Nursing process topic in detail...

1. NURSIN
G
PROCESS
PREPARED BY:
MS ULFAT RASOOL
NURSING TUTOR
(GIPS)

2. DEFINITION
Nursing process is a critical thinking process that
professional nurses use to apply the best available
evidence to caregiving and promoting human functions
and responses to health and illness.
(American Nurses Association, 2010)

3. Nursing process is a systematic method of
planning and providing individualized
nursing care.
Nursing Process is defined as systematic
problem solving approach for giving
comprehensive nursing care.

4. PURPOSES OF NURSING PROCESS
 To identify a clients health status and
actual or potential health care
problems or needs.
 To establish plans to meet the
identified needs.
 To deliver specific nursing
interventions to meet those needs.

5. COMPONENTS
OF
NURSING PROCESS

6. NURSING PROCESS
ASSESSMENT
NURSING
DIAGNOSIS
PLANNING
IMPLEMENTATION
EVALUATION

7. ASSESSMENT
Assessment is the systematic and
continuous collection, organization,
validation and documentation of data
(information).

8. COLLECTION OF DATA
Data collection is the process of
gathering information about
clients health status.

9. TYPES OF DATA
1. SUBJECTIVE DATA:
• Also referred as
symptom /covert data.
• Information from the
patients point of view.
• Information supplied by
the family members or
other health
professionals.
• Example: pain,
dizziness,etc.
2. OBJECTIVE DATA:
• Also referred as
sign/overt data.
• Information that can be
detected ,observed or
measured using
accepted standard or
norm.
• Example: vital signs,
discoloration of skin,
etc.

10. ORGANIZATION OF DATA
The nurse uses a format that organizes
the assessment data systematically. This
is often referred as nursing health
history or nursing assessment form.

11. VALIDATION OF DATA
The information gathered during the
assessment is ‘double- checked’ or
verified to confirm that it is accurate and
complete.

12. DOCUMENTATION OF DATA
To complete the assessment phase, the
nurse records client data. Accurate
documentation is essential and should
include all data collected about the clients
health status.

13. DIAGNOSIS

14. DIAGNOSIS
 Diagnosis is the process in which nurse use
critical thinking skills to interpret assessment
data to identify client problems.
 According to NANDA( North American Nursing
Diagnosis Association) Nursing diagnosis is, ‘a
clinical judgement concerning a human
response to health conditions/life processes
or a vulnerability for that response by an
individual, family, group, community’

15. STATUS OF THE NURSING DIAGNOSIS
1.ACTUAL DIAGNOSIS
2.HEALTH PROMOTION
DIAGNOSIS
3..RISK NURSING
DIAGNOSIS

16. FORMULATING DIAGNOSTIC STATEMENTS
PES FORMAT
2. ETIOLOGY (E):
Causes of health
problem.
1. PROBLEM (P):
Statement of
clients health
problem.
3. SIGNS AND
SYMPTOMS (S):
Defining
characteristics
manifested by
client.

17. EXAMPLE
‘Acute pain related to abdominal surgery as
evidenced by patient discomfort and pain
scale’
PROBLEM ETIOLOGY SIGN AND SYMPTOMS
pain Surgery of abdomen Pain scale and discomfort of
patient.

18. PLANNING

19. PLANNING
 Planning involves decision making and problem
solving.
 Planning is the process of formulating client goals
and designing the nursing interventions required
to prevent, reduce or eliminate the clients health
problems.

20. PLANNING PROCESS
1.SETTING PRIORTIES
2.ESTABLISHING CLIENT GOALS
/DESIRED OUTCOME
3.SLECTING NURSING INTERVENTIONS AND
ACTIVITIES
4.WRITING INDIVIDUALISED NURSING INTERVENTIONS
ON CARE PLANS

21. NURSING INTERVENTIONS
1. INDEPENDENT INTERVENTIONS: are those
activities that nurses are licensed to initiate on
the basis of their knowledge and skills.
2. DEPENDENT INTERVENTIONS: are interventions
carried out under the orders or supervision of a
licensed physician.
3. COLLABORATIVE INTERVENTIONS: are actions
the nurse caries out in collaboration with other
health team

22. IMPLEMENTATION

23. IMPLEMENTATION
The process of implementation
includes:
 Implementing the nurse
interventions
 Documenting nursing activities

24. EVALUATION

25. EVALUATION
Evaluation is a planned, on-going,
purposeful, activity in which the nurse
determines:
a. the clients progress toward achievement of
goals/outcomes
b. the effectiveness of nursing care plan.

26. The evaluation includes;
• Comparing the data with desired
outcomes
• Continuing, modifying or
terminating the nursing care plan

27. THANK
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