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• NURSING PROCESS Is a systematic, organized method of planning, and providing quality and individualized nursing

  care. It is synonymous with the PROBLEM SOLVING APPROACH (CBQ)

  • The term nursing process was introduced in 1955 by Lydia Hall
• ADPIE

  Assessment,Diagnosis,Planning, Intervention/Implementation,Evaluation
• ADOPIE

  Assessment,Diagnosis,Planning,Outcome,Intervention/Implementation,Evaluation
• Unique characteristic of the Nursing Process (S ystematic – ordered sequence , organized with each activity
• U niversal – applicable to any nursing situation
• I nterpersonal – Human interaction is at the heart of nursing.
• T his is client-centered, goal-directed and outcome oriented= “BASIC KNOWLEDGE EQUIPT IS NURSING PROCESS”
• D ynamic – steps overlap and flow
• Steps: ADPIE A=assessment D=diagnosis P=planning I=implementation E=evaluation
• ASSESSMENT Collection of data like subjective and objective(CBQ)
• ASSESSMENT purpose is to establish data base
• DATA BASE = information about the patient’s health status
• Diagnosis=Interpret/Analyzing and synthesizing data

  (CBQ)
• Diagnosis Purpose To identify health problems, risks, and

  strengths.
• Planning to carry out, to perform, to intervene or to do something. (CBQ)
• Planning purpose is to To assist the client to meet desired

  goals/outcomes
• Diagnosis PNEUMONIC: P-E-S
• DIAGNOSIS pneumonic P-E-S PROBLEM,ETHIOLOGY,SIGN and symptoms
• Planning is to carry out and perform intervene or do something
• Planning is purpose is to meet desired outcomes and goals
• Evaluation is goal oriented
• EVALUATION is goal assessment,this is the time where nurse determine if the goal is met or unmet.
• Evaluation is the phase of reassessment
• Assessment is the process of collecting the data of the patient
• ASSESSMENT IS THE PROCESS IF COLLECTING,ORGANIZING,DOCUMENTING CLIENTS DATA
• PLANNING IS A BLUE PRINT OF NURSING CARE PLAN
• IMPLEMENTATION is the process to carry out , perform,execute the plan
• EVALUATION IS Goal assessment / outcome evaluation

  Also known as Reassessment phase(CBQ)
• Planning PNEUMONIC: S-M-A-R-T Specific-Measurable-Attainable-Realistic-Time bound
• Implementation to carry out, to perform, to intervene or to do

  something.To assist the client to meet desired

  goals/outcomes
• Evaluation is the phase of reassessment, evaluate if the Plan is effective or ineffective. Time where the nurse modify the plan if the plan is ineffective
• Assessment PHASE

  Activities: Collecting , organizing and documenting client data(CBQ)
• SUBJECTIVE ONLY THE PATIENT CAN VERBALIZE THE INFORMATION (S=Subjective S= Sarili)
• SUBJECTIVE DATA Verbalized or stated by the client. – (CBQ)

   
• EXAMPLE OF SUBJECTIVE Shortness of breath – CBQ
• EXAMPLE OF SUBJECTIVE B ody pain ( any form of PAIN e.g. headache,

  cramping abdomen) (CBQ)
• EXAMPLE OF SUBJECTIVE Body pain ( any form of PAIN e.g. headache,

  cramping abdomen) (CBQ)
• EXAMPLE OF SUBJECTIVE Chief complaints of patient – (CBQ)
• EXAMPLE OF OBJECTIVE DATA Observed from the client – (CBQ)
• EXAMPLE OF OBJECTIVE DATA Echymosis/ hematoma, rashes and bleeding.(CBQ)