Nursing Process Chipola Colege Home奇泊拉学院的家庭护理过程.pptVIP

Nursing Process Ch 11 What Is It? Framework = method = formula Systematic approach Dynamic Interpersonal Patient-centered Goal-oriented Steps (Parts) Assessing Diagnosing Planning Implementing Evaluating Quote . . . Nurses are responsible for a unique dimension of healthcare – “ the diagnosis and treatment of human responses to actual or potential health problems” Evolution In 1960s nursing recognized as distinct entity 1973 the ANA Congress developed Standards of Practice Ongoing reassessments and revisions Trends Initially plans of care were long and handwritten Today’s care plans are Standardized Computerized Focus on similarities between illnesses, etc Problem Solving Combination of Trial-and-error Scientific process Intuition Purpose Provide patient care that is Scientific Holistic Creative Critical Thinking Ability to identify a problem analyze it develop a response follow through Based on experience Knowledge Intuition Critical Thinking, cont’d. “…active, organized, cognitive process used to carefully examine one’s thinking and the thinking of others.” Involves use of MIND Form conclusions Make decisions Draw inferences reflect C. T. Characteristics Independent thinker Fair-minded Intellectually humble Intellectually courageous Good faith integrity Curious persevering Disciplined Creative Confident Assessing Ch 12 4 Types Initial Shortly after contact with patient Most facilities have specific time-frames Establishes database for development of plan Focused Gathers data about specific problem May be part of initial assessment, but more often is not Emergency Identifies life-threatening problems Time-Lapse Compares current to previous data Data Collection Consider time needs of patient developmental stage physical surroundings past and present coping patterns Data Characteristics Complete Factual Accurate Relevant Data Sources Subjective Patient Primary source Usually BEST source Family significant others When patient is a child or impaire