Nursing Process

• Nursing process


  Organizational framework for the practice of nursing

  
• Nursing process


  1. Assessment

  2. Diagnosis

  3. Outcomes identification

  4. Planning

  5. Implementation

  6. Evaluation

  
• Licensed Practical Nurse (LPN)


  • Data collection: Collect subjective and objective data about the client and report changes to the RN
  • Planning: Create a plan to address client problems under the supervision and guidance of the RN
  • Implementation: Collaborate with the RN to take action as outlined in planning
  • Evaluation: Evaluate the effectiveness of the interventions provided, within the LPN scope of practice, and under the supervision of the RN
• Assessment data


  • Types of data: Cue, Subjective, Objective
  • Sources of data: Primary source, Secondary sources
  • Methods of data collection: Interview, Physical exams
• Nursing diagnosis/patient problem statement


  A type of health problem that can be identified by the nurse, with components: Patient's presenting signs and symptoms, Contributing, etiologic (causative), and related factors, Defining characteristics
• Planning


  1. The nurse establishes priorities of care and nursing interventions are chosen that will best address the nursing diagnosis

  2. Information is communicated through care plan so that all health care personnel will be directly involved in the care of the patient

  3. The nurse decides what interventions will be effective after working with the patient and significant others

  
• Priority setting

  Nursing diagnoses are ranked in order of importance for the patient's life and health, with physiologic needs before safety and security, and safety and security before love and belonging needs
• Nursing interventions

  Activities that promote the achievement of the desired patient outcome, classified as physician-prescribed or nurse-prescribed
• Evaluation


  Establishing desired patient outcomes: The nurse predicts the condition of the patient following nursing interventions, expressed in a statement indicating the degree of wellness desired, expected, or possible for the patient to achieve
• Nursing care plan


  The written product of the nursing process, with formats varying among institutions, and may be prepared for each patient, standardized for a group of patients, or computerized
• Role of the Licensed Practical Nurse (LPN)

  • The nursing process may vary from state to state, LPNs provide direct bedside nursing care, allowing them to closely observe, prioritize, intervene, and evaluate the care provided to the patient
• Critical thinking

  Thinking with a purpose, questioning information, conclusions, and points of view, being logical and fair, a complex process that allows nurses to not only perform skills, but also think about what they are doing, using a knowledge base to make decisions, generate new ideas, and solve problems