Nursing Process - 2373 Words

NURSING NOTES http://www.nursingnotes.info/ FIVE (5) PHASES OF NURSING CARE (American Nurses Association (ANA) Standards of Clinical Nursing Practice) I. ASSESING – is the systematic and continuous collection, organizing, validation, and documentation of data. PURPOSE: To establish a database about client’s response to health concerns or illness and the ability to manage health care needs. TYPES OF ASSESSMENT: TYPE TIME PERFORMED PURPOSE EXAMPLE Initial Assessment Within specified time after admission To establish a complete data base for problem identification, reference and future comparison Nursing admission assessment Problem-focused assessment Ongoing process integrated with nursing care To determine†¦show more content†¦c. Seating arrangement. †¢ Two parties are seated on two chairs placed at right angles to a desk or table / few feet apart without table between. †¢ A horseshoe or circular chair arrangements †¢ When a client in bed, sit at a 45 degrees angle to bed, not standing and looking down the client who is in bed. d. Distance. Maintaining a distance of 2 to 3 feet. PROXEMICS – term for the study of human use and perception of social and personal space. †¢ INTIMATE ZONE (0-18 inches) –use for comforting, protecting, counseling and preserved for people who feel close. †¢ PERSONAL ZONE (18 inches to 3 feet) – maintained with friends or in some counseling interactions †¢ SOCIAL/PUBLIC ZONE (3 – 6 feet) – used when impersonal business is conducted or with people who are working together. e. Language. Failure to communicate is a form of discrimination. †¢ Translate medical terminologies into common English understandable to both client and family members. STAGES OF INTERVIEW 1. The Opening – most important part. Purpose: to establish rapport (process of creating a goodwill and trust) and orient the interviewee. †¢ begin with a greeting, self intro accompanied by smile or handshake †¢ Explain the purpose and nature of interview †¢ Tell the client how the info will be used and usually states the client’s right not to provide the info. 2. The Body – the client communicates what he feels or thinks. Knows, and perceives in response to questions from the nurse. 3. TheShow MoreRelatedNursing Process1531 Words   |  7 PagesThe nursing process is described as being an individualised problem solving approach in which patients receive nursing care. The nursing process consists of four distinct phases, each having a discreet role in the process, theses phases of the process are: assessment, planning, intervention and evaluation. (Oxford Dictionary of Nursing 2003) It is important that the four stages of the process from assessment to evaluation are carried out sequentially because each phase follows logically fromRead MoreNursing Process1550 Words   |  7 PagesThe nursing process: A help or a hindrance to contemporary nursing practice. Introduction. The nursing process is the core for the nursing care plan and enables one to think like a nurse. It was based on the theory developed by Ida Jean Orlanda in 1950’s where she observed good and bad nursing practices (Faust, 2002). The nursing process is important as it is a systematic problem solving approach which involves the partnership with both the patient and their family. It serves as an important toolRead MoreThe Nursing Process1010 Words   |  5 PagesThe Nursing Process The nursing process is a very important tool that nurses have in to make sure that they give adequate care to all their patients. It helps them not only evaluate each patients’ needs individually but also allows the nurse to prioritize which patient’s needs are more important to attend to first. Just like doctors have a way of diagnosing patients, nurses also use this process to give their own form of diagnosis. The significance of having the nursing process is to have a setRead MoreEvaluation Of The Nursing Process1417 Words   |  6 Pages The Nursing Process The nursing process is a scientific process made up of five steps to ensure that quality care is given by the nurse and received by the patient. It requires identifying the most efficient means to generate optimum results. The steps follow each other at the start of the process but may need to act in conjunction with one another in some situations. The steps however do not end with evaluation but begin again. It begins with assessment and including an evaluation of the perceptionsRead MoreTheory and the Nursing Process942 Words   |  4 Pages Theory and the Nursing Process Kenneth L. Harris University of Phoenix Community and Family Nursing NSG 420 June 22, 2015 Kimberly Lewis RN, MSN-Ed Theory and the Nursing Process The theoretical basis for public and community nurses began in the nineteenth century with Florence Nightingale. Nightingale believed in the prevention and surveillance of diseases. She further believed that a disease was more prevalent in poor environments. She proved that good health was more prevalent with a goodRead MoreThe Theory Of The Deliberative Nursing Process948 Words   |  4 PagesDeliberative Nursing Process is finding out and meeting the patient’s immediate need for help. The concepts and propositions of the theory are written at a concrete level of discussion (Fawcett, Desanto-Madeya, 2013). The theory is classified as a middle-range predicative theory. The theory identifies the effects of a specific interpersonal nursing process on identification of the patient’s immediate need for help. origins. Ida Jean Orlando was born in 1929. She obtained her diploma in nursing from NewRead MoreStrategic Planning Nursing Process973 Words   |  4 PagesStrategic Planning and Nursing Process Every decision-making process requires the basic steps of problem identification, intervention and evaluation. In healthcare, both the nursing process and strategic planning involve proper identification of a problem, gathering of data, formulating a plan, and deciding which intervention is the best to implement. After the intervention, evaluation is necessary. Strategic planning and the nursing process both are essential when developing medical informaticsRead MoreNursing Process And Critical Thinking917 Words   |  4 Pagesand less like they are being drilled for information. Reflect on your clinical week giving specific examples of the following: Use of nursing process/ critical thinking and problem solving to guide care This week my patient suffered from a traumatic brain injury and had major cognitive deficits that required me to use critical thinking and the nursing process for his care. When performing the patients’ neurological checks, it was imperative that I not only note a change in mental status or pupilRead MoreThe Quality Improvement Nursing Process962 Words   |  4 PagesThe Quality Improvement nursing process that I have chosen to research is patient safety. I have chosen to focus specifically on the topic of catheter associated urinary tract infections (CAUTI’s) during hospitalization and their preventions. It is estimated that 15-25% of hospitalized patients receive a urinary catheter throughout their stay, whether or not they need it. A large 80% of all patients diagnosed with a urinary tract infection (UTI) can be attributed to a catheter (Bernard, HunterRead MoreThe nursing process Essay1357 Words   |  6 PagesThe standards of practice describe a competent leve l of nursing care as exhibited by the critical thinking model known as the nursing process. This practice includes the areas of assessment, diagnosis, outcome identification, planning, implementation, and evaluation. The nursing process includes significant actions taken by registered nurses (RN) and forms the foundation of the nurse’s decision-making (â€Å"American Nurses Association,† 2010). Assessment is the accurate collection of comprehensive