slide 1 1 nursing process: foundation for practice npn 105 joyce smith rn, bsn
TRANSCRIPT
![Page 1: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/1.jpg)
Slide 11
Nursing Process: Foundation for Practice
NPN 105
Joyce Smith RN, BSN
![Page 2: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/2.jpg)
Slide 22
What is the “Nursing Process”?
• It is a systematic method that directs the nurse and patient in planning patient care, and enables you to organize and deliver nursing care
• It is patient centered and outcome oriented• The steps are interrelated and dependent on the
accuracy of each of the preceding steps• It is used to identify, diagnose, and treat human
responses to health and illness
![Page 3: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/3.jpg)
Slide 33
Together the nurse and the patient accomplish the following:
• Assess the patient to determine need for nursing care
• Determine nursing diagnoses for actual and potential health problems
• Identify expected out comes and plan care
• Implement care
• Evaluate the results
![Page 4: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/4.jpg)
Slide 44
Five Steps of the Nursing Process
• Assessment – collection of patient data• Diagnosis – identifies patients strengths and
potential problems• Planning – develop the specific holistic desired
goals and nursing interventions to assist the patient
• Implementation – carry out the plan of care• Evaluation – determine the effectiveness of the
plan of care
![Page 5: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/5.jpg)
Slide 55
![Page 6: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/6.jpg)
Slide 66
Assessment: Phase One of the Nursing Process
• Purpose: • Establish a baseline of information on the client
and develop a data base• Determine client’s normal function• Determine client’s risk for dysfunction• Determine presence or absence of dysfunction• Determine client’s strengths • Provide data for diagnostic phase
![Page 7: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/7.jpg)
Slide 77
Unique Focus of Nursing Assessment
• Nursing assessments do not duplicate medical assessments
• Medical assessments target data pointing to pathologic conditions
• Nursing assessments focus oh the patient’s responses to health problems or potential health problems
![Page 8: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/8.jpg)
Slide 88
Assessment
• The purpose is to establish a database by:• Collecting data
• Subjective versus objective
• Interviewing and taking a health history• Subjective and organized
• Performing a physical examination• Vital signs, patient’s behavior, diagnostic and
laboratory data, medical records
![Page 9: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/9.jpg)
Slide 99
Approaches for Data Collection
• Gordon’s 11 Functional Health Patterns• Uses a series of questions which assist in
formulating a nursing diagnosis
• Problem focused assessment• Focuses on the patient’s problem and develop
you plan of care around the problem
![Page 10: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/10.jpg)
Slide 1010
Gordon’s Health Patterns
• Health perception-management
• Nutritional-metabolic• Elimination• Activity-exercise• Sleep-rest• Cognitive -perceptual
• Self-perception-self-concept
• Role-relationship• Sexuality-reproductive• Coping-stress-
tolerance• Value-belief
![Page 11: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/11.jpg)
Slide 1111
Types of Nursing Assessments
• Initial assessment
• Focused assessment
• Emergency assessment
• Time-lapsed assessment
![Page 12: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/12.jpg)
Slide 1212
Types of Data
• Subjective Data• Information perceived only the affected person• Cannot be perceived or verified by another
person• Examples: feeling nervous, nauseated, chilly
![Page 13: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/13.jpg)
Slide 1313
Types of Data
• Objective Data• Observable and measurable data• Data that can be see, heard or felt by someone
other than the person experiencing it • Examples: elevated temperature (>101 F),
moist skin, refusal to eat, vital signs
![Page 14: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/14.jpg)
Slide 1414
Characteristics of Data
• Complete
• Factual and accurate
• Relevant
![Page 15: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/15.jpg)
Slide 1515
Components of Data Collection
• Interview• Orientation phase• Working phase• Termination
![Page 16: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/16.jpg)
Slide 1616
Sources of Data
• Primary• patient
• Secondary• Family members• Significant other• Other healthcare professionals• Health records
![Page 17: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/17.jpg)
Slide 1717
Components of Data Collection
• Nursing History• Biographical information• Reasons for seeking healthcare• Present illness or health concern• Health history • Environmental history• Psychosocial and cultural history• Review of systems or functional health patterns
![Page 18: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/18.jpg)
Slide 1818
Interpreting Assessment Data
• Data interpretation and validation
• Data clustering
• Data documentation
![Page 19: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/19.jpg)
Slide 1919
Diagnosis: Phase 2 of the Nursing Process
• Data is useless if not used• An important part of nursing practice is
determining what the client needs• Developing a nursing diagnosis is the next step in
planning for the care of the patient• Looking at the data, we can see both problems
treated by nursing (nursing diagnosis) and treated by other disciplines (collaborative problems).
• Nursing diagnosis are not medical diagnosis
![Page 20: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/20.jpg)
Slide 2020
Purpose of a Nursing Diagnosis
• 1. Identify how and individual, group or community responds to an actual or potential health and life processes
• 2. Identify factors that contribute to or cause health problems (etiology).
• 3. Identify resources or strengths the individual, group or community can utilize to prevent or resolve problems
![Page 21: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/21.jpg)
Slide 2121
Health Problem
• A condition that necessitates intervention to prevent or resolve the disease or illness or to promote coping and wellness
![Page 22: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/22.jpg)
Slide 2222
Health Problems for Nursing Focus
• Monitoring for changes in health status
• Promoting safety and preventing harm
• Identifying and meeting learning needs
• Tailoring treatment and medication regimens for each individual
![Page 23: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/23.jpg)
Slide 2323
Health Problems for Nursing Focus
• Promoting comfort and managing pain
• Promoting health and a sense of well being
• Recognizing and addressing barriers to an independent, healthy lifestyles
• Determining human responses
![Page 24: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/24.jpg)
Slide 2424
Nursing Diagnosis
• A clinical judgment about individual, family, or community responses to actual and potential health problems or life processes
• The goal of a nursing diagnosis is to identify actual and potential responses
![Page 25: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/25.jpg)
Slide 2525
Medical Diagnosis
• Identification of a disease condition based on a specific evaluation of physical signs, symptoms, history, diagnostic tests, and procedures
• The goals of a medical diagnosis is to identify the cause of a illness or injury and design a treatment plan
![Page 26: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/26.jpg)
Slide 2626
Nursing Diagnosis
• Actual or potential health problems that can be prevented or resolved by independent nursing interventions
![Page 27: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/27.jpg)
Slide 2727
Nursing Diagnosis
• Nursing diagnoses provide the basis for selecting nursing interventions that will achieve valued patient outcomes for which the nurse is responsible
![Page 28: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/28.jpg)
Slide 2828
NANDA
• NANDA: North American Nursing Diagnosis Association
• Established in 1973 to identify standards and classify health problems treated by nurses
![Page 29: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/29.jpg)
Slide 2929
NANDA
• NANDA conferences are held every two years to continue progress in defining, classifying and describing diagnoses
![Page 30: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/30.jpg)
Slide 3030
NANDAS’ Definition of Nursing Diagnosis
• Nursing diagnosis is a clinical judgment about individual, family, or potential health problems/life processes. Nursing diagnosis provides the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable
![Page 31: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/31.jpg)
Slide 3131
Nursing Diagnosis
• Clinical judgment about individual, family or community
• Response to actual or potential health or life process
• Provides basis for nursing interventions• Label and action of describing functional
problems• Identify and synthesize information gathered
during assessment
![Page 32: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/32.jpg)
Slide 3232
Nursing Diagnosis vs. Medical Diagnosis
• Medical diagnosis• Identify disease
• Nursing diagnosis• Focus on unhealthy response to health or illness
• Medical diagnosis• Physician directs treatment
• Nursing diagnosis• Nurse treats problem within scope of independent
nursing practice
![Page 33: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/33.jpg)
Slide 3333
Nursing Diagnosis vs. Medical Diagnosis
• Medical Diagnosis• Remains the same as long as the disease is
present
• Nursing Diagnosis• May change from day to day as the patient’s
responses change
![Page 34: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/34.jpg)
Slide 3434
Nursing Diagnosis
• Medical Diagnosis• Myocardial infarction
• Nursing Diagnosis• Fear• Altered health maintenance• Knowledge deficit• Pain• Altered tissue perfusion
![Page 35: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/35.jpg)
Slide 3535
![Page 36: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/36.jpg)
Slide 36
Differentiating Nursing Diagnosis versus Medical Diagnosis
Nursing Diagnosis Medical Diagnosis
- focus on unhealthy responses to health and illness.
- identify diseases
- describe problems treated by nurses within the scope of
independent nursing practice.
- describe problems for which the physician directs the primary
treatment .
- may change from day to day as the patient’s responses change
- remains the same for as long as the disease is present
![Page 37: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/37.jpg)
Slide 37
Myocardial infarction (heart attack) is a medical diagnosis.
Examples of nursing diagnoses for a person with myocardial infarction include Fear, Altered Health Maintenance, Knowledge Deficit, Pain, and Altered Tissue Perfusion.
![Page 38: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/38.jpg)
Slide 38
![Page 39: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/39.jpg)
Slide 3939
![Page 40: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/40.jpg)
Slide 4040
Development of Nursing Diagnosis
• Assess the patient• Review data and find actual and potential
problems• Use diagnostic reasoning to identify patient needs• Arrange data in clusters or defining characteristics• Use all data available• Reach conclusions for patient needs• Determine Nursing Diagnosis according to
NANDA approved diagnoses
![Page 41: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/41.jpg)
Slide 4141
Components of a Nursing Diagnosis
• Diagnostic label – name of the nursing diagnosis with descriptors
• Related factors – includes factors which contribute to the problem and are not the cause ,but are associated with it. THESE ARE NOT MEDICAL DIAGNOSIS.
• Defining characteristics - Assessment data which supports the nursing diagnosis• Subjective data – what the patients tells you• Objective data – what you observe or data obtained
• Risk factors – clues which point to potential problems
![Page 42: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/42.jpg)
Slide 4242
Nursing Diagnosis
• Types of diagnoses• Actual • Risk • Wellness
![Page 43: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/43.jpg)
Slide 43
Types of Nursing Diagnoses
1- Actual Nursing Diagnoses
Describe a human response to a health problem that is being manifested. They are written as three- part statements: diagnostic label, related factors, defining characteristics.
Example – Acute pain related to surgical trauma and inflammation, as evidenced by grimacing and verbal reports of pain.
![Page 44: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/44.jpg)
Slide 44
2- Risk nursing diagnosis
As defined by NANDA, ’’describes human responses to health conditions that may develop in a vulnerable individual, family, or community. It is supported by risk factors that contribute to increased vulnerability’’.
![Page 45: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/45.jpg)
Slide 45
Risk nursing diagnoses are two – part statements because they do not include defining characteristics (diagnostic label, risk factors).
Example - Risk for infection related to surgery and immunosuppression.
Risk for aspiration related to reduced level of consciousness
Risk for Impaired Skin Integrity related to inability to turn self from side to side in bed.
![Page 46: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/46.jpg)
Slide 46
3- Wellness nursing diagnosis
Is a diagnostic statement that describe the human response to levels of wellness in an individual, family, or community that have a potential for enhancement to a higher state (NANDA, 2005).
![Page 47: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/47.jpg)
Slide 4747
![Page 48: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/48.jpg)
Slide 48
Wellness nursing diagnosis are one part statement includes diagnostic label.
Example
– Readiness for enhanced spiritual well being
- Readiness for Enhanced Self-Esteem.
Q- Which One is accurate nursing diagnosis?
1- Readiness for Enhanced Family Coping
2- Family coping potential due to desire for better health
![Page 49: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/49.jpg)
Slide 4949
What a Nursing Diagnosis is Not
• A nursing diagnosis is NOT a medical diagnosis
• A nursing diagnosis is NOT a statement of patient need
![Page 50: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/50.jpg)
Slide 5050
Legal Ramifications of Nursing Diagnosis
• A nurse• Can only identify problems within the scope of
practice• Cannot diagnose or treat medical disease• Must identify problems within his/her scope o
practice, abilities and education
![Page 51: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/51.jpg)
Slide 51
Nursing Planning
The third step of the nursing process includes the formulation of guidelines that establish the proposed course of nursing action in the resolution of nursing diagnoses and the development of the client’s plan of care.
The planning of nursing care occurs in three phases: initial, ongoing, and discharge. Each type of planning contributes to the coordination of the client’s comprehensive plan of care.
![Page 52: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/52.jpg)
Slide 52
- Initial planning involves development of beginning of care by the nurse who performs the admission assessment and gathers the comprehensive admission assessment data. Initial planning is important in addressing each prioritized problem, identifying appropriate client goals, and correlating nursing care to hasten resolution of the client’s problems.
![Page 53: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/53.jpg)
Slide 53
- Ongoing planning entails continuous updating of the client’s plan of care. Every nurse who cares for the client is involved in ongoing planning.
- Discharge planning involves critical anticipation and planning for the client’s needs after discharge.
![Page 54: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/54.jpg)
Slide 54
The four critical elements of planning include:
• Establishing priorities
• Setting goals and developing expected outcomes (outcome identification)
• Planning nursing interventions (with collaboration and consultation as needed)
• Documenting
![Page 55: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/55.jpg)
Slide 55
The four critical elements of planning include:
• Establishing priorities
• Setting goals and developing expected outcomes (outcome identification)
• Planning nursing interventions (with collaboration and consultation as needed)
• Documenting
![Page 56: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/56.jpg)
Slide 56
The client’s basic needs, safety, and desires, as well as anticipation of future diagnoses must be considered. One of the most common methods of selecting priorities is the consideration of Maslow’s hierarchy of needs, which requires that a life-threatening diagnosis be given more urgency than a non life threatening diagnosis.
The client must participate in the identification of priorities so that the nature of the problem, as well as the client’s values, are reflected in the selected course of action.
![Page 57: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/57.jpg)
Slide 57
![Page 58: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/58.jpg)
Slide 58
3rd Component of the Nursing Process- Implementing:
• The provider carries out the plan of care
![Page 59: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/59.jpg)
Slide 59
During Implementing, the care provider:
• Carries Out The Plan Of Nursing Care or Setting your plans in motion and delegating responsibilities for each step.
• Continues Data Collection And Modifies The Plan Of Care As Needed
• Documents Care
![Page 60: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/60.jpg)
Slide 60
ImplementingConsists of doing and documenting the activities that are the specific nursing actions needed to carry out the interventions or nursing orders. The first three nursing process phases-assessing, diagnosing, and planning-provide the basis for the nursing actions performed during the implementing step. In turn, the implementing phase, provide the actual nursing activities and client responses that are examined in the final phase, the evaluating phase.
![Page 61: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/61.jpg)
Slide 61
Process of Implementing
• Reassessing the client
• Determining the nurse’s need for assistance
• Implementing the nursing interventions
• Supervising the delegated care
• Documenting nursing activities
![Page 62: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/62.jpg)
Slide 62
Documenting Nursing Activities, the nurse complete the implementing phase by recording the interventions and client responses in the nursing process notes. The nurse may record routine or recurring activities such as mouth care in the client record at the end of shift, while some actions recorded in special worksheets according to agency policy. Immediate recording helps safeguard the client to prevent double actions.
![Page 63: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/63.jpg)
Slide 63
During Evaluating, the care provider:• Measures The Clients Achievement Of
Desired Goals/Outcomes
• Identifies Factors That Contribute To The Client’s Success Or Failure
• Modifies The Plan Of Care, If Indicated
![Page 64: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/64.jpg)
Slide 64
Process of Evaluating Client Responses
Collecting data related to the desired outcomes
Comparing the data with outcomes
Relating nursing activities to outcomes
Drawing conclusions about problem status
Continuing, modifying, or terminating the nursing care plan.
![Page 65: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/65.jpg)
Slide 65
When determining whether a goal has been achieved, the nurse can draw one of the three possible conclusions: The goal was met, that is the client response is
the same as the desired outcomes.The goal was partially met, that is either a short
term goal was achieved but the long term was not, or the desired outcome was only partially attained.
The goal was not met.
![Page 66: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/66.jpg)
Slide 66
![Page 67: Slide 1 1 Nursing Process: Foundation for Practice NPN 105 Joyce Smith RN, BSN](https://reader035.vdocuments.mx/reader035/viewer/2022062322/5697bf831a28abf838c862ce/html5/thumbnails/67.jpg)
Slide 67
• Thank you….
67