Professional Documents
Culture Documents
Nursing Process
An
Johnsons 3 steps
Assessment, Decision, Nursing
Action (1959)
Ida Jean Orlando (1961): clients
behavior, nurses reaction, nurses
actions
NCM 100 - Nursing Process
FGV Jaminit, BSN, RN, CNN, MA
(1967), 4 components:
Assessing , Planning,
Implementing, Evaluating
Knowles (1967), 5 Ds: Discover,
Delve, Decide, Do, Discriminate
introduced innovations:
Diagnosis distinguished as separate
step (1973)
Diagnosis of actual and potential
health problems delineated as
integral part of the nursing practice
(1980)
NCM 100 - Nursing Process
FGV Jaminit, BSN, RN, CNN, MA
Assessm
ent
Evaluati
on
Clientel
e
Implementi
ng
NCM 100 - Nursing Process
FGV Jaminit, BSN, RN, CNN, MA
Diagnosi
ng
Planning
7
Characteristics of NP
1.
2.
3.
4.
5.
Problem oriented
Goal oriented
Orderly, planned, step by step, and
systematic
Open in accepting new information
during its application
It is flexible to meet the unique needs of
patient
Characteristics of NP
Interpersonal and collaborative
7. Permits creativity among nurses an
patient
8. Cyclical and dynamic
9. Universal
10. Beneficial to the nurse and the client
6.
Case
10
ASSESSMENT
Collecting, validating organizing, and
recording data about the patients health
status
Its purpose is to establish database
In the collection of data, the nurse does not
make an interference but forces on
establishing a comprehensive database
that reflects the health status of the patient
11
ASSESSMENT
Goal
is to establish baseline
Activity on assessment: Data
Collection
12
Types of Data
1.
2.
ASSESSMENT
Subjective
Objective
13
Sources of Data
1.
2.
ASSESSMENT
Primary Source
Secondary Source
14
ASSESSMENT
Interview
Observation
Physical Assessment
15
Diagnosing
Is
16
Diagnosing
Goal
17
Diagnosing
Nursing Diagnosis
18
Diagnosing
Nursing Diagnosis
A
19
Diagnosing
20
Diagnosing
21
Diagnosing
22
Diagnosing
23
Diagnosing
24
Diagnosing
25
Diagnosing
26
Diagnosing
27
Diagnosing
28
Diagnosing
29
Formula in diagnosing
P+Risk factors
P+E+S
Wellness diagnosis
30
Components of a Nursing
Diagnoses
Problem
Deficient,
impaired, decreased,
ineffective, compromised
Etiology
Defining
characteristics
31
Diagnosing
Formulating Diagnostic Statements
One-part statement
Two-part statement
Three-part statement
32
33
Planning
Involves
34
Planning
Nursing
35
Purposes
Planning
36
Characteristics
Planning
S-M-A-R-T
37
38
Implementation
Is
39
Activities
Implementation
Reassessing
Set priorities
Perform nursing interventions
Record actions
40
Evaluation
Assessing
41
Activities
Evaluation
42
43