NURS 3234 Lecture Notes - Lecture 5: Posttraumatic Stress Disorder, Nanda, Heart Failure
Document Summary
Adpie = nursing process: a = assessment, d = diagnosis (nursing, not medical, p = plan, e = evaluate. Nurse speak: the language you must know to provide good care, and to work with other nurses. Assessment subjective, and objective (get to know your patient: 2. Develop a list of both problems, and strengths. Weaknesses (forgetting diet, not logging, not compliant: 3. Do not need medical order to do something on your diagnosis: 4. Prioritize the items on your list, number them: 5. Develop client outcome goals, or objectives (smart: s = specific, m= measureable, a= attainable (short term or long term), r=realistic, Areas for assessments: physiological changes/physical exam, labs, family/ psychosocial adjustment, support system assessment (income, needs, education, family, educational needs, home & lifestyle safety needs, patient/family skills, developmental issues, the 5 minute assessment. Nursi(cid:374)g diag(cid:374)oses , a(cid:272)tual/pote(cid:374)tial health issues that you (cid:272)a(cid:374) prevent/resolve with independent nursing intervention: pain/comfort, activity, tissue integrity and perfusion issues.
