Nursing Process Essay

Phases of The Nursing Process
Introduction The nursing process is "An organised, systematic and deliberate approach to nursing
with the aim of improving standards in nursing care" (Rush S, Fergy S &Weels D, 1996).The five
steps of the nursing process are assessment, diagnosis, planning, implementation and evaluating. It
was developed by Ida Jean in Florida, USA in 1958 and it was transferred to the UK by 1970.The
'process 'is neither a 'model 'nor a 'philosophy' as it is sometimes defined but merely a method of
reasonable discerning and it needs to be used with a clear nursing model. This is foundation for
integrating the development into our model for ideal nursing. Throughout the process the patient's
independence should be endured in mind in all the...show more content...
The primary source of information about the patient is the patient himself. However, secondary
sources such as health records and family members are important especially in the case of children
and disoriented, unconscious or severely ill or disabled people. Information given willingly by the
person is categorized as subjective, whereas other types of information such as data from
measurements are objective (Roper, Logan, Tierney, 1996 p.52).It involves asking the patient about
observable signs and the non–observable symptoms. During assessment the care provider establishes
a data base, continuously updates the data base, validates data and communicates data. (CamillieriM,
2013). Diagnosis The second phase in nursing process is formulating a nursing diagnosis and
examination and combination of data (Camillieri M, 2013). Nurses diagnose human responses to
actual or potential health problems after analyzing and interpreting the data they collect from their
assessment (LearningExpress Editors, 2009).NANDA (North American Nurses Diagnosis
Associations) that was established in 1973 to identify standards and classify health problems treated
by nurses defines nursing diagnosis as a clinical judgment about individual, family, or potential
health problems/life processes. Nursing diagnosis provides the basis for selection of nursing
interventions to achieve outcomes for which the nurse is accountable.
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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

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., &

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

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

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

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

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

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

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,

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

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

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

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

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

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

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

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

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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