ADPIE objectives

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  1. The purpose of the nursing process is
    to diagnose and treat human responses to actual or potential health problems.
  2. Steps of the nursing process
    • 5 step clinical decision making approach
    • assessment
    • nursing diagnosis
    • planning
    • implementation
    • evaluation
  3. relationship between critical thinking and the nursing process
    • assessment: critically decide what information is relevant. Interpret and validate info to make a complete database
    • diagnosis: critically decide which ND fits best with the data collected in the assesment
    • planning: choose the best interventions to meet your goals and outcomes
    • interventions: prioritize interventions (ABC)
    • evaluation: what assessments must you do to see if goals are met or partially/not met.
  4. important sources for gathering client data
    • patient (interview, observation, and physical examination) - the best source of information
    • family (obtain pt agreement)
    • Health care team
    • medical records (chart)
    • nursing experience
  5. Purpose of assessment
    • establish a database about the patients
    • perceived needs, (what they want to happen)
    • health problems, responses to the problems
  6. Subjective data
    Pts verbal description of their health problems
  7. example of subjective data
    • My head is burning up
    • the patient says his pain level is 7 out of10
    • a symptom- headache
  8. objective data
    observations or measurements of the pts health status
  9. ex of objective data
    • temperature is 103 deg
    • guarding the area in pain
    • a sign: sweating profusely
  10. pt centered interview
    • organized convo with the pt.
    • set the state (prep, greeting)
    • set an agenda, gather info about pt concerns
    • collect the assessment/health history
    • terminate the interview
  11. health history
    physical exam, observe pt behavior, diagnostic and lab data
  12. purpose of the ND
    provides a precise definition of the pts problem and gives nurses and health care team a common language for understanding the pts needs
  13. relationship of planning and assessment
    planning addresses the problems identified in assessment
  14. relationship to planning and the nursing process
    planning sets goals and outcomes that will later be assessed in being met, partially met, or not met
  15. goal
    • broad statement that describes the desired change in the pts condition or behavior as a result of the interventions.
    • The "ultimate" goal, opposite of the ND
  16. outcomes
    • measurable criterion to evaluate goal achievement
    • short specific steps . "O"n the way to the goal
  17. planning involves
    • Determine pt goals
    • set priorities
    • develop expected outcomes of interventions
    • select interventions
  18. a pt centered goal is
    • singular, observable, Measurable, Time limited, mutual(Appropriate), Realistic(reasonable).
    • SMART- Specific
  19. Priorities
    • HIGHEST priorities are: Airway (swallowing), Breathing, Circulation, safety, pain
    • Lower: impared physical mobility, deficient knowledge
  20. nursing intervention includes
    • action
    • frequency
    • quantity (3x a day for 4 days)
    • method
    • person to do it
  21. evaluation determines
    • if the pts condition or wellbeing improves
    • evaluate effectiveness of interventions
    • evaluate if outcomes/goals were achieved
  22. The outcome can be
    met, partially met, and not met
  23. relationship between evaluation and documentation
    we document response to interventions of our evaluative findings to allow all members of the health care team to know if the pt is progressing.
Card Set:
ADPIE objectives
2014-09-03 20:29:18

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