Nursing Process in Pharmacology
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| Steps of Nursing Process | Assessment, diagnosis, planning, interventions, evaluating care provided
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| What data is gathered during assessment | Baseline, subjective, and objective
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| What are ways of planning | through forming goals and outlines
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| Identify assessment data that is pertinent to medication administration | health history, physical assessment data, lab values (other measurable data), asseesion of medication effects (theraputic and Side effects)
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| develop proper nursing diagnosis for clients receiving medication (when is it done, what does it do, must do) | after analysis of assessment data, focus on problem, verified with client or caregiver
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| Why are diagnosis written | to address clients responses related to drug administration
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| How do you set goals for a client receiving medication | from diagnosis
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| What do goals focus onfor a client receiving medication | what the client should be able to achieve
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| What do outcomes focus onfor a client receiving medication | measurable criteria that will be used to measure goal attainment
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| Key interventions strategies to be implemented for clients receiving medication | Goal client to be optimal level doing it safetly and effectivelly
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| Key intervention | monitoring drug effects, doc, medication, client teaching,
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| Outcome of med. administration | begins new cycle of care, diagnosis reviewed, goals outcome refined, new interventions
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| First step in the nursing process | Assessment, diagnosis, planning, interventions, evaluating care provided
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| Begins with the nurse's initial contact with the client and continues with every interation therafter | assessment
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| Used to compare to information obtained during later interations | baseline data
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| what the clients say or pereives | subjective data
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| gathered through physical assessment , | objective data
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| lab test other diagnostic sources | objective data
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| nursing judgments about the client and his or her reponses to health and illness ; second step in nursing process | nursing diagnoses
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| provides basis for establishing goals and outcomes planning interventions and evaluating the effectiveness of the care given | Nursing diagnoses
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| Diff b/t nursing diagnoses and medical diagnosis | Nursing diagnoses focus on a client's reponse to actual or potential health and life processes; med. focus on disease or conditon
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| Per the N(north)A(american)N(nursing)D (diagnosis) A (association) nursing diagnoses provide the basis for | selection of nursing interventions to achieve outcomes for which the nurse is accountable
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| Difficult part of the nursing process | Diagnosis
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| KEY: pt. to remene about nursing diagnoses | it focuses on client's needs not the nurse's needs.
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| Primary nursing role is to enable clients to ? | become active participants in their own care; encouraging the client to take a more active role in working toward meeting the identified goals
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| Third step | planning ; ways to assitst the client to return to an optimun level of wellness.
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| Goals are established to focus on >>> | what the client will be able to do or achieve not waht the nurse will do.
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| objective measures of goals | Outomes
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Created by:
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