Assessment collecting, organizing, validating and communicating/recording client data.
Assessment To establish a database about the client's response to health concerns or illness and the ability to manage health care needs.
Diagnosis Analyzing and synthesizing data
Diagnosis To identify client's strengths and health problems that can be prevented or resolved by collaboration and independent nursing interventions
Diagnosis To develop a list of nursing diagnosis and collaborative problems
Wellness Diagnosis Opportunity to enhance health status
Risk Diagnosis Focus is on reducing the risk
Actual Diagnosis Presence of current/existing client problem
Planning Determining how to prevent, reduce or resolve the identified client problems; how to support client strengths
Planning To develop an individualized care plan that specifies client goals/expected outcomes and related nursing interventions
Implementation Carrying out the planned actions
Implementation To assist client to meet desired goals/outcomes, promote health and wellness; prevent illness and disease and facilitate coping with health problems.
Evaluation To determine if the client's needs have been met and evaluate effectiveness of nursing intervention
Evaluation Measuring the degree to which goals/outcomes have been achieved