Lilley's Chapter 1- Pharmacology and the Nursing Process

Assessment Components - Objective data: Include information available through the senses, such as what is seen, felt, heard and smelled. Among the sources of data are the chart, laboratory test results, reports of diagnostic procedures, physical assessment and examination findings (age, height, weight, allergies, medication profile and health history Subjective data: Include all spoken information shared by the patient, such as complaints, problems or stated needs Compliance - Implementation or fulfillment of a prescriber's or caregiver's prescribed course of treatment or therapeutic plan by a patient Evaluation - Monitoring whether patient outcomes, as related to he nursing diagnosis, are met. Monitoring includes observing for therapeutic effect of drug treatment, as well as for adverse effects and toxicity. Implementation - In the implementation phase the nurse intervenes on behalf of the patient to address specific patient problems and needs. This is done through independent nursing actions; collaborative activities such as physical therapy, occupational therapy and implementation of medical orders. Patient education