nsg120nursingprocessunit2

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ihatejonnytoo
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83673
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nsg120nursingprocessunit2
Updated:
2011-05-04 00:29:50
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nsg120
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Unit 2 in ssc nsg120 class. About the Nursing Process.
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  1. Nursing Process is:
    A systematic rational method of planning and providing individualized nursing care.

    A problem solving approach to patient care
  2. The Five Steps to the Nursing Process
    • Assessment
    • Diagnosis
    • Planning
    • Implementation
    • Evaluation
  3. Characteristics of the Nursing Process
    • Dynamic, cyclic
    • Patient Centered
    • Interpersonal
    • Collaborative
    • Goal Directed
    • Creative Feedback
    • Universally applicable
  4. Purpose of the Nursing Process
    • Identifying the patients health status.
    • Identifying actual or potential health problems.
    • Est. a plan of care to meet the patients needs.
    • Developing specific nursing interventions to meet the needs of the pt.
    • Taking care of the pt family
  5. History of the Process:
    Nanda - stands for
    est?
    What do they do?
    • North America Nursing Dx Assoc.
    • 1982
    • Continually develp the nursing dx we use
    • Develop terminaology
    • Provide a common language.
    • Allows nurses to communicate with each other.
    • Helps Nurses to Focus on the scope of the nursing practice.
  6. Nusing Process in relationship to Humoan Response
    focuses the nurses atten on individual human responses to a given health situation.(stressors)
  7. Nursing Process
    Patient Centered Care
    • promotes the involvement of the patient in their health care.
    • Increases sense of control.
  8. Evidence Based Practice
    • Problem solving process for clinical practice
    • Helps nurse provide quality care.
    • *It's been tesed and trialed*
  9. Quality Improvement
    • continous improving of processes in providing health care
    • focuses on identifying problems in efficancy and safety problems like duplicate hospital services.
  10. Assessment
    Continouse process carried out during all phases of the nursing process.
  11. Sources of Data
    • Patient
    • family
    • health history
    • physical assessment
    • record review
    • consultation
  12. Levels of Prevention:

    PRIMARY
    • Health promotion
    • specific protection against disease
    • precedes disease or disability
    • generally healthy individuals or groups.
    • example - health education, diet, exercise, brushing teeth and not smoking
  13. Levels of Prevention:

    SECONDARY
    • Health Maintenence of individuals experiencing health problems or illness
    • Early detection of disease (screening or risk assessment
    • Prompt, effective treatment to prevent complications & disabilities for those at risk.
  14. Levels of Prevention:

    TERTIARY
    • Managing a disease to prevent a disease to be chronic
    • Rehab and Restoration
    • Chronic illness Management
    • - support groups or rehab
  15. Cues
    • directily obeserved by the nurse
    • piece of information that influences a decision
    • what the patient says or what the nurse can see, hear, feel, smell or measure
    • example: crying
  16. PES FORMAT
    • Problem Dx
    • Etiolgy - R/T
    • Supporting Data AEB as evidence by
    • example: impaired gas exchange r/t increased bronchial secretions aeb shortness of breath, cough, crackles and rales in upper lobes of lungs bilaterally
  17. Types of Dx
    • Actual
    • Risk
    • Collaborative / PC potential complication
  18. PC Dx
    PC of CHF: pulmonary edema
  19. Risk is a two part statement of what?
    The Risk, R/T

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