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Nursing Process

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Assessing - Collect data; Organize data; Validate data; Document data Diagnosing - Analyze data; Identify health problems, risks, and strengths; Formulate diagnostic statements Planning - Prioritize problems/diagnoses; Formulate goals/desired outcomes; Select Nursing Interventions; Write nursing interventions Implementing - Reassess the client; Determine the nurse's need for assistance; Implement the nursing interventions; Supervise delegated care; Document nursing activities Evaluating - Collect data related to outcomes; Compare data with outcomes; Relate nursing actions to client goals/outcomes; Draw conclusions about problem status; Continue, modify, or terminate the client's care plan What is the nursing process? - a systematic, rational method of planning and providing nursing care. What is the purpose of the nursing process? - to identify a client's health care status, and actual or potential health problems, to establish plans to meet the identified needs, and to deliver specific nursing interventions to address those needs. The nursing process is cyclical. What does this mean? - its components follow a logical sequence, but more than one component may be involved at one time. What happens if a client "falls off the track?" - if goals are not achieved (falling off the track), the cycle continues with reassessment, or the plan of care may be modified.


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