Answers Graded A+
Describe the Nursing Process
Assessment
Diagnosis
Planning
Implementation
Evaluation
Define Assessment
Systematic and continuous collection, analysis, validation and
communication of patient data
Steps Preparing for data collection
Collecting data
Identifying cues and making inferences
,Validating data
Clustering related data and identifying patterns
Reporting and recording data
Steps of Data interpretation & Analysis
Recognizing: Reorganizing significant data comparing data to standards
Recognizing: Recognizing patterns or clustersIdentifying: Identifying
strengths and current or potential problems
Identifying: Identifying potential complications
Reaching: Reaching conclusions
Partnering: Partnering with the patient and family
Diagnosis
Problem identification
Planning
Establish priorities
Identify expected patient outcomes
,Select evidence-based nursing intervention
Communicate the plan of care
the aim of planning is to establish a goal
Establishing Priorities
Maslow's hierarchy of human needs
Patient preference
Anticipation of future problems
Critical thinking and judgment
A Formal Care Plan Allows the Nurse to:
Individualize care that maximizes outcome achievement
Set priorities
Facilitate communication among nursing personnel and colleagues
Promote continuity of high-quality, cost-effective care
Coordinate care
Evaluate patient response to nursing care
Create a record used for evaluation, research, reimbursement, and legal
reasons
, Promote nurse's professional development
Implementation
Carry out the plan
Continue data collection and modify the plan of care as needed
Document care
Purpose of Implementation
Help the patient achieve valued health outcomes
promote health
prevent disease and illness
Restore health
Facilitate coping with altered functioning
Evaluation
Measure how well the patient has achieved desired outcomes
Identify factors contributing to the patient's success or failure
Mostly the plan of care, if indicated