It is a deliberate system for identifying and solving health problems to meet a person’s healthcare needs.
HEALTHCARE PROCESS
Focuses upon the component of a problem and its possible solutions
PROBLEM ORIENTED
Based on systematic or methodical approach
SCIENTIFIC
The plan of care individualized for each person wherein the patient is encouraged to actively participate
CLIENT-CENTERED
The patient’s condition or health status changes constantly, therefore in evaluation, new data is collected and interpreted and the process will begin again.
DYNAMIC
The effort between the patient and the healthcare team to achieve the desired outcomes in short and long term goals
GOAL-DIRECTED
A usual and accepted way of doing something in all countries healthcare is the same and accepted
UNIVERSALLY ACCEPTED
The steps in the healthcare process are organized and systematic.
ORDERLY, PLANNED
The systematic collection of data to determine the patient's health status and to identify any actual or potential problem
Assessment
STEPS IN HEALTHCARE PROCESS
Conduct health history, Perform assessment, Interview patient's family, Study health records, Organize, analyze, synthesize, and summarize the data collected
Data about client’s wellness, changes in life patterns, socio-cultural role, mental and emotional reaction to illness
Healthcare history
TYPES OF DATA
Objective data and Subjective data
Observations or measurements made by a data collector. The “SIGN”.
Objective data
Information is perceived only by the affected person. The “SYMPTOM”.
Subjective data
Is the identification of the nature and cause of a certain phenomenon.
Diagnosis
TWO CATEGORIES OF DIAGNOSIS
Healthcare diagnosis, Collaborative problems
Actual or potential health problems that can be managed by independent healthcare interventions
Healthcare diagnosis
Certain physiologic complications are monitored to detect onset changes in status.
COLLABORATIVE PROBLEMS
A statement that describes a patient's actual or potential health care problems that is potentially responsive to healthcare therapy.
Healthcare diagnosis
healthcare diagnosis wherein client needs that may not be directly related to a specific illness
Low priority
a pathological condition, a problem that is potentially responsive to medical management.
Medical diagnosis
MASLOW'S 5 HIERARCHY OF NEEDS
Physiological, Safety and Security, Love and Belongingness, Self-esteem, Self-Actualization
The development of goals and a plan, Assign priority to the Healthcare diagnoses
Planning
Develop immediate, intermediate, and long-term goals
Specify goals/ objectives
goals you will achieve near future
Immediate goal
goal that can be achieved for 1-5 years
Intermediate goal
goal that is planned to be achieved over a long period of time
Actualization of the plan of care through healthcare interventions
Implementation
CLASSIFICATION OF HEALTHCARE INTERVENTIONS
Dependent, Independent, Interdependent,
Involve aspects of professional healthcare practice encompassed by applicable licensure and law
Independent
Based on the instruction or written orders of another healthcare provider, requires specific healthcare responsibility and technical knowledge.
Dependent
Duties are carried out by the nurse with another healthcare professional in a collaborative manner through judgment and recommendations of the interdisciplinary healthcare team.
Interdependent
Identify alterations that need to be made in the healthcare interventions and expected outcomes, Include client, family, healthcare team members and the other health members in the evaluation
Evaluation
“Independent problem-solving role that involves the Dx and Tx of Human Responses to actual or potential problems.”
Within the legal scope of healthcare
Critical thinking enables healthcare workers to determine which problems require collaboration with the Md and which one fall within the independent domain of HealthCare
Based on knowlege
Steps in the healthcare process are organized and systematic.
Planned
Plan of care individualized for each person where patients are encouraged to actively participate.
Patient-centered
The effort between the patient and the healthcare team to achieve outcomes - short and long-term goals.
Goal-directed
In order of importance to shorten hospital stays to maximize efficiency in minimal time.