Introduction to nursing process, diagnosis and professional Nursing
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| Intro 2 nursing ____, Nursing _____ and _______Nusing | process
diagnosis,
professional nursing
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| Definition of Nursing .”(Roy, 1999 p.4) | “A health care profession
focuses human life
processes patterns,
emphasizes
promotion health
individuals,
families, groups, and society as a whole.
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| Definition of Nursing .”(ANA 1998) | diagnosis
treatment
human responses
health
illness
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| What is Nursing’s Role Today | Caregiver Educator Advocate Manager Researcher Practitioner
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| What is Nursing’s Role Today | care giver educator advocate manager researcher practitioner
Promoter health illness prevention
leader
other
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| Guidelines for Nursing Practice | American Nurse Association
State nurse practice act
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| American Nurses Association | code nurses,
standards nursing practice
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| State nurse Practice Act | State board nursing
Nursing Licensure
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| Legal issues of nursing | client rights, practice w/ in scope of licensure, negligence, malpractice, assult
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| ethical issues of nursing - clients rights | cultural, confidentality, aids, Death and dying issues,
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| Nursing process must be? | specific,
individualized
holistic
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| 5 steps of nursing process ANPIE | 1.Assessment
2.Nursing Diagnosis
3.Planning
4.Intervention
5.Evaluation
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| Assessment | Create patient data base
–systematic
gather
organize
document
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| Assessment subjective data | the patient's perspective
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| Assessment objective Data | observeable
Physical assessment
diagnostic test
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| Assessment –con’t Components of the patient data base | Cognitive Assessment
developmental level, economic status, functional abalities, lifestyle, physical assessment, psychological assessment, socio-cultural assessment, spiritual assessment
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| Nursing Diagnosis | statement,(pattern of cues or symptoms)
Related to, or etiology (related cause or contributor to thye problem)
As evidenced by (defining characteristics or symptoms identified by the nurse)
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| Nursing Diagnosis statement | (pattern of cues or symptoms)
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| Nursing Diagnosis Related to | , or etiology (related cause or contributor to the problem)
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| Nursing Diagnosis As evidenced by | (defining characteristics or symptoms identified by the nurse)
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| Nursing diagnosis Example | Impaired physical mobility related To limb immobilization as evidenced by inability to independently perform activities of daily living
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| Planning | Chose the diagnosis that is the highest priority (maslow's Hierarchy of Needs)
Develop outcomes ( Nursing outcomes classification (NOC)
Develope interventioin to achieve outcomes (nursing intervention classifications (NIC)
evidenced based nursing pract
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| steps in planning | diagnosis w/ highest priority, develop outcomes, develop interventions to achieve outcomes
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| planning cont Nursing interventions | any treatment that a nurse performs to enhance patient outcomes
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| examples of nursing interventions | Direct care intervention
indirect care intervention
nurse initiated treatment
physician initiated treatment (order)
other provider initiated treatment
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| implementation | just do it! Document it!
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| Physician Prescribed interventions | ASA 325 mg. Q4 hours Prn Pain
Activity-Bed rest
Stool for O&P
Low Fat Diet
Diabetic management to see patient
Initiate disharge planning
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| Evaluation | Occurs throughout the process
were the outcomes met? If no then..... were outcomes attainable? Was it the right diagnosis? Was it the wrong intervention?
Make revisions where needed and try again.
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| teaching -Learning | adult learning
Mutual goal setting
Identify outcome change (knlwledge, attitude or behavior change)
Evaluate effectiveness
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| Nursing Prescribed interventions examples | Administer aspirin for back pain,
Reposition every 2 hours
send a stool speciman to the laboratory
explain ways to reduce dietary fat intake
requesst that a clinical specialist see the client
refer for discharge planning
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Created by:
garrowcousino
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