NSE 13A/B Lecture Notes - Lecture 1: Nursing Process, Individual Psychological Assessment, Health Promotion
Document Summary
The nursing process: evaluation evaluate the situation, diagnosis get the diagnosis using subjective and objective data, planning plan what you would do about it, order medication. Implementation implement the plan and evaluate if that worked, if not start over. Identify any assumptions: validation if something doesn"t look like right to you do it again, distinguishing normal from abnormal and relevant from irrelevant, don"t infer things on people, clustering related cues and identifying patterns and missing information. Trauma-informed practice guide page 12: airway, breathing, cardiac/circulations, vital signs, second-level priorities, necessitating prompt intervention, mental status change, untreated medical problems, pain, urinary, lab values, infection, safety, third-level priorities, knowledge, activity, rest, family, coping. Informs policies, practices, and staff relational approaches: safety, empowerment, choice, and control, nonviolence, learning, and collaboration. Four types of databases: episodic long term care, follow-up coming back for a blood result checkup, emergency abc and neurology, complete head-to-toe checkup.
