NUR 306 Lecture 1: The Nursing Process
Document Summary
Implement the plan: set a goal, develop an action plan, evaluate the outcome, broad systematic framework, provides methodical base, problem-solving approach addresses human response, needs of patient, family, and community, adpie, assessment. Implementation: can be completed by patient, family, or health care team, clearly relate to nursing diagnosis and planned goals, modified as changes occur, support positive outcomes. Individualized for each patient: evaluation, continuing process to determine if goals have been attained, based o(cid:374) patie(cid:374)t"s condition, goals are realistic or appropriate, ongoing process, confirms that nursing care is relevant. Clinical reasoning: assessment & diagnosis, 3 types of reasoning for clinical problem solving, pattern recognition, development of schemas, application of relevant basic and clinical science, steps. Identify abnormal or positive findings: make a list, patie(cid:374)t"s sy(cid:373)pto(cid:373)s, observed signs. Identify the positive responses: cluster the findings, group complaints with area in body. Include information on stress level: be specific, localize symptoms and signs, if possible.
