Process/LilleyRainforth Chapter 1
5 Steps of Nursing Process - ANSAssessment, Nursing Diagnosis, Planning (Goals, Outcomes),
Implementation, Evaluation
Nine Rights of Medication Administration - ANS1. Right Patient
2. Right Medication
3. Right Dose
4. Right Time
5. Right Route
6. Right Documentation
7. Right Reason
8. Right Response
9. Right to Refuse
Nursing Process - Assessment - ANSData collection, review, analysis
medication profile (any/all drug use; Rx's; OTC meds; Vitamins herbs; Compliance/Non
adherence.
Define compliance - ANSpt. will take medication
define adherence - ANSthe extent to which a person's behavior corresponds with agreed
recommendations from a healthcare provider (may take medication but will not take it at the
recommended time.)
Nursing Process - Nursing Diagnoses - ANSused to communicate and share info about the pts
and the pt experience.
three step process;
1. human response to illness
2.factors. related to the response
3. listing of cues, clues, evidence
Most COMMON nursing diagnoses related to DRUG THERAPY - ANSDeficient knowledge
Risk for injury
noncompliance
Nursing Diagnosis - Planning - ANSidentification of goals and outcome criteria
goals should be smart objective, measurable and realistic
outcome should be concrete descriptions of pt. goals.