get more content on HelpWriting.net
  • 5. Nursing Decision-Making Essay As a student nurse, the rationale for choosing this case scenario in the decision–making process is to develop the knowledge and skills of decision–making theory as this situation might come across in the near future while working in the hospital. Decision making is one of the Nursing Midwifery Council (NMC) (2010) standards for pre– registration education under " The competency framework Domain 3: Nursing Practice and Decision Making" that all the pre– registration must achieve before qualifying as a nurse. This essay will consider the care of Mr. Devi using the Tanner's (2006) model of clinical judgement as a decision–making framework. Tanner (2006 p. 204) defined clinical judgement is "an interpretation of a patient's needs, concerns or Get more content on HelpWriting.net
  • 6. Questions On The Nursing Process Essay October 29, 2016.Preceptor: Tiffany SheppardLocation: 3 North Unity Level Objective/Core value: #9 Nursing process Definition: According to the UACCB level 4 grading tool (2016) p. 1; Nursing Process: Initiate, evaluate, and update plan of care used to guide patient care. Incorporate knowledge of population health risks and health promotion strategies. Plan and provide mental health care on the primary, secondary, and tertiary level. Plan and provide physiologic care on the primary, secondary, and tertiary level. The nursing process is "a systematic problem–solving approach toward giving individualized nursing care" (Craven, 2013. P. 174). It is made up of six phases, number one is the assessment phase. In this phase the nurse gathers information by observing and examining the patient as well as interpreting diagnostic tests and lab values (Craven, 2013. P. 175). The next phase of the nursing process is the diagnosis phase, this phase is the "clinical act of identifying problems" (Craven, 2013. P. 175). He third phase is outcome and planning phase, the purpose of this phase is to formulate realistic measureable goals that are specific to the patient. Implementation is the fourth phase. This is where the planning is put into action, it can include delegating or coordinating interventions. The final phase is evaluation, this is where the nurse determines if her interventions were appropriate and moved the patient toward their goal (Craven, 2013. P. 176–177). My patient Get more content on HelpWriting.net
  • 7. Nursing Process Associate Degree Nursing Program Nursing Process Paper |Maslow's Needs and |Assessment: Subjective |Nursing Diagnosis |Outcome Criteria/Goals |Nursing Interventions/ Nursing |Rationale plus |Evaluation/ | |Rationale for Need |Data and Objective Data |(Include the related |(Needs to be |Orders |Reference |Actual Outcome | | |(Designate Which) |to reason) |measureable) |(Individualize to patient/family)| | | | | | |...show more content... Change pads often and teach |1. Use of correct cleaning technique and |Outcome met. Mother | |Mother need. |direct contact with a bloody |related to |the site of her |perineal cleansing technique to avoid|dry pads decreases the chances of spreading|demonstrated good | | |pad at all times. (o) |disruption of tissue|episiotomy repair will |infection during my shift. |germs from anal area and deprives them of a|hand–washing technique, | |Maslow need: | |integrity of |remain free of infection| |moist environment to reproduce in. |good peri care during | |Physiological |2. mother has been observed |perineum secondary |during my shift, and |2. Instruct mother on the importance | |bathroom breaks, and | | |not to wash hands during |to interventions at |mother will voice |of hand washing for her own health as|2. Frequent hand washing with correct |ordered a good meal and | |Rationale: |trips to the bathroom (o) |time of delivery. |understanding of |well as that of her baby during my |technique reduces the spread of germs. |plenty of fluids during | |This is a basic need | | |rationale for and Get more content on HelpWriting.net
  • 8. Examples Of Nursing Process Paper NURSING PROCESS PAPER Nursing Process Paper Abstract This process paper will evaluate the complex relationship between disease pathophysiology and how it has progressed to the patient's current state of health. It will include a comprehensive discussion of chronic and acute problems leading to the patient's hospital admission, a complete description of interrelationships and pathophysiology for all medical diagnoses, a comprehensive discussion of the client's signs and symptoms and results of all diagnostic studies to the underlying pathophysiology, and a comprehensive listing of all medications ordered at the time of admission with explanations of why each was ordered and identification of the most common side effects which may...show more content... Emphysema is the most common cause of death from respiratory disease in the United States and is generally caused by several years of heavy cigarette smoking (Olendorf, 2000). When a person smokes, the body's immune system tries to fight off the invading smoke by using certain substances. These substances can also attack the cells of the lungs, but normally the body is able to release other substances to prevent this. In the case of people who are smokers, this doesn't happen and the original substances that were released to fight off the smoke also end up injuring the cells of the lungs as well. Eventually, the lungs will not be able to supply enough oxygen to the blood and a host of problems can occur with this. Risk factors that have been identified for emphysema include exposure to tobacco smoke either through active or passive smoking (2nd hand smoke), occupational exposure such as dust or chemicals, ambient air pollution, or genetic abnormalities, including a deficiency of alpha–antitrypsin, an enzyme inhibitor that normally counteracts the destruction of lung tissue by certain other enzymes (Smeltzer, 2010). The symptoms of emphysema develop gradually over many years. It is generally characterized by three primary symptoms: chronic cough, sputum production, and dyspnea on exertion. Other signs and symptoms include weight loss and the development of a Get more content on HelpWriting.net
  • 9. The nursing process Essay The standards of practice describe a competent level of nursing care as exhibited by the critical thinking model known as the nursing process. This practice includes the areas of assessment, diagnosis, outcome identification, planning, implementation, and evaluation. The nursing process includes significant actions taken by registered nurses (RN) and forms the foundation of the nurse's decision–making ("American Nurses Association," 2010). Assessment is the accurate collection of comprehensive data pertinent to the patient's health or the situation ("American Nurses Association," 2010). Assessment is the first step in the nursing process and the most important. Assessment is the accurate collection of the patient's health date...show more content... It is during the second phase that the nurse must establish a nursing diagnosis. Only diagnosis approved and listed through The North American Nursing Diagnosis Association (NANDA) may be used. Ineffective airway clearance, risk for impaired skin integrity, risk for infection and ineffective coping are just a few examples of NANDA approved diagnosis. A nursing diagnosis is a clinical judgment about actual or potential individual, family, or community experiences/responses to health problems/life processes. A nursing diagnosis provides the basis for selection of nursing interventions to achieve outcomes for which the nurse has accountability (Defining the Knowledge," 2012). The third standard of practice is outcomes identification. During this phase, the registered nurse identifies expected outcomes for a plan individualized to the patient or the situation ("American Nurses Association," 2010). During this step outcomes must be derived from the nursing diagnosis and must be measurable, realistic and attainable by the patient. The registered nurse involves the patient, family, heath care providers, and others in formulating expected outcomes when possible and appropriate. The registered nurse must also consider associated risks, benefits, costs, current scientific evidence, expected trajectory of the condition, and clinical expertise when formulating outcomes ("American Nurses Association," 2010). Example of an Get more content on HelpWriting.net
  • 10. Nursing Process Analysis The first of the five steps of the Nursing Process is assessment. Assessment is the step where the nurse collects information regarding the client's previous and current health (Potter, Wood, & Ross–Kerr, 2010a, p. 159). When assessing an individual, there are several factors that need to be considered. For this paper, I subjectively and objectively collected information from R. Subjective data is made up of what the client tells the nurse (Potter, Wood, & Ross–Kerr, 2010a, p. 162). Objective data is composed of interpretations of other aspects of the client (Potter, Wood, & Ross–Kerr, 2010a, p. 162). During my interview with R, I asked her multiple questions regarding the determinants of health, which is subjective data, as well as assessed...show more content... Finally, while R was speaking in English, it was clear that she had a heavy accent, but did not have an accent when speaking Spanish (see Appendix A). When asking about her life, it became evident that she has a happy home in a safe neighbourhood (see Appendix B). She has a full time job that is very demanding and stressful. R deals with her work stress by spending time with her family and eating (see Appendix B). Her job provides adequate income for her and her family (see Appendix B). R was born and raised in Argentina, where she had a happy childhood and received her education, before moving to Canada in 2001 (see Appendix B). During my assessment, I asked about her family and how she typically spends her time (see Appendix B). With that information, I was able to draw a Genomap that is "a sketch of the family structure and relevant information about the family members", as well as an Ecomap, which is the "family's contact with the persons outside the family" (Wright, Leahey & Loos, 2010, p. 283) (see Appendix C and D). For this paper, my Ecomap is focused on R and the activities she does and how they affect her (see Appendix Get more content on HelpWriting.net
  • 11. Nursing Process The nursing process is described as being an individualised problem solving approach in which patients receive nursing care. The nursing process consists of four distinct phases, each having a discreet role in the process, theses phases of the process are: assessment, planning, intervention and evaluation. (Oxford Dictionary of Nursing 2003) It is important that the four stages of the process from assessment to evaluation are carried out sequentially because each phase follows logically from one to the other. As a result the maximum well–being of the patient is always the key issue and the nurse is aware and confident of action to be taken during intervention. This essay will describe the nursing process and the importance each of the ...show more content... However this may lead to conflict as the nurse and the patient may have different priorities from each other, for example, if the patient requires a blood transfusion but they are a Jehovah witness. It has been accepted that planning is a process which offers patient 's active involvement in deciding, agreeing and knowing how their health will be managed, thus allowing the patient 's ethical belief to stay intact. (Department of Health 2006 (DH)). Once the planning stage of the nursing process is completed the next stage is intervention. The intervention phase of the nursing process is the beginning of the practical nursing care to the patient. Details of treatment are clearly given to and are acknowledged by the patient. Thus goals laid out in planning will be achieved by the patient and nursing staff. Throughout this phase the nurse will continually review the patient to ensure that the interventions are successful (Jyoti Beck 2011). It has been suggested that the early phase of intervention is time consuming. However as soon as the procedures are integrated into daily standard care they become more manageable even when they are in addition to the current workloads as long as the goals are in suitable practice (Maria Dunckley et al 2005). This suggests that the nurse must ensure that they never undermine the care of a patient 's everyday needs as these are as important as the action Get more content on HelpWriting.net
  • 12. The Nursing Process Essay The Nursing Process The nursing process is a very important tool that nurses have in to make sure that they give adequate care to all their patients. It helps them not only evaluate each patients' needs individually but also allows the nurse to prioritize which patient's needs are more important to attend to first. Just like doctors have a way of diagnosing patients, nurses also use this process to give their own form of diagnosis. The significance of having the nursing process is to have a set way in which each nurse gets a care plan for the patient. Every nurse is taught the way the nursing process go is to assess, diagnose, plan both outcomes and interventions, implement, and evaluate. By doing these steps a nurse can not only find...show more content... For instance was a specific case in Columbus Hospital where the oncoming nurse failed to assess a patient and take vitals due to the patient being asleep, little did the nurse know that the medication being prescribed to the patient was altering his state of mind. The patient had shown signs earlier of being altered by asking to be secluded and didn't want any nursing care even though he was under postoperative care. Ultimately the patient ended up dying from a fall out a 3rd floor window. Had the nurse communicated to the doctor the changes she notice and also reassessed him then his death possibly could've been avoided. Expert testimony opined that the nurse was negligent in failing to adequately monitor Mr. Busta (patient) on the evening and night before he died, and in failing to report the constellation of signs and symptoms to the surgeon; and that the hospital was negligent in failing to maintain a safe environment (Croke, 2003). This incident cost the hospital a lot of money due to one nurses negligence, had the nurse just followed the nursing process and assess him then this is something that could've been avoided. The process doesn't stop at evaluate, it keeps going, you constantly reassess and diagnose and intervene because a patient's needs are constantly changing. References Ackley, B. J., & Get more content on HelpWriting.net
  • 13. The Nursing Process Paper The Nursing Process: Framework for the Development of Clinical Judgment and Reasoning Utilizing the circular nursing process of assessment, diagnosis, planning, implementation, and evaluation, the nurse and client work together to create dynamic, interactive interventions to support the client's wellbeing. The nursing process acts as both foundation and scaffolding upon which nurses may build their knowledge and skills. As a foundation, the nursing process creates an organized, solid knowledge base on which the nurse may develop a plan of care. As scaffolding, it allows the nurse to create the customized care plan required by each unique client. For the student nurse, the nursing process offers an organized framework that guides the development of clinical reasoning and clinical judgment abilities. The Nursing Process, Clinical Reasoning & Clinical Judgment According to study authors Papathanasiou, Kleisiaris, Fradelos, Kakou, and Kourkouta (2014), "Critical thinking is an essential process for the safe, efficient and skillful nursing practice" (p. 283). In her 2014 study that examined pre–licensure nursing students' perceived readiness for professional practice, Bowdoin identified four attributes that...show more content... The use of evaluative measures enables the nurse to determine the success or failure of the interventions based on whether the desired outcomes have been met. Critical reasoning allows the nurse to select the most appropriate evaluative measures, and helps guide the process of care plan revision, if necessary. Nurses "apply critical thinking as they mature, acquire knowledge and experiences, and examine their beliefs under new evidence" (Papathanasiou et al., 2014, p. 284). By evaluating the success of the nursing process, the nursing student gains critical Get more content on HelpWriting.net
  • 14. Essay on The Five Phases of the Nursing Process Effective nursing care plays a very important role in health care as it safeguards the patients and helps them recover as soon as possible. There are many processes that contribute to effective nursing care, nursing process is one of them. Nursing process consists of 5 main phases; Assessment phase, Diagnosing phase, Planning phase, Implementing phase and Evaluation phase. All the phases work hand in hand together and one links to another with every phase having its important role. This process helps to improve the effectiveness of the care as it is directed to every patient individually. The first and one of the most important phases is the Assessment phase where the nurse has to gather as much information as possible in order to...show more content... This phase should be finalized by identifying the patient's complications and problems, Roper et al (2000) stresses on the importance that there could be a complication where either the nurse or the patient is not aware of and so It is crucial to be alert to these The Diagnosing phase is a reasoning process where the nurse breaks down the patient's assessment into parts in order to judge the actual/potential health problems the patient could be facing. There are three types of diagnosis; (i) Actual diagnosis: this is based on the presence of signs and symptoms on the patient. (ii) Risk diagnosis: which is a clinical judgement where the nurse notice the presence of risk factore which could lead to other probles if untreated. (iii) Wellness diagnosis. Diagnosing phase is split up into three parts; analyzing the information, identifying the health risks and strengths, and formulating diagnostic statements. When analyzing the information, it should be compared to other standard information in order to detect any abnormal situations. The identification of health risks and strengths consists of the nurse and the patient joining together to discuss the patient's strengths as well as his problems. This will later lead to the identification of risks and the type of diagnosis. For the diagnosis to help the nursing care to be effective it is very important that all judgments, Get more content on HelpWriting.net
  • 15. The Importance Of The Nursing Process Nursing is a complicated profession requiring a broad knowledge base, discipline, and a deep desire to understand and interpret scientific data with a goal of obtaining the best possible patient outcomes. This can be very difficult to achieve, requiring the nurse to process a variety of information, prioritize, and problem solve at a critical level (Wilkinson, Treas, Barnett, Smith, 2016). The nursing process is a scientific approach, utilized by nurses to systematically improve patient care by following five steps: assessment, diagnosis, planning, implementation, and evaluation (Wilkinson et al., 2016). A good nurse is someone who understands these phases, continues to build on them, and uses the information to create the best possible, individualized, healthcare plan for the patient. It is a mastery of art to find a way to include all of these concepts with so many diverse medical diagnoses. Having a structural way, such as the nursing process, paves a strong foundation for the nurse to maintain a patient centered approach to implement exceptional nursing care (Goncalves, Spiri, Ortolan, 2017). The nursing process is a method that combines both the science and art aspects of nursing. Nursing is a science because every action that a nurse partakes in is evidence based. This means that only methods that have been proven effective are practiced, improving patient outcomes. While nursing is a science it is also an art, in the since, that every nurse develops their own way Get more content on HelpWriting.net
  • 16. Nursing Process NURSING NOTES http://www.nursingnotes.info/ FIVE (5) PHASES OF NURSING CARE (American Nurses Association (ANA) Standards of Clinical Nursing Practice) I.ASSESING – is the systematic and continuous collection, organizing, validation, and documentation of data. PURPOSE: To establish a database about client's response to health concerns or illness and the ability to manage health care needs. TYPES OF ASSESSMENT: TYPE TIME PERFORMEDPURPOSEEXAMPLE Initial AssessmentWithin specified time after admissionTo establish a complete data base for problem identification, reference and future comparisonNursing admission assessment Problem–focused assessmentOngoing process integrated with nursing careTo determine...show more content... c.Seating arrangement. Two parties are seated on two chairs placed at right angles to a desk or table / few feet apart without table between. A horseshoe or circular chair arrangements When a client in bed, sit at a 45 degrees angle to bed, not standing and looking down the client who is in bed. d.Distance. Maintaining a distance of 2 to 3 feet. PROXEMICS – term for the study of human use and perception of social and personal space. INTIMATE ZONE (0–18 inches) –use for comforting, protecting, counseling and preserved for people who feel close. PERSONAL ZONE (18 inches to 3 feet) – maintained with friends or in some counseling interactions SOCIAL/PUBLIC ZONE (3 – 6 feet) – used when impersonal business is conducted or with people who are working together. e.Language. Failure to communicate is a form of discrimination. Translate medical terminologies into common English understandable to both client and family members. STAGES OF INTERVIEW 1.The Opening– most important part. Purpose: to establish rapport (process of creating a goodwill and trust) and orient the interviewee. begin with a greeting, self intro accompanied by smile or handshake Explain the purpose and nature of interview Tell the client how the info will be used and usually states the client's right not to provide the info. 2.The Body – the client communicates what he feels or thinks. Knows, and perceives in response to questions from the nurse. 3.The Get more content on HelpWriting.net
  • 17. Nursing Process Analysis The five steps of the nursing process are: assessment, diagnosis, outcome identification and planning, implementation, and evaluation. The nursing process has been around since the late 1950's and was developed by Ida Jean Orlando, however this process was not institutionalized until 1973 when the American Nurses Association Congress for Nursing Practice established Standards of Practice for direct nursing performance. The assessment process is the first of 5 steps in the nursing process and is very important and significant. Not only does assessment give you a baseline for your patient, it also helps you to understand any underlying issues that the patient may be having. Assessment provides an introduction into the next step of the nursing process: planning and diagnosing, without assessing a patient first we would not be able to plan and organize concepts to come up with a diagnosis. Assessment, physical assessment, health history, and psychosocial assessment are not separated from other nursing assessment task. They all seem to go together when doing an assessment. Assessment, which also includes physical assessment, is a very significant part of the nursing process. During assessment you collect important patient data using skills such as...show more content... Medical ;diagnosis deals with the disease or medical condition whereas nursing diagnosis deals with human response to actual or potential health problems and life processes. During a medical diagnosis, assessment is used to supply an underlying cause for the patient's signs and symptoms. In comparison, a nursing diagnosis provides an accurate representation of the patient's present condition for the purpose of establishing a baseline of information so that provision of care may be holistic. Therefore, a medical diagnosis and a nursing diagnosis are well–defined processes that may lead to the advancement of two distinctive cognitive Get more content on HelpWriting.net
  • 18. The Nursing Process Paper The nursing process is defined as "The common thread uniting different types of nurses who work in varied areas is the nursing process–the essential core of practice for the registered nurse to deliver holistic, patient–focused care" (American Nurses Association, 2015). It involves several steps, the first being an assessment by the RN to collect and analyze data about the client. This data is all encompassing about the client, looking at everything from their physical, psychological, spiritual, economic, sociocultural and individual lifestyle that may factor in. Secondly, the nurse with regard to the clients clinical status forms nursing diagnosis that reflect the client's needs or conditions, this diagnosis is the basis for the nurses plan of care. The next step, is the planning/outcome portion, where measurable goals that are achievable and short and long–term are set. These goals are part of the plan of care for the client and all health professionals working with the client should have access to them. Taking action and implementing the plan of care is the next step. The final step in the nursing process is the evaluation of the plan...show more content... It is an objective data gathering process that involves the collection of information so that a researcher can come to a conclusion (Blankenship, 2010). The first step is to identify the problem or to develop the research question, this is the focus of what the research will be on. Step two is to review available literature on the topic that has been chosen. This allows a foundation regarding the topic to be built and to develop an understanding of the topic. The third step, is to narrow down the topic if needed. Sometimes a research topic is chosen and it is then discovered to be very broad and large in scope, so in order to be able to do a study the research has to narrow down the focus to a smaller more manageable problem, this is known as clarifying the Get more content on HelpWriting.net
  • 19. Care Planning Research Paper Advantages of the Nursing Process in Care Planning By Iain S Surman | Submitted On March 29, 2011 Recommend Article Article Comments Print Article Share this article on Facebook Share this article on Twitter Share this article on Google+ Share this article on Linkedin Share this article on StumbleUpon Share this article on Delicious Share this article on Digg Share this article on Reddit Share this article on Pinterest The nurse care planning process is an important aid in the treatment of patients. In turn it creates a systematic care plan approach which with the inclusion of other health care professionals allows the patients the best route to full fitness. When used effectively, the nurse planning process offers many advantages to the health care environment: It's patient–centred,...show more content... It promotes the patient's participation in their care, encourages independence and concordance and gives the patient a greater sense of control – important factors in a positive health outcome. (See Putting the 'P' in planning.) It improves communication by providing you and other nurses with a summary of the patient's recognised problems or needs so you all work towards the same goals. It promotes accountability for nursing activities, which in turn promotes quality assurance and quality health care provision. It promotes critical thinking, decision–making and problem–solving for the benefits of health care provision. It's outcome–focused and encourages the evaluation of results. It minimises errors and omissions in care planning. Basis for the nursing care planning process The nurse care planning process is based on the scientific method of problem–solving, which involves: stating the problem you observed forming a hypothesis about the solution to the problem ('if... then' statements) developing a method to test the hypothesis collecting the test data analysing the data drawing conclusions about the
  • 20. Get more content on HelpWriting.net