Nursing Process/Critical Thinking Ch. 15-20
1) What are the steps of the nursing process?
a. 5 phases (ADPIE)
i. Assessment: Collection of information; name, WT, HT, Vital signs, Labs, reason for the visit, physical
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Nursing Process/Critical Thinking Ch. 15-20
1) What are the steps of the nursing process?
a. 5 phases (ADPIE)
i. Assessment: Collection of information; name, WT, HT, Vital signs, Labs, reason for the visit, physical exam, medical history. TWO STEPS:: * Collection of information & * Interpretation of data. (why low BP, high resp.)
ii. Diagnosis: Includes critical analysis and interpretation of assessment data that reveal a PT’s response to health problems, ID of PT needs, and formulation or nursing diagnosis. Judgement call from data = nursing diagnosis.
iii. Planning: Involves setting priorities, ID PT goals, prescribe nursing interventions. Plan of care id dynamic & changes as the PTs needs change.
iv. Implementation: Nursing interventions initiated that are most likely to achieve the goals & expected outcomes needed to support or improve the PTs health status. Can be indirect or direct. Should be evidence-based & provide most current approaches for PT problems.
v. Evaluation: Involves 2 components: Examination of condition & judgement if change has occurred. This is an ongoing process & continually redirects nursing care. It desired outcome not met, plan of care must change, document results & revise plan of care & must reassess PT.
2) Critical thinking
a. What is it?
CONTINUED............
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