3. NEED FOR EDUCATION AS BASIS FOR DEVELOPING NURSING CARE PLAN
PURPOSE OF HEALTH ASSESSMENT:
NURSING PROCESS
is theABILITY OF THE NURSEtoEXTRAPOLATEtheFINDINGS,PRIORITIZEthem, and finallyFORMULATEandIMPLEMENTthePLAN OF CARE
DOCUMENTED
COLLATED
TheINFORMATION OBTAINEDthroughout theHEALTH ASSESSMENTshould be _____________ in aCLEAR, CONCISE, MANNER
thisINFORMATIONis _____________ in thePATIENT'S MEDICAL RECORDS
NURSING PROCESS
aPROBLEM-SOLVING PROCESStoIDENTIFY PATIENT PROBLEMS,SET A GOAL, andDEVELOP AN ACTION PLAN, IMPLEMENT THE PLAN, and EVALUATE theOUTCOME*
ASSESSMENT
DIAGNOSIS
PLANNING
IMPLEMENTATION
EVALUATION
NURSING PROCESS STEPS:
ASSESSMENT
NURSING PROCESS STEPS:
it is theFIRST STEPof theNURSING PROCESS
it is theSUBJECTIVEandOBJECTIVE DATAgatheredDURING THE INTIAL HEALTH HISTORYandPHYSICAL EXAMINATION
DIAGNOSIS
NURSING PROCESS STEPS:
hasNURSING FOCUSand isBASED ON REALorPOTENTIAL HEALTH PROBLEMSorHUMAN RESPONSESto health problems.
The nurse uses _____________ toFORMULATE DIAGNOSISbased on theASSESSMENT DATAand thePATIENT'S PROBLEM LIST
PLANNING
NURSING PROCESS STEPS:
isDEVISING THE BEST COURSE OF ACTIONtoADDRESSthePATIENT'S DIAGNOSIS
during this stage, theNURSE AND PATIENT SELECT GOALSfor each diagnosis in order to alleviate, decrease, or prevent the problems addressed in the nursing diagnosis
IMPLEMENTATION
NURSING PROCESS STEPS:
can beCOMPLETEDby thePATIENT, THE FAMILY OR MEMBERSof theHEALTH CARE TEAM
EVALUATION
NURSING PROCESS STEPS:
is aCONTINUING PROCESSto determine if theGOALSareREALISTICorAPPROPRIATEfor the patient.
isWHEREtheNURSE FOCUSESon gathering information abou thePATIENT'S PROBLEM
FOLLOW-UP HISTORY
is aFORM OF A FOCUSED ASSESSMENT
EMERGENCY HISTORY
ABC
AIRWAY
BREATHING
CIRCULATION
TYPES OF HEALTH ASSESSMENT
is theDATA COLLECTIONwhich focused on thePATIENT'S EMERGENT PROBLEMwith aSYSTEMATIC PRIORITIZATION OF NEEDbeginning with the _____________ of _______, __________, and ___________.